Prisma操作步驟課件

Prisma操作步驟GambroETLiBaoshun0610*QUERY?詢問

機器并不是在”治療完成”屏幕被關上或是在治療過程中斷電多于15秒繼續(xù) :如果要回到關機前的操作屏幕,

請按“繼續(xù)”。重新激活:如果要從”選擇病人”屏幕重新開始新的治療,

請按“重新激活”。

重新激活繼續(xù)GambroETLiBaoshun0610**詢問？

QUERY?ThemachinewaslastturnedoffnotinTREATMENTCOMPLETEscreen,orpowerfailureoccurredduringtreatmentformorethan15Seconds.

Continue :Tocontinuetheoperationwhenmachinelastturnedoff,

pressCONTINUE.Restart :TostartanewoperationfromCHOOSEPATIENTscreen,

pressRESTART.RESTARTCONTINUEGambroETLiBaoshun0610**選擇病人

SETUPSTANDBYRUNEND

CURRENT:11:3011Sep1996

CHOOSEPATIENTNEWPATIENT -Setupmachinefornewpatient -DeletetreatmenthistorydataSAMEPATIENT -Continuelasttreatment -RetaintreatmenthistorydataCUSTOMMODE -ModifydefaultvaluesofPRISMAtherapies -Setclocktocorrectdateandtime -SetdefaultlanguageLASTTREAT- -ViewhistorydataoflasttreatmentMENTHISTORY performed

CUSTOMMODE

NEWPATIENTLASTTREATMENTHISTORYSAMEPATIENTHELPGambroETLiBaoshun0610**CONFIRMNEWPATIENT

安裝等待治療結束

確認新病人

繼續(xù) -確認這是新病人

-刪除上次病人的治療記錄取消 -取消”新病人”選擇

-返回前面病人選擇屏幕

取消繼續(xù)GambroETLiBaoshun0610**確認新病人

SETUPSTANDBYRUNEND

CONFIRMNEWPATIENT

CONTINUE -Confirmthisisanewpatient -DeletetreatmenthistorydataCANCEL -Cancel“NewPatient”choice -ReturntotheChoosePatientscreen

CANCELCONTINUE

GambroETLiBaoshun0610**選擇治療方式SETUPSTANDBYRUNEND

CHOOSE

THERAPY

PressnameofdesiredtherapySCUFCVVHCVVHD

CVVHDFTPEHELPGambroETLiBaoshun0610**LOAD

SET

安裝等待治療結束SCUFCVVHCVVHDCVVHDFTPE

安裝配套你已選擇:CVVHDF如果不正確,請按“取消”1.垂直的握住濾器,將配套卡匣放入支架

2.按線路圖裝上置換液和透析液管

3.裝入4個壓力傳感器夾頭4.將廢液管按線路圖從下而上地裝入漏血探測器,把廢液管緊固在上下兩個管路小夾,掛上廢液袋(黃色點標記稱)5.按線路圖緊固動脈血管,掛上預充液收集袋(左下角)6.將靜脈血管裝入空氣探測器和靜脈夾子

7.按LOAD(安裝)鍵

取消安裝幫助GambroETLiBaoshun0610**安裝配套

SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPE

LOAD

SETYouhavechosen:CVVHDFIfincorrect,pressCANCEL.1.Holdfiltervertically.Snapcartridgeintocarrier.2.Routereplacementanddialysatelines.3.Attachthe4pressurepods.4.PresseffluentlineintoBLDfrombottomup;securelineIntubingguides.Hangeffluentbag(yellowscalehook).5.Routeaccessline.Hangprimecollectionbag(leftcorner).6.Insertreturnlineintoairdetectorandreturnlineclamp.7.PressLOADCANCEL

LOADHELPGambroETLiBaoshun0610**泵管安裝進行中

SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPE

Loading

pumps

,pleasewaitGambroETLiBaoshun0610**PREPARE

SOLUTIONS

安裝等待治療結束SCUFCVVHCVVHDCVVHDFTPE

準備溶液1.檢查所有泵管均已進入泵槽,如沒有裝到位,按UNLOAD(卸出泵管)鍵重新安裝一次2.準備預充液(含肝素生理監(jiān)水一公升),抗凝劑,置換液,和透析液,掛好預充液(右下角)3.將抗凝劑管與抗凝劑注射器相連接,把注射器安裝在注射器泵上4.掛上置換液(紫色標點稱)掛上透析液(綠色標點稱)5.按CONTINUE(繼續(xù))鍵卸出泵管繼續(xù)幫助GambroETLiBaoshun0610**準備溶液

SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPE

PREPARE

SOLUTIONS1.Checkthatall4pumpsegmentsareloadedintopumpraceways.Ifnot,pressUNLOADandtryagain.2.Preparepriming,anticoagulant,replacement,anddialysatesolutions.Hangprimingsolution(rightcorner).3.Connectanticoagulantlinetoanticoagulantsyringe.Installsyringeinpump.4.Hangreplacementsolution(PURPLEscale);hangdialysate(GREENscale).5.PressCONTINUE.UNLOADCONTINUEHELPGambroETLiBaoshun0610**將管路連接溶液袋

SETUP

STANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPECONNECTLINESTOSOLUTIONS1.Connectreturnline(blue)toprimingsolutionbag(usespikeorluerconnector).2．Connecteffluentline(yellow)toeffluentbagifrequired.Checkforsecurepreconnectionofaccessline(red)toprimecollectionbag.3.Connectreplacementsolutionline(purple)toreplacementsolutionbag(usespikeorluerconnector).4.Connectdialysateline(green)todialysatebag(usespikeorluerconnector).5.Unclampanyclampedlines.PressPRIMEtostartautomaticpriming.PRIMEHELPGambroETLiBaoshun0610**Priming

安裝等待治療結束SCUFCVVHCVVHDCVVHDFTPE

預充進行中,請等待配套預充將在7分后后完成如果需要,請按“停止”鍵暫時中斷預充程序

注意:1.千萬不可以卸下任何壓力傳感接頭夾

2.密切觀察管路有無滲漏,如有滲漏而經緊固后仍無法阻止?jié)B漏,請不要使用這配套,并上機器并手動卸下配套(請參考操作者手冊)停止GambroETLiBaoshun0610**預充進行中

SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPEPriming,pleasewait

Primingcompletein7minutes.IfnecessarypressSTOPtointerruptpriming.

CAUTIONS:1.Donotremovepressurepods.2.Observesetcloselyforleaks.Ifleakscannotbestoppedbytighteningconnections,donotusethisset.Turnoffmachineandmanuallyunloadset.(SeeOperator’sManual.)STOPGambroETLiBaoshun0610**預充進行中

SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPEPriming,pleasewait

Primingcompletein4minutes.IfnecessarypressSTOPtointerruptpriming.

CAUTIONS:1.Donotremovepressurepods.2.Observesetcloselyforleaks.Ifleakscannotbestoppedbytighteningconnections,donotusethisset.Turnoffmachineandmanuallyunloadset.(SeeOperator’sManual.)STARTGambroETLiBaoshun0610**預充進行中

SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPEPriming,pleasewait

Primingcompletein4minutes.IfnecessarypressSTOPtointerruptpriming.

CAUTIONS:1.Donotremovepressurepods.2.Observesetcloselyforleaks.Ifleakscannotbestoppedbytighteningconnections,donotusethisset.Turnoffmachineandmanuallyunloadset.(SeeOperator’sManual.)STOPGambroETLiBaoshun0610**Priming

安裝等待治療結束SCUFCVVHCVVHDCVVHDFTPE

預充進行中,請等待配套預充將在4分后后完成如果需要,請按“停止”鍵暫時中斷預充程序

注意:1.千萬不可以卸下任何壓力傳感接頭夾

2.密切觀察管路有無滲漏,如有滲漏而經緊固后仍無法阻止?jié)B漏,請不要使用這配套,并上機器并手動卸下配套(請參考操作者手冊)停止GambroETLiBaoshun0610**

預充完成

SETUP

STANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPE

PRIMINGCOMPLETE

1.Inspectsetforair.Ifmoreprimingneeded,useMANUAL

PRIME.Iftotalreprimeneeded,useREPRIME.(SeeHELP.)2.Ifthereisnoairinthesetandnomoreprimingisneeded,PressCONTINUE.REPRIMEMANUALPRIMECONTINUEHELPGambroETLiBaoshun0610**PRIMING

COMPLETE

安裝等待治療結束SCUFCVVHCVVHDCVVHDFTPE

預充完成

1.檢查管道內是否有氣泡。如果需要更多預充，請使用MANUALPRIME(手動預充)；如果需要重復一次完整的預充，請按REPRIME(重復預充)鍵。（參看幫助功能）2.如果管道內沒有氣泡，并且不再需要預充，按CONTINUE(繼續(xù))鍵。重復預充手動預充繼續(xù)幫助GambroETLiBaoshun0610**

預充完成

SETUP

STANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPE

PRIMINGCOMPLETE

1.Inspectsetforair.Ifmoreprimingneeded,useMANUAL

PRIME.Iftotalreprimeneeded,useREPRIME.(SeeHELP.)2.Ifthereisnoairinthesetandnomoreprimingisneeded,PressCONTINUE.REPRIMEMANUALPRIMECONTINUEHELPGambroETLiBaoshun0610**Prime

Test

安裝等待治療結束SCUFCVVHCVVHDCVVHDFTPE

預充檢測，請稍候

注意：不要移動或拆開壓力接頭。正在進行：自檢已完成百分比（％）

0 25 50 75 100

漏血控測器－標準化值：80－信號值：171GambroETLiBaoshun0610**預充檢測SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPEPrime

Test,pleasewait

CAUTION:DONOTREMOVEPRESSUREPODS.Nowperforming:SelfTest

PrecentComplete

0 25 50 75 100

BLD–normalizationvalue:80 -signalvalue:171

GambroETLiBaoshun0610**PRIMING

TEST

PASSED

安裝等待治療結束SCUFCVVHCVVHDCVVHDFTPE預充檢測通過

預充完成并通過檢測。

1.確認以下數(shù)字順序是否正確（0～9）

01234567892.如果編號正確如果編號正確，病人已準備上機，按“繼續(xù)”。（取掉預充液袋和預充液收集袋）警告：如果編號錯誤，請關掉機器，通知維修。（參見幫助功能）重復預充手動預充繼續(xù)幫助GambroETLiBaoshun0610**預充檢測通過

SETUP

STANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPE

PRIMING

TEST

PASSED

Primingiscompleteandprimetesthaspassed.1.Verifynumbersareincorrectsequence(Zerotonine)0123456789

2.Ifnumbersarecorrectandpatientisreadytoconnect,

pressCONTINUE.(Leaveprimingsolutionandprimecollectionbagattached.)WARNING:Ifnumbersareincorrect,turnoffmachine;Callservice.(SeeHELP)REPRIMEMANUALPRIMECONTINUEHELPGambroETLiBaoshun0610**SETFLOWRATES安裝等待治療結束SCUFCVVHCVVHDCVVHDFTPE設置流速1.按需要改變設置的名稱鍵

2.選擇下一個流速，或者當準備完畢時，按“繼續(xù)”鍵。超濾率是血液流速的2％。抗凝劑注意：用箭頭調節(jié)設置值。150

ML/MIN200

ML/HR1000

ML/HR500

ML/HR血液流速脫水量置換液流量透析液流量繼續(xù)幫助GambroETLiBaoshun0610**設置流速SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPESETFLOWRATES1.Pressthenameofthesettingtobechanged.2.SelectnextflowrateorpressCONTINUEwhenready.Ultrafiltrationratewillbe2%ofbloodflowrate.ANTICOAG

Note:Usearrowstoadjustsettings.150

ML/MIN200

ML/HR1000

ML/HR500

ML/HRBLOODPT.FLUIDREMOVALREPLACESOLUTIONDIALYSATECONTINUEHELPGambroETLiBaoshun0610**MODIFYANTICOAG安裝等待治療結束SCUFCVVHCVVHDCVVHDFTPE調整抗凝劑量1.按需要改變設置的名稱鍵

2.選擇下一個流速，或者當準備返回“設置流速”界面時，按“繼續(xù)”鍵。

注意：用箭頭調節(jié)設置值。在給予初始劑量的抗凝劑后，“抗凝”將轉為“繼續(xù)”。核對目前的肝素流速，如果需要可修改。連續(xù)注射2.5ML/HR注射方式連續(xù)注射流速繼續(xù)幫助GambroETLiBaoshun0610**調整抗凝劑量SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPEMODIFYANTICOAG1.Pressthenameofthesettingtobechanged.2.SelectnextflowrateorpressCONTINUEwhenreadytoreturntotheSetFlowRatesscreen.Note:Usearrowstoadjustsettings.Checkcurrentrate.Modifyifdesired.CONTINUOUS2.5ML/HRDELIVERYMETHODCONTINUOUSRATECONTINUEHELPGambroETLiBaoshun0610**CONNECTPATIENT

安裝等待治療結束SCUFCVVHCVVHDCVVHDFTPE連接病人

1.夾住下列管道：預充液收集袋、動脈管道（紅色）、回路管道（藍色）

2.從收集袋解下動脈管道，連接到導管上有紅色標記的luer鎖

3.從預充液袋上解下回路管道，連接到導管上有藍色標記的luer鎖。

4.夾住所有不使用的管道，確定正確建立后，按“開始”鍵開始治療。

5.如果已經設置，當“STATUS”界面出現(xiàn)時，將會按設置給抗凝劑。設置流速警告：出現(xiàn)任何滲漏時，應立即處理。

開始幫助GambroETLiBaoshun0610**連接病人SETUPSTANDBYRUNEND

SCUFCVVHCVVHDCVVHDFTPE

CONNECTPATIENT

1.Clampthefollowing:primecollectionbag,accessline(red),returnline(blue).2.Disconnectaccesslinefromcollectionbag;connecttoRed-codedluerlockoncatheter.3.Disconnectreturnlinefromprimingsolutionbag;connectToblue-codedluerlockoncatheter.4.Clampallunusedlines;verifycorrectsetup;PressSTARTtobegintreatment.5.Giveanticoagulantbolus,ifprescribed,whenStatusscreenappears.SETFLOWRATES

WARNING:Remedyanyleaksimmediately.STARTHELPGambroETLiBaoshun0610**STATUS

安裝等待治療

結束SCUFCVVHCVVHDCVVHDFTPE當前時間

:11:3011Sep1996

治療狀況

目前流速血流速: 150ml/min置換液：1000ml/hr透析液：500ml/hr病人脫水量：200ml/hr抗凝劑：持續(xù)0.0ml/hr

I/O數(shù)據（入水/出水）已過時間：30分鐘(60分鐘)置換液輸入： 500ml使用透析液： 250ml廢液： 850ml實際病人脫水量：100ml

目前壓力動脈：

-80mmHg濾器： 180mmHg廢液：40mmHg靜脈：

130mmHgTMP：

115mmHg△PFilt：50mmHg距離中斷時間：4小時20分鐘原因：透析液液袋耗空停止設置流速其它軟按鍵幫助GambroETLiBaoshun0610**治療狀況SETUPSTANDBY

RUN

ENDSCUFCVVHCVVHDCVVHDFTPECURRENT:11:3011Sep1996

STATUS

CURRENTFLOWRATESBlood: 150ml/minReplace: 1000ml/hrDialysate: 500ml/hrPtRemoval:200ml/hrAnticoag: continuous 0.0ml/hrI/ODATAElapsed: 30of60minReplacementSol.Input: 500mlDialysateused: 250mlEffluent: 850mlActualPt.Fluidremoved: 100ml

CURRENTPRESSURESAccess:-80mmHgFilter: 180mmHgEffluent:40mmHgReturn:130mmHgTMP: 115mmHgPFilt:50mmHg

Nextinterventioninapprox:4hr20minDueto:Dialysatebagempty

STOPSETFLOWRATESMORESOFTKEYSHELPGambroETLiBaoshun0610**MORESOFTKEYS安裝等待

治療結束SCUFCVVHCVVHDCVVHDFTPE

其它軟按鍵

根據需要進入的界面按相應的軟按鍵。更換液體袋治療歷史

重調漏血探測器

更改設定治療狀況幫助GambroETLiBaoshun0610**其它軟按鍵

SETUPSTANDBY

RUNENDSCUFCVVHCVVHDCVVHDFTPE

MORESOFTKEYS

Pressthesoftkeyforthescreenyouwanttoaccess.CHANGEBAGTREATMENTHISTORYNORMALIZEBLDMODIFYSETTINGSSTATUSHELPGambroETLiBaoshun0610**CHANGEBAGS安裝等待

治療結束SCUFCVVHCVVHDCVVHDFTPE

更換液體袋

允許更換任何液體袋更換液體袋：

1．更換液體袋

2．按“治療狀況”鍵停止消音治療狀況幫助GambroETLiBaoshun0610**更換液體袋

SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPE

CHANGEBAGS

Allowsusertochangeanybags.Tochangebags:1.Changeanybagsdesired.2.PressSTATUS.STOPMUTESTATUSHELPGambroETLiBaoshun0610**TREATMENTHISTORY安裝等待治療結束SCUFCVVHCVVHDCVVHDFTPE當前時間

:16:3012Sep1996治療歷史

記錄顯示周期: 3hr00min實際運行時間: 2hr55min置換液輸入量: 3000ml透析液輸入量:1500ml總廢液量: 5100ml病人實際脫水量: 100ml記錄開始時間記錄結束時間

12:00 15:0012Sep 12Sep停止治療狀況改變開始時間改變結束時間事件幫助GambroETLiBaoshun0610**治療歷史

SETUPSTANDBY

RUNENDSCUFCVVHCVVHDCVVHDFTPECURRENT:16:3012Sep1996TREATMENTHISTORY

HistoryStartTime HistoryEndTime 12:00 15:0012Sep 12SepSTOPSTATUSCHANGESTARTTIMECHANGEENDTIMEEVENTHELP

HistoryTimePeriod:3hr00minRunTime: 2hr55minReplacementSolutionInput: 3000mlDialysateused: 1500mlEffluent: 5100mlActualPt.Fluidremvd: 100mlGambroETLiBaoshun0610**TREATMENTHISTORY安裝等待治療結束SCUFCVVHCVVHDCVVHDFTPE當前時間

:16:3012Sep1996治療歷史

記錄顯示周期: 3hr00min實際運行時間: 2hr55min置換液輸入量: 3000ml透析液輸入量:1500ml總廢液量: 5100ml病人實際脫水量: 100ml

記錄開始時間記錄結束時間

12:00 15:00

12Sep 12Sep停止治療狀況改變開始時間

改變結束時間事件幫助GambroETLiBaoshun0610**治療歷史

SETUPSTANDBY

RUNENDSCUFCVVHCVVHDCVVHDFTPECURRENT:16:3012Sep1996TREATMENTHISTORY

HistoryStartTime HistoryEndTime

12:00 15:00

12Sep 12SepSTOPSTATUSCHANGESTARTTIMECHANGEENDTIMEEVENTHELP

HistoryTimePeriod:3hr00minRunTime: 2hr55minReplacementSolutionInput: 3000mlDialysateused: 1500mlEffluent: 5100mlActualPt.Fluidremvd: 100mlGambroETLiBaoshun0610**TREATMENTHISTORY安裝等待治療結束SCUFCVVHCVVHDCVVHDFTPE當前時間

:16:3012Sep1996治療歷史

記錄顯示周期: 3hr00min實際運行時間: 2hr55min置換液輸入量: 3000ml透析液輸入量:1500ml總廢液量: 5100ml病人實際脫水量: 100ml記錄開始時間記錄結束時間

12:00 15:0012Sep 12Sep停止治療狀況改變開始時間改變結束時間事件幫助GambroETLiBaoshun0610**治療歷史

SETUPSTANDBY

RUNENDSCUFCVVHCVVHDCVVHDFTPECURRENT:16:3012Sep1996TREATMENTHISTORY

HistoryStartTime HistoryEndTime 12:00 15:0012Sep 12SepSTOPSTATUSCHANGESTARTTIMECHANGEENDTIMEEVENTHELP

HistoryTimePeriod:3hr00minRunTime: 2hr55minReplacementSolutionInput: 3000mlDialysateused: 1500mlEffluent: 5100mlActualPt.Fluidremvd: 100mlGambroETLiBaoshun0610**EVENTS安裝等待治療結束SCUFCVVHCVVHDCVVHDFTPE當前時間

:11:3011Sep1996事件時間:事件:16:25血液流速：120ml/min16:19報警顯示被取消建議：正在進行周期自檢16:17發(fā)生報警建議：正在進行周期自檢15:10抗凝：一次量，2ml，即刻14:36報警顯示被取消警告：回路壓力－極端正壓14:36發(fā)生報警警告：回路壓力－極端正壓停止治療狀況治療歷史幫助GambroETLiBaoshun0610**事件

SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPECURRENT:11:3011Sep1996

EVENTSTime: Event:16:25 Bloodflowrate:120ml/min16:19 Alarmscreenclearedfromdisplay ADVISORY:PERIODICSELF-TESTINPROGRESS16:17 Alarmoccurred ADVISORY:PERIODICSELF-TESTINPROGRESS15:10 Anticoag:Bolus,2ml,immediate14:36 Alarmscreenclearedfromdisplay WARNING:RETURNPRESSURE–EXTREMELYPOSITIVE14:36 AlarmoccurredWARNING:RETURNPRESSURE

–EXTREMELYPOSITIVE

STOPSTATUSTREATMENTHISTORYHELPGambroETLiBaoshun0610**TESTEFFLUENTLINEFORBLOOD安裝

等待治療結束SCUFCVVHCVVHDCVVHDFTPE

檢測廢液管道中是否漏血允許操作者對漏血檢測器進行重調

警告：重調前，必須檢查管道中的液體里沒有血液

1．取廢液管道中的液體檢測

2．如果有血液，按“取消”鍵改變設置；若沒有血液，按“繼續(xù)”

BLD–信號值:176取消繼續(xù)GambroETLiBaoshun0610**檢測廢液管道中是否漏血SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPETESTEFFLUENTLINEFORBLOOD

Allowsusertonormalizethebloodleakdetector.

WARNING:Beforenormalizing,fluidineffluentlinemustBetestedandverifiedtobefreeofblood.

1.Drawasamplefromtheeffluentlineandtestforblood.2.Ifbloodispresent,pressCANCELandchangetheset.Ifbloodisnotpresent,pressCONTINUE.

BLD–signalvalue:176CANCELCONTINUEGambroETLiBaoshun0610**NORMALIZEBLOODLEAKDETECTOR安裝

等待治療結束SCUFCVVHCVVHDCVVHDFTPE

重調漏血探測器

警告：須在對廢液管道液體漏血檢測后，才能重