Prisma操作步骤课件

Prisma操作步骤GambroETLiBaoshun0610*QUERY?询问

机器并不是在”治疗完成”屏幕被关上或是在治疗过程中断电多于15秒继续 :如果要回到关机前的操作屏幕,

请按“继续”。重新激活:如果要从”选择病人”屏幕重新开始新的治疗,

请按“重新激活”。

重新激活继续GambroETLiBaoshun0610**询问？

QUERY?ThemachinewaslastturnedoffnotinTREATMENTCOMPLETEscreen,orpowerfailureoccurredduringtreatmentformorethan15Seconds.

Continue :Tocontinuetheoperationwhenmachinelastturnedoff,

pressCONTINUE.Restart :TostartanewoperationfromCHOOSEPATIENTscreen,

pressRESTART.RESTARTCONTINUEGambroETLiBaoshun0610**选择病人

SETUPSTANDBYRUNEND

CURRENT:11:3011Sep1996

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

CUSTOMMODE

NEWPATIENTLASTTREATMENTHISTORYSAMEPATIENTHELPGambroETLiBaoshun0610**CONFIRMNEWPATIENT

安装等待治疗结束

确认新病人

继续 -确认这是新病人

-删除上次病人的治疗记录取消 -取消”新病人”选择

-返回前面病人选择屏幕

取消继续GambroETLiBaoshun0610**确认新病人

SETUPSTANDBYRUNEND

CONFIRMNEWPATIENT

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

CANCELCONTINUE

GambroETLiBaoshun0610**选择治疗方式SETUPSTANDBYRUNEND

CHOOSE

THERAPY

PressnameofdesiredtherapySCUFCVVHCVVHD

CVVHDFTPEHELPGambroETLiBaoshun0610**LOAD

SET

安装等待治疗结束SCUFCVVHCVVHDCVVHDFTPE

安装配套你已选择:CVVHDF如果不正确,请按“取消”1.垂直的握住滤器,将配套卡匣放入支架

2.按线路图装上置换液和透析液管

3.装入4个压力传感器夹头4.将废液管按线路图从下而上地装入漏血探测器,把废液管紧固在上下两个管路小夹,挂上废液袋(黄色点标记称)5.按线路图紧固动脉血管,挂上预充液收集袋(左下角)6.将静脉血管装入空气探测器和静脉夹子

7.按LOAD(安装)键

取消安装帮助GambroETLiBaoshun0610**安装配套

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**泵管安装进行中

SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPE

Loading

pumps

,pleasewaitGambroETLiBaoshun0610**PREPARE

SOLUTIONS

安装等待治疗结束SCUFCVVHCVVHDCVVHDFTPE

准备溶液1.检查所有泵管均已进入泵槽,如没有装到位,按UNLOAD(卸出泵管)键重新安装一次2.准备预充液(含肝素生理监水一公升),抗凝剂,置换液,和透析液,挂好预充液(右下角)3.将抗凝剂管与抗凝剂注射器相连接,把注射器安装在注射器泵上4.挂上置换液(紫色标点称)挂上透析液(绿色标点称)5.按CONTINUE(继续)键卸出泵管继续帮助GambroETLiBaoshun0610**准备溶液

SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPE

PREPARE

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

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

安装等待治疗结束SCUFCVVHCVVHDCVVHDFTPE

预充进行中,请等待配套预充将在7分后后完成如果需要,请按“停止”键暂时中断预充程序

注意:1.千万不可以卸下任何压力传感接头夹

2.密切观察管路有无渗漏,如有渗漏而经紧固后仍无法阻止渗漏,请不要使用这配套,并上机器并手动卸下配套(请参考操作者手册)停止GambroETLiBaoshun0610**预充进行中

SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPEPriming,pleasewait

Primingcompletein7minutes.IfnecessarypressSTOPtointerruptpriming.

CAUTIONS:1.Donotremovepressurepods.2.Observesetcloselyforleaks.Ifleakscannotbestoppedbytighteningconnections,donotusethisset.Turnoffmachineandmanuallyunloadset.(SeeOperator’sManual.)STOPGambroETLiBaoshun0610**预充进行中

SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPEPriming,pleasewait

Primingcompletein4minutes.IfnecessarypressSTOPtointerruptpriming.

CAUTIONS:1.Donotremovepressurepods.2.Observesetcloselyforleaks.Ifleakscannotbestoppedbytighteningconnections,donotusethisset.Turnoffmachineandmanuallyunloadset.(SeeOperator’sManual.)STARTGambroETLiBaoshun0610**预充进行中

SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPEPriming,pleasewait

Primingcompletein4minutes.IfnecessarypressSTOPtointerruptpriming.

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

安装等待治疗结束SCUFCVVHCVVHDCVVHDFTPE

预充进行中,请等待配套预充将在4分后后完成如果需要,请按“停止”键暂时中断预充程序

注意:1.千万不可以卸下任何压力传感接头夹

2.密切观察管路有无渗漏,如有渗漏而经紧固后仍无法阻止渗漏,请不要使用这配套,并上机器并手动卸下配套(请参考操作者手册)停止GambroETLiBaoshun0610**

预充完成

SETUP

STANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPE

PRIMINGCOMPLETE

1.Inspectsetforair.Ifmoreprimingneeded,useMANUAL

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

COMPLETE

安装等待治疗结束SCUFCVVHCVVHDCVVHDFTPE

预充完成

1.检查管道内是否有气泡。如果需要更多预充，请使用MANUALPRIME(手动预充)；如果需要重复一次完整的预充，请按REPRIME(重复预充)键。（参看帮助功能）2.如果管道内没有气泡，并且不再需要预充，按CONTINUE(继续)键。重复预充手动预充继续帮助GambroETLiBaoshun0610**

预充完成

SETUP

STANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPE

PRIMINGCOMPLETE

1.Inspectsetforair.Ifmoreprimingneeded,useMANUAL

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

Test

安装等待治疗结束SCUFCVVHCVVHDCVVHDFTPE

预充检测，请稍候

注意：不要移动或拆开压力接头。正在进行：自检已完成百分比（％）

0 25 50 75 100

漏血控测器－标准化值：80－信号值：171GambroETLiBaoshun0610**预充检测SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPEPrime

Test,pleasewait

CAUTION:DONOTREMOVEPRESSUREPODS.Nowperforming:SelfTest

PrecentComplete

0 25 50 75 100

BLD–normalizationvalue:80 -signalvalue:171

GambroETLiBaoshun0610**PRIMING

TEST

PASSED

安装等待治疗结束SCUFCVVHCVVHDCVVHDFTPE预充检测通过

预充完成并通过检测。

1.确认以下数字顺序是否正确（0～9）

01234567892.如果编号正确如果编号正确，病人已准备上机，按“继续”。（取掉预充液袋和预充液收集袋）警告：如果编号错误，请关掉机器，通知维修。（参见帮助功能）重复预充手动预充继续帮助GambroETLiBaoshun0610**预充检测通过

SETUP

STANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPE

PRIMING

TEST

PASSED

Primingiscompleteandprimetesthaspassed.1.Verifynumbersareincorrectsequence(Zerotonine)0123456789

2.Ifnumbersarecorrectandpatientisreadytoconnect,

pressCONTINUE.(Leaveprimingsolutionandprimecollectionbagattached.)WARNING:Ifnumbersareincorrect,turnoffmachine;Callservice.(SeeHELP)REPRIMEMANUALPRIMECONTINUEHELPGambroETLiBaoshun0610**SETFLOWRATES安装等待治疗结束SCUFCVVHCVVHDCVVHDFTPE设置流速1.按需要改变设置的名称键

2.选择下一个流速，或者当准备完毕时，按“继续”键。超滤率是血液流速的2％。抗凝剂注意：用箭头调节设置值。150

ML/MIN200

ML/HR1000

ML/HR500

ML/HR血液流速脱水量置换液流量透析液流量继续帮助GambroETLiBaoshun0610**设置流速SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPESETFLOWRATES1.Pressthenameofthesettingtobechanged.2.SelectnextflowrateorpressCONTINUEwhenready.Ultrafiltrationratewillbe2%ofbloodflowrate.ANTICOAG

Note:Usearrowstoadjustsettings.150

ML/MIN200

ML/HR1000

ML/HR500

ML/HRBLOODPT.FLUIDREMOVALREPLACESOLUTIONDIALYSATECONTINUEHELPGambroETLiBaoshun0610**MODIFYANTICOAG安装等待治疗结束SCUFCVVHCVVHDCVVHDFTPE调整抗凝剂量1.按需要改变设置的名称键

2.选择下一个流速，或者当准备返回“设置流速”界面时，按“继续”键。

注意：用箭头调节设置值。在给予初始剂量的抗凝剂后，“抗凝”将转为“继续”。核对目前的肝素流速，如果需要可修改。连续注射2.5ML/HR注射方式连续注射流速继续帮助GambroETLiBaoshun0610**调整抗凝剂量SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPEMODIFYANTICOAG1.Pressthenameofthesettingtobechanged.2.SelectnextflowrateorpressCONTINUEwhenreadytoreturntotheSetFlowRatesscreen.Note:Usearrowstoadjustsettings.Checkcurrentrate.Modifyifdesired.CONTINUOUS2.5ML/HRDELIVERYMETHODCONTINUOUSRATECONTINUEHELPGambroETLiBaoshun0610**CONNECTPATIENT

安装等待治疗结束SCUFCVVHCVVHDCVVHDFTPE连接病人

1.夹住下列管道：预充液收集袋、动脉管道（红色）、回路管道（蓝色）

2.从收集袋解下动脉管道，连接到导管上有红色标记的luer锁

3.从预充液袋上解下回路管道，连接到导管上有蓝色标记的luer锁。

4.夹住所有不使用的管道，确定正确建立后，按“开始”键开始治疗。

5.如果已经设置，当“STATUS”界面出现时，将会按设置给抗凝剂。设置流速警告：出现任何渗漏时，应立即处理。

开始帮助GambroETLiBaoshun0610**连接病人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

安装等待治疗

结束SCUFCVVHCVVHDCVVHDFTPE当前时间

:11:3011Sep1996

治疗状况

目前流速血流速: 150ml/min置换液：1000ml/hr透析液：500ml/hr病人脱水量：200ml/hr抗凝剂：持续0.0ml/hr

I/O数据（入水/出水）已过时间：30分钟(60分钟)置换液输入： 500ml使用透析液： 250ml废液： 850ml实际病人脱水量：100ml

目前压力动脉：

-80mmHg滤器： 180mmHg废液：40mmHg静脉：

130mmHgTMP：

115mmHg△PFilt：50mmHg距离中断时间：4小时20分钟原因：透析液液袋耗空停止设置流速其它软按键帮助GambroETLiBaoshun0610**治疗状况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安装等待

治疗结束SCUFCVVHCVVHDCVVHDFTPE

其它软按键

根据需要进入的界面按相应的软按键。更换液体袋治疗历史

重调漏血探测器

更改设定治疗状况帮助GambroETLiBaoshun0610**其它软按键

SETUPSTANDBY

RUNENDSCUFCVVHCVVHDCVVHDFTPE

MORESOFTKEYS

Pressthesoftkeyforthescreenyouwanttoaccess.CHANGEBAGTREATMENTHISTORYNORMALIZEBLDMODIFYSETTINGSSTATUSHELPGambroETLiBaoshun0610**CHANGEBAGS安装等待

治疗结束SCUFCVVHCVVHDCVVHDFTPE

更换液体袋

允许更换任何液体袋更换液体袋：

1．更换液体袋

2．按“治疗状况”键停止消音治疗状况帮助GambroETLiBaoshun0610**更换液体袋

SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPE

CHANGEBAGS

Allowsusertochangeanybags.Tochangebags:1.Changeanybagsdesired.2.PressSTATUS.STOPMUTESTATUSHELPGambroETLiBaoshun0610**TREATMENTHISTORY安装等待治疗结束SCUFCVVHCVVHDCVVHDFTPE当前时间

:16:3012Sep1996治疗历史

记录显示周期: 3hr00min实际运行时间: 2hr55min置换液输入量: 3000ml透析液输入量:1500ml总废液量: 5100ml病人实际脱水量: 100ml记录开始时间记录结束时间

12:00 15:0012Sep 12Sep停止治疗状况改变开始时间改变结束时间事件帮助GambroETLiBaoshun0610**治疗历史

SETUPSTANDBY

RUNENDSCUFCVVHCVVHDCVVHDFTPECURRENT:16:3012Sep1996TREATMENTHISTORY

HistoryStartTime HistoryEndTime 12:00 15:0012Sep 12SepSTOPSTATUSCHANGESTARTTIMECHANGEENDTIMEEVENTHELP

HistoryTimePeriod:3hr00minRunTime: 2hr55minReplacementSolutionInput: 3000mlDialysateused: 1500mlEffluent: 5100mlActualPt.Fluidremvd: 100mlGambroETLiBaoshun0610**TREATMENTHISTORY安装等待治疗结束SCUFCVVHCVVHDCVVHDFTPE当前时间

:16:3012Sep1996治疗历史

记录显示周期: 3hr00min实际运行时间: 2hr55min置换液输入量: 3000ml透析液输入量:1500ml总废液量: 5100ml病人实际脱水量: 100ml

记录开始时间记录结束时间

12:00 15:00

12Sep 12Sep停止治疗状况改变开始时间

改变结束时间事件帮助GambroETLiBaoshun0610**治疗历史

SETUPSTANDBY

RUNENDSCUFCVVHCVVHDCVVHDFTPECURRENT:16:3012Sep1996TREATMENTHISTORY

HistoryStartTime HistoryEndTime

12:00 15:00

12Sep 12SepSTOPSTATUSCHANGESTARTTIMECHANGEENDTIMEEVENTHELP

HistoryTimePeriod:3hr00minRunTime: 2hr55minReplacementSolutionInput: 3000mlDialysateused: 1500mlEffluent: 5100mlActualPt.Fluidremvd: 100mlGambroETLiBaoshun0610**TREATMENTHISTORY安装等待治疗结束SCUFCVVHCVVHDCVVHDFTPE当前时间

:16:3012Sep1996治疗历史

记录显示周期: 3hr00min实际运行时间: 2hr55min置换液输入量: 3000ml透析液输入量:1500ml总废液量: 5100ml病人实际脱水量: 100ml记录开始时间记录结束时间

12:00 15:0012Sep 12Sep停止治疗状况改变开始时间改变结束时间事件帮助GambroETLiBaoshun0610**治疗历史

SETUPSTANDBY

RUNENDSCUFCVVHCVVHDCVVHDFTPECURRENT:16:3012Sep1996TREATMENTHISTORY

HistoryStartTime HistoryEndTime 12:00 15:0012Sep 12SepSTOPSTATUSCHANGESTARTTIMECHANGEENDTIMEEVENTHELP

HistoryTimePeriod:3hr00minRunTime: 2hr55minReplacementSolutionInput: 3000mlDialysateused: 1500mlEffluent: 5100mlActualPt.Fluidremvd: 100mlGambroETLiBaoshun0610**EVENTS安装等待治疗结束SCUFCVVHCVVHDCVVHDFTPE当前时间

:11:3011Sep1996事件时间:事件:16:25血液流速：120ml/min16:19报警显示被取消建议：正在进行周期自检16:17发生报警建议：正在进行周期自检15:10抗凝：一次量，2ml，即刻14:36报警显示被取消警告：回路压力－极端正压14:36发生报警警告：回路压力－极端正压停止治疗状况治疗历史帮助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安装

等待治疗结束SCUFCVVHCVVHDCVVHDFTPE

检测废液管道中是否漏血允许操作者对漏血检测器进行重调

警告：重调前，必须检查管道中的液体里没有血液

1．取废液管道中的液体检测

2．如果有血液，按“取消”键改变设置；若没有血液，按“继续”

BLD–信号值:176取消继续GambroETLiBaoshun0610**检测废液管道中是否漏血SETUPSTANDBYRUNENDSCUFCVVHCVVHDCVVHDFTPETESTEFFLUENTLINEFORBLOOD

Allowsusertonormalizethebloodleakdetector.

WARNING:Beforenormalizing,fluidineffluentlinemustBetestedandverifiedtobefreeofblood.

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

BLD–signalvalue:176CANCELCONTINUEGambroETLiBaoshun0610**NORMALIZEBLOODLEAKDETECTOR安装

等待治疗结束SCUFCVVHCVVHDCVVHDFTPE

重调漏血探测器

警告：须在对废液管道液体漏血检测后，才能重