MPS操作指南补充

Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Title, Subject, Author, Copyright, February 2012,Title, Subject, Author, Copyright, February 2012,#,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Title, Subject, Author, Copyright, February 2012,Title, Subject, Author, Copyright, February 2012,#,MPS,操作,1,、,2,秤上没有袋子,3,、,4,秤上没有废液袋,没有管路安装,没有压力感受器安插,没有管路卡在监测器内,没有管路在漏血监测器内,按“,OK”,键,确认血浆金属,架（,随机器的血浆,杆,）,开始,条件,屏幕,/,功能,检测正在进行中,在自检过程中,不能移动机器,不能安装管路,逐项显示检测进度,自检完毕后才能进行下步操作,.,治疗模式,选择新的治疗模式,继续原来的治疗,治疗历史,前,一次治疗事件,注意屏幕提示,选择“,OK”,键确认,肝素,泵建议使用,FMC50ml,注射,废液,袋的最大承载量,10kg,治疗模式的选择,CVVH,连续性,静脉静脉滤过,Pre- Post CVVH,前,-,后连续性静脉静脉滤过,CVVHDF,连续性,静脉静脉透析滤过,CVVHD,连续性,静脉静脉透析,MPS,膜,式血浆分离,HP,血液灌流,SCUF,缓慢,连续性超滤,选定,治疗模式按,“,OK,”,键确认,Title, Subject, Author, Copyright, February 2012,5,管路安装,安装血浆分离器（按照文字方向）,安装盒式系统（按照图示）,动脉端连接生理盐水预冲,静脉端连接预冲收集袋,废液端连接废液袋,Title, Subject, Author, Copyright, February 2012,6,管路安装,安装血浆管路系统中,MPS,管,1,秤上安放预冲血浆管路的生理盐水,（该秤是计算重量的，任何时候都不能随意移动该秤上的液体。）,Title, Subject, Author, Copyright, February 2012,7,管路安装,管路安装完成，按照安装顺序再次检查,选择“,OK”,键确认,Title, Subject, Author, Copyright, February 2012,8,准备状态,信息提示：,检查所有夹子是否打开,盐水袋的接口是否打开,确认,所有的连接是否,紧密,手动排出动脉管路的气体（如果是湿膜血浆分离器）,开始预冲管路系统,选择“,OK”,键确认,Title, Subject, Author, Copyright, February 2012,9,准备状态,信息提示：,手动排动脉壶内的液位,当动脉血路已经与冲到血浆滤器的连接的动脉端，按,STOP,键,连接动脉端到血滤器,按,(START/RESET),继续预冲,。,注：血浆分离器为湿膜时用以上方法预充，如为干膜在安装管路时，可直接将动脉管路与血浆分离器连接，预充时手动排动脉壶的液位。,Title, Subject, Author, Copyright, February 2012,10,准备状态,信息提示：,通过上下箭头键调节静脉壶的页面,输入治疗参数,参数参考下表,选择“,OK”,键,确认,切忌置换血浆速率和血流速率不匹配,Title, Subject, Author, Copyright, February 2012,11,准备状态,如需重新设置治疗参数，将光标移动到,选择,“,OK”,键,确认,Title, Subject, Author, Copyright, February 2012,12,准备状态,信息提示：,连接静脉血路到冲洗盐水袋,超滤预冲要有足够的预冲盐水,确认所有连接是否紧密,开始超滤预冲按,OK,键,Title, Subject, Author, Copyright, February 2012,13,Title, Subject, Author, Copyright, February 2012,14,信息提示：,填充血浆,请按,STOP,键,准备状态,信息提示：,继续循环,请按,start/reset,键,填充血浆,放置血浆在,2,称上（最少,500ML,）,输入放置在,2,称上真实的,血浆量,关闭在,1,秤上盐水袋夹子,打开血浆入口夹子,检查所有连接是否紧密,注：设置 必须为,与,M,管连接的参与填充血浆的量,开始预冲血浆点确认,OK,键,Title, Subject, Author, Copyright, February 2012,15,准备状态,血浆进行填充,血泵将以程序设定的速率进行运送。,可设置速率：,盒式,/,成人,10,ml/min,至,100,ml/min,（,默认,100,ml/min）,血浆,正在进行有时间控制的灌注,。血浆灌注量,275ml,，不可修改。,Title, Subject, Author, Copyright, February 2012,16,准备状态,连接患者,信息提示：,连接患者,同时将动静脉血路连接到病人,夹子打开,所有连接是否紧密,选择,“,OK”,键确认,Title, Subject, Author, Copyright, February 2012,17,准备状态,光学探测器感知到血液后,信息提示：,检查夹子是打开的,确认所有连接紧密,开始治疗,选择,“,OK”,键确认,Title, Subject, Author, Copyright, February 2012,18,治疗,治疗状态（绿色显示）,置换速度,所有压力值的显示：静脉压,、,动脉压、滤器前压和,TMP,（跨膜压）,MPS,治疗过程中，,TMP,不能超过,100mmHg,Title, Subject, Author, Copyright, February 2012,19,治疗,治疗,换袋,（提醒）,5,分钟后需要换血浆袋,更换血浆袋后继续治疗,完成治疗,Title, Subject, Author, Copyright, February 2012,20,治疗,更换血浆袋后继续治疗,信息提示：,关闭夹子,取下空袋,秤上放置新血浆袋,设置当前的血浆容量并确认,连接管路，打开夹子,结束换袋后,选择“,OK”,键确认,Title, Subject, Author, Copyright, February 2012,21,治疗,完成治疗,在换袋程序下选择血浆回输,信息提示：,关闭,2,称上连接血浆的夹子,打开,1,称上连接盐水的夹子,确保有充足的盐水（至少,300ml,）在,1,称上,Start plasma return,（开始回输血浆）,选择“,OK”,键确认,Title, Subject, Author, Copyright, February 2012,22,治疗,Title, Subject, Author, Copyright, February 2012,23,血浆容量,血浆排气,滤器排气,血浆回输,Title, Subject, Author, Copyright, February 2012,24,回输血浆量,275ml,，回输结束,后自动转换到回血模式,信息提示：,断开患者,按,stop,键,结束治疗,回血,信息提示：,继续治疗按,START/RESET,键,终止：连接盐水到病人的动脉端,打开夹子,选择“,OK”,键确认,Title, Subject, Author, Copyright, February 2012,25,结束治疗,断开与病人的连接，移去管路系统,Title, Subject, Author, Copyright, February 2012,26,继续回输按此键,终止回输按此键,结束治疗,治疗历史,Title, Subject, Author, Copyright, February 2012,27,置换的血浆量,28,Thank You,！,