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Prisma ™  Priming  and  Troubleshooting   Oleh : ARI  P  Pusat Jantung Nasional Harapan Kita Jakarta  2008
Menghidupkan Mesin Tekan tombol “ON/ OFF” di bawah samping mesin Muncul layar kosong (blank), tetapi dibelakangnya ada konfigurasi kalibrasi  Lakukan kalibrasi kalau perlu
PRISMA  CRRT  Machine ,[object Object],[object Object],[object Object],[object Object],[object Object]
PRISMA  CRRT  Machine:  Basic  Layout Replacement Dialysate Effluent Blood Heparin  Syringe  Pump Pressure  Pods Scales x 3
PRISMA  CRRT  Machine:  Basic  Layout on Diagram
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],PRISMA  Machine: Advantages
[object Object],[object Object],[object Object],[object Object],[object Object],PRISMA  Machine: Dis-advantages
Kalibrasi Tekan secara bersamaan tempat yang berkode. Tunggu hingga muncul layar kalibrasi Lakukan kalibrasi
Kalibrasi ,[object Object],[object Object],[object Object],[object Object]
Kalibrasi ,[object Object],[object Object],[object Object],DIAGNOSE SCALES
Kalibrasi ,[object Object],[object Object],[object Object],CALIBRATE SCALES
Kalibrasi ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CALIBRATE SCALES
Kalibrasi ,[object Object],[object Object],[object Object],CALIBRATE SCALES
Memilih Pasien danProgram Terapi Pilih pilihan terapi sesuai dengan yang diharapkan atau sesuai dengan instruksi medik. Pilih pilihan pasien sesuai dengan pasien yang akan dipasang mesin  TEKAN Continue dengan Touch Screen
Menyiapkan Prisma ™ Tubing(1) ,[object Object],[object Object]
Memasang Prisma ™ Tubing(2)
Memasang Prisma ™ Tubing(3)
Memasang Prisma ™ Filter
Memasang Syringe Heparin ,[object Object],[object Object],Sesuaikan program anti koagulan pada panel monitor dengan dosis yang diharapkan. Pengenceran heparin dalam 25 cc, tetapi jumlah maksimal yang bisa masuk dalam syringe snap grid adalah 23 cc.
Priming Self Test Clamp & Pressure Test ,[object Object],[object Object],[object Object],[object Object]
Memprogram Terapi Lakukan pemrograman terapi sesuai dengan yang diharapkan atau sesuai dengan instruksi.
Pengaturan Mesin  Pt Fluid Removal ,[object Object],[object Object],[object Object],[object Object],[object Object],REPLACE Solution DIALYSATE HELP BLOOD 240 ml HR 10 0 0ml HR 80 0ml HR 1 2 0ml MIN ANTICOAG SCUF  CVVH SETUP RUN  END CVVHD CVVHDF STANDBY CONTINUE
Communication Unit  Touch-screen Status Screen NORMALIZ BLOOD TREAT HISTORY HELP SET FLOW RATES SETUP STANDBY  RUN  END SCUF  CVVH CVVHDF CVVHD Current Flow Rates Blood Flow Rate: Replacement Rate : Dialysate Flow Rate: Anticoagulation: Treatment Data Time: Dialysis Fld used: Replacement Fld used Total Effluent: Actual fluid removed: Current Pressures Access: Filter Pres:  Effluent: Return: TMP: Δ P: Next Intervention: 1 min Due to: Replacement bag empty MODIFY SETTINGS EXAMINE ALARMS CHANGE BAGS
Prisma ™  Ready to Use
Penempatan Mesin
Menyambung ke pasien ,[object Object],[object Object],OBSERVASI KETAT!!! JANGAN ADA BUBBLE!!!!
Mengakhiri Terapi ,[object Object],[object Object]
Prisma ™ Troubleshooting(1) Tekanan  Acces  dan  Return
Prisma ™ Troubleshooting(2) Resetting Skala  Replacement  atau  Dyalisate
Prisma ™ Troubleshooting(3) Pressure Pod
Prisma ™ Troubleshooting(4) Fluid Removal Error
Prisma ™ Troubleshooting(5) Air in Line
Prisma ™ Troubleshooting(5) Error Coding
T E R I M A   K A S I H

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