Management of clotted circuit causing blood loss part 3

 

Haemodialysis

 

Actions if dialysis circuit is thoght to have clotted:

  • Ensure access is still patent and flush with 0.9% sodium chloride for injection
  • Establish reason for clotted circuit, such as inadequate anti-coagulation, over-excessive ultrafiltration, blood flow<200ml/min, rising venous pressure, dropping arterial pressure, rising trans-membrane pressure, high haemoglobin etc
  • Once the clotted circuit reason/cause has been identified, re-prime a new set of blood lines and ensure no further loss of blood through clotting occurs again
  • Where necessary rehydrate the patient, by infusion 0.0% sodium chloride for injection to the volume of blood loss if required
  • At the patient next dialysis session, check haemoglobin if the previous results is <100 g/l and  if loss is greater than 100 ml
  • Complete documentation and incident report, indicating estimated blood loss volume
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