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12. Operating Instructions – Perform Therapy

12-22 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244

Table of Contents

Default Chapter4
- Table of Contents4
1 Glossary12
- Terms Used in this Guide13
- Symbols Used on the Homechoice and Homechoice PRO APD Systems24
2 User Assistance Information27
- Personal and Cycler Information28
- Numbers to Call for Assistance28
3 Warnings and Cautions30
- Side Effects and Contraindications31
- Warnings31
- Cautions44
- Battery Precautions46
4 Indications for Use47
- About this Guide48
5 Description50
- Introduction to Homechoice APD Systems51
- Introduction to Peritoneal Dialysis52
  - Continuous Ambulatory Peritoneal Dialysis (CAPD)53
  - Automated Peritoneal Dialysis (APD)53
- Homechoice APD Systems Functions54
- Homechoice APD Systems Features57
- Homechoice APD Systems Description58
- Disposable Sets63
  - Luer Disposable Set64
  - Spike Disposable Set65
- Homechoice APD System and Homechoice PRO APD System Differences66
6 Environmental Conditions67
- Operating Conditions68
- Use While Traveling68
7 Setup and Check-Out70
- Check-Out71
- Set up the Homechoice APD System72
- Grounding Instructions74
8 Operating Instructions - PRO Card and Modem75
- Introduction76
- Using the PRO Card78
- Display Messages86
- Install the Modem Option89
  - Test the Modem Installation91
  - If You Require a New System or "Swap92
9 Operating Instructions - Change Program94
- Introduction95
- About Your System's Settings95
  - Nurse's Settings95
- The Nurse's Menu96
- If You Receive a New System or "Swap97
- Manual Programming98
  - Basic Steps for Manual Programming98
- Therapy Type102
- Standard Mode (Standard Fill Mode)103
- Low Fill Mode128
10 Operating Instructions - Make Adjustments157
- Make Adjustments Menu158
  - Changing Settings158
- Option Settings160
- Comfort Control170
- Last Manual Drain171
- UF Target and Alarm172
11 Operating Instructions - Prepare for Therapy175
- Gather Your Supplies175
- Prepare Your Solution Bags177
- Turn on Your Homechoice APD System179
- Menu Options at Startup181
- Load the Disposable Set184
- Attach the Drain Option188
- Connect the Solution Bags189
- Prime the Disposable Set192
  - Reprime the Patient Line197
- Connect Yourself to the Disposable Set198
12 Operating Instructions - Perform Therapy202
- Initial Drain202
  - Menu Options During Initial Drain205
- Fill206
  - Menu Options During Fill206
- Dwell Phase208
  - Menu Options During Dwell208
- Drain Phase210
  - Menu Options During Drain210
- Pause Therapy212
  - Menu Options When STOP Is Pressed212
- Hi-Dose Therapy214
  - Day Dwell Options216
- Perform a Hi-Dose Day Exchange217
  - Disconnect Yourself During Hi-Dose Dwell219
  - Reconnect and Continue Treatment221
13 Operating Instructions - End Therapy225
- Ending Your Therapy225
- Disconnect Yourself230
- Shut down232
  - Menu Options During End of Therapy234
14 Operating Instructions - Effluent Sampling237
- Introduction238
- Take an Effluent Sample239
15 Cleaning244
- Introduction245
- Cleaning the Cycler246
- Preparing the Cycler for Return to Baxter247
16 Maintenance251
17 Storage252
- Cycler253
- Battery253
- Dialysis Solution and Disposables253
18 Troubleshooting255
- List of Alarms and Procedures256
- Correcting Alarms258
  - Types of Alarms259
- Alarms260
- Bypass Procedures292
- Manual Drain Procedure308
- End Therapy Early Procedure310
- Reprime Patient Line Procedure312
- Increased Intraperitoneal Volume (IIPV)313
- Power Failure317
- Emergency Disconnect Procedure320
  - Disconnect from the System321
  - Return to Therapy after an Emergency Disconnect322
19 Technical Data324
- Physical Specifications325
- Electrical Power Requirements325
  - Extension Cords326
- System Performance326
- Environmental Requirements326
- Battery Backup327
- Electromagnetic Compatibility327
- Solution Temperature Protective System333
- Audible Alarm Silence Period333
- Range of Sound Pressure Levels333
- Maximum Pressures Used to Transfer Solution to and from the Patient333
- Protective System Preventing Air Infusion334
- Protective System Preventing IIPV334
- Drain Logic Options335
  - Standard Fill Mode Drain Logic336
  - Low Fill Mode Drain Logic336
- Replenish Logic337
  - Scheduled Replenish337
  - Unscheduled Replenish338
- Determining Maximum Fill Volume338
- Determining Initial Drain Alarm Volume Settings340
  - Volume Settings342
20 Quick Reference345
- Prepare for Therapy347
- Perform a Hi-Dose Therapy358
- End Therapy364

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