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level 1 System 1000 - Slow Flow Rates

level 1 System 1000
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Trouble
Shooting
Slow
Flow
Rates
Many
factors
which
are
insignificant
in
low
fluid
administration
are
restrictors
of
higher
flow
infusion.
If
you
encounter
flow
restriction
with
any
Level
1
Fluid
warmer,
CHECK
EACH
OF
THESE
POSSIBLE
CAUSES.
OLD
BLOOD
Stored
blood
begins
to
develop
particulate
within
5
to
7
days.
This
may
partially
block
fluid
pathways,
impeding
flow.
FULLY
SPIKED
BAG
|
Bag
port
membranes
may
only
be
split,
not
compleatiy
pierced.
BAG
PORT
FILTER(if
used)
40
micron
to
80
micron
filters
used
between
the
blood
bag
and
the
bag
spike
of
the
Disposable
set
may
restrict
flow
because:
1.
Cold,
viscous
blood
does
not
flow
well
through
small
pore
filters.
2.
As
they
are
directly
connected
to
the
source
of
particulate
with
no
pre-filtering,
they
clog
quickly.
3.
They
may
trap
air
which
can
block
filter
media
surface
area.
CLAMPS
PARTLY
ENGAGED
Check
to
be
sure
all
clamps
are
FULLY
open.
TUBE
SET
Leaving
clamps
engaged
for
extended
periods
of
time
when
the
Disposable
Set
is
not
in
use
(such
as
pre-set-up)
will
cause
the
tubing
to
take
a
SET
in
the
clamped
position.
TUBE
KINK
|
Be
sure
no
tube
kinks
are
present
anywhere
in
the
set,
especially
in
the
Y-set
when
a
pressure
cuff
is
employed
and
the
I.V.
Pole
is
used
in
a
lowered
position.
TRAPPED
AIR
IN
FILTER
As
noted
in
the
Priming
Instructions,
remove
the
Filter
from
the
holder
and
tap
against
the
Cabinet
to
dislodge
air
bubbles
and
allow
them
to
vent
out.
|
CLOGGED
FILTER
If
good
quality
blood
is
used,
this
filter
should
never
cause
flow
restriction.
In
the
event
of
a
clogged
filter,
this
component
may
be
changed.
See
REPLACING
FILTERS
section
of
this
manual.
If
frequent
clogging
is
encountered,
discuss
the
QUALITY
of
the
blood
being
used
with
you Blood
Bank.
EXTENSION
LINES
Use
only
extension
lines
with
a
bore
of
.130"
(3.3
mm)
or
larger,
equipped
with
large
bore
fittings,
such
as
Level
1
Part
No's.
X-36
or
Y-30.
STOPCOCK
or
Y
ADAPTER
Any
fittings
attached
to
the
male
luer-lock
at
the
end
of
the
Patient
Line
should
have
large
bores.
If
their
bores
are
smaller
than
the
male
luer-lock
bore,
they
are
restrictors.
NEEDLE
or
CATHETER
if
possible,
use
a
minimum
18
Gauge
needle
or
Smaller
sizes
will
reduce
flow.
16

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