CHF Solutions aquadex FlexFlow User manual

An Eective Treatment for Fluid Overload
Reference Guide
®
™
16-05629-C | ©2017 CHF Solutions, Inc.

Indications: The Aquadex FlexFlow®System is
indicated for temporary (up to 8 hours) ultraltration
treatment of patients with uid overload who have
failed diuretic therapy; and extended (longer than 8
hours) ultraltration treatment of patients with uid
overload who have failed diuretic therapy and require
hospitalization. All treatments must be administered by
a healthcare provider, under physician prescription,
both of whom having received training in
extracorporeal therapies.
Rx Only
Indications for Use
2 | Aquadex Reference Guide

Aquapheresis Therapy Supplies
Aquadex FlexFlow Console
UF 500 blood circuit set
500 cc NaCl bag
Preloaded NaCl syringes
Empty 10 - 12cc syringe
Alcohol preps
Extra Luer caps
Graduated cylinder
Gather the following items:
√
√
√
√
√
√
√
√
3 | Aquadex Reference Guide

Pre-Therapy Prior to Bedside
Load and Prime the Circuit
Press
Then
Press to enter priming mode
4 | Aquadex Reference Guide

Bedside Checklist: Pre-Therapy
Connect the console to AC Power√
Anticoagulant infusing
30 minute battery life
30 minutes prior to therapy initiation
Check for venous access patency
Perform “10-in-10” test
Check for infusion / withdraw resistance
Connect to venous access catheter
Disconnect Withdraw (blue) line from priming bag
Disconnect Infusion (clear) line from UF bag
Open all clamps
No caps or plugs - HUB to HUB connection
√
√
√
•
•
•
•
•
•
•
•
5 | Aquadex Reference Guide

Initiating Therapy
Press the Key
√
Monitor Venous Access
Check Pw and Pi pressures
Consider Blood Flow rate
No lower than 20ml/min
Determine if Hct monitoring
will be enabled
√
√
√
•
Monitor the patient
√
•
6 | Aquadex Reference Guide
Set the UF rate
•

Pressure Readings: Access
Pw
Withdraw Pressures
Measures patency of the withdraw
(blue) side of the circuit
Negative pressures -20 to -300
•
Pi
Infusion Pressures
Measures patency of the infusion
(clear) side of the circuit
Positive pressures +20 to +300
•
7 | Aquadex Reference Guide

Troubleshooting Considerations
Reposition the patient
Flush Lumens
Via access ports
Perform “10-in-10” test
•
•
Reduce Blood Flow rate
No lower than 20ml/min
•
Switch the lumens being used for infusion
and withdrawal
Pull catheter back until pressure
parameters are within acceptable range
Rotate catheter hub
If patient cannot maintain or achieve an
appropriate rate, consider alternative
access (e.g. central, peripheral IV)
8 | Aquadex Reference Guide
Pw or Pi Pressures Out of Range:

Pressure Readings: Filter
Pu
Ultraltrate pressure
Measures patency of the hemolter
Pressure range: -250 to +200
•
Filter Status
Measures resistance
Value of less than 1.5 indicates a
viable lter
9 | Aquadex Reference Guide

Action Steps: Alarm or Alert
Interpret the displayed instructions
Press the key to advance
Press the Alarm Silence key
Silence for 2 minutes
•
For more information:
Refer to the Aquadex FlexFlow User’s Guide
For customer and technical support, please call
1-855-786-2778
10 | Aquadex Reference Guide
CHF Solutions, Inc.
12988 Valley View Road
Eden Prairie, MN 55344
Indications: The Aquadex FlexFlow® System is indicated for temporary (up to 8 hours)
ultraltration treatment of patients with uid overload who have failed diuretic therapy;
and extended (longer than 8 hours) ultraltration treatment of patients with uid
overload who have failed diuretic therapy and require hospitalization. All treatments
must be administered by a healthcare provider, under physician prescription, both of
whom having received training in extracorporeal therapies.
Rx Only
www.chf-solutions.com/AQS