The document provides instructions for priming and troubleshooting the Prisma continuous renal replacement therapy (CRRT) machine. It describes how to power on the machine, calibrate the scales, select a patient and therapy, prime the tubing set, program therapy settings, connect the machine to the patient, and end a treatment. It also gives guidance on resolving common issues like pressure alarms, scale resets, fluid removal errors, and air in lines.

1. Prisma ™ Priming and Troubleshooting Oleh : ARI P Pusat Jantung Nasional Harapan Kita Jakarta 2008

2. Menghidupkan Mesin Tekan tombol “ON/ OFF” di bawah samping mesin Muncul layar kosong (blank), tetapi dibelakangnya ada konfigurasi kalibrasi Lakukan kalibrasi kalau perlu

4. PRISMA CRRT Machine: Basic Layout Replacement Dialysate Effluent Blood Heparin Syringe Pump Pressure Pods Scales x 3

5. PRISMA CRRT Machine: Basic Layout on Diagram

8. Kalibrasi Tekan secara bersamaan tempat yang berkode. Tunggu hingga muncul layar kalibrasi Lakukan kalibrasi

14. 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

16. Memasang Prisma ™ Tubing(2)

17. Memasang Prisma ™ Tubing(3)

18. Memasang Prisma ™ Filter

21. Memprogram Terapi Lakukan pemrograman terapi sesuai dengan yang diharapkan atau sesuai dengan instruksi.

23. 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

24. Prisma ™ Ready to Use

25. Penempatan Mesin

28. Prisma ™ Troubleshooting(1) Tekanan Acces dan Return

29. Prisma ™ Troubleshooting(2) Resetting Skala Replacement atau Dyalisate

30. Prisma ™ Troubleshooting(3) Pressure Pod

31. Prisma ™ Troubleshooting(4) Fluid Removal Error

32. Prisma ™ Troubleshooting(5) Air in Line

33. Prisma ™ Troubleshooting(5) Error Coding

34. T E R I M A K A S I H