The Problem Of Water Leakage in Hemodialysis Cannot Be Ignored

The dialysis machine is an important device to ensure safe and effective dialysis treatment. During hemodialysis, if "water leakage" occurs, please pay attention!

[Case] A patient who regularly received maintenance dialysis dehydrated 3kg during one dialysis session. After 3 hours of treatment, the patient developed symptoms of hypotension (normally, treatment goes smoothly). During the inspection, it was discovered that there was a large amount of water stains under the dialysis machine. He was then removed from the machine and the blood returned. After treatment, the patient improved. The actual ultrafiltration was 3.1kg. Finally, the patient went home safely accompanied by his family members. After analysis, a leaking bacterial filter in the dialysis machine was the culprit. After replacing the filter, no leakage has been found in the filter recently.

Click to Cistanche for kidney disease

It can be seen that once the dialysis machine leaks, we must attach great importance to it and detect and deal with it in time to prevent serious incidents from happening.

So, during dialysis, what "water leakage" situations require special attention and timely correction?

It can be divided into two types: leakage in the extracorporeal circulation pipeline and leakage in the dialysis machine.

1. Water leakage in the extracorporeal circulation pipeline

Bloodlines are an important part of the connection between the patient and the dialysis machine. If a leak in the bloodline is not discovered, it may lead to blood loss, increase the risk of infection, and may also affect the safety and effectiveness of dialysis.

It is necessary to focus on the adhesion between the various connections of the pipeline and the pipeline itself.

Some dialysis machines have tightness testing for extracorporeal circulation pipelines during the pre-flush stage. This is very important. It can help us check whether the pipelines are tightly connected and whether there are cracks or damage to the dialyzer in the dialysis pipeline. If water leakage occurs, we should promptly Adjust or replace it.

2. Water leakage related to dialysis machines

Dialysate pipeline leakage: Dialysate is a key part of dialysis treatment. If there is leakage in the dialysate pipeline, it may lead to insufficient dialysate flow or insufficient dialysis, affecting the treatment effect. If the bypass joint is leaking, the sealing ring may be aging. Replace the sealing ring in time.

Water leakage inside the machine: Loose pipe connections inside the dialysis machine and water leakage may damage machine components, affect the normal operation of the machine, and even cause machine failure. For example, at the connection between the hose and the valve body or other connections, there is also a blood leakage detector buckle cover. If liquid drips onto the circuit, it will damage the circuit board or cause dangers such as leakage, and maintenance costs will also increase. It is recommended that technicians perform regular inspections and secure them properly.

The bacterial filter leaks and its housing is damaged, causing water leakage, such as the water leakage incident in the case.

The water supply hose is leaking: its material and other factors cause it to be soft and not resistant to pressure. Replace the hose that is prone to "bulging" in time.

Abnormal pressure: When the water machine is started, the pulse pressure rises instantly, causing the connecting parts to be unable to withstand the pressure, causing the pipeline to be damaged or loose.

3. What should I do if there is water leakage inside the dialysis machine?

If there is a water leakage problem inside the dialysis machine, my suggestions are as follows:

1. Stop dialysis immediately: patient safety is the top priority. Stop the dialysis process to avoid further damage.

2. Cut off the power supply: To prevent electrical failure or other potential hazards, cut off the power supply to the dialysis machine.

3. Notify the technician, doctor, and head nurse in the dialysis room to let them know about the problem.

4. The technician evaluates the leak: and determines the specific location and severity of the leak. Check pipe connections, seals, pipes themselves, and other areas where problems may arise.

5. Clean up the leaking area: Use the appropriate tools and materials to clean up the water stains around the leaking area to prevent the water stains from spreading or causing other damage.

6. Troubleshoot the cause of the fault: Carry out troubleshooting based on the water leakage situation. Check whether the seals are damaged, whether the pipes are loose or broken, etc.

7. Repair or replace damaged parts: Carry out corresponding repair or replacement work according to the cause of the failure. It may be necessary to replace seals, tighten pipe connections, or replace damaged pipes.

8. Calibration: After the maintenance is completed, perform a self-check to ensure the normal operation of the dialysis machine.

9. Records and reports: Record the occurrence, handling process, and results of water leakage problems, and report them to relevant departments or superiors for subsequent tracking and analysis.

10. Preventive measures: For water leakage problems, take preventive measures, such as regular maintenance, inspection of equipment, training of operators, etc., to reduce the occurrence of similar problems.

Please note that the above ideas only provide a general treatment process, and the specific treatment methods may vary depending on the model and failure conditions of the dialysis machine. When dealing with water leakage problems, relevant operating procedures and safety guidelines should be followed to ensure the accuracy and safety of operations. In addition, contact the equipment manufacturer or professional maintenance personnel in time to obtain more accurate guidance and support.

To prevent the occurrence of malfunctions such as water leakage in the dialysis machine, medical staff should carefully check the various components and pipelines of the dialysis machine before treatment to ensure their normal operation. Patients should also pay attention to observe the operation of the machine during the treatment process, and promptly notify medical staff if there are any abnormalities. Regular maintenance and inspection of dialysis machines by blood purification technicians can also help reduce the occurrence of malfunctions.

Therefore, here is a reminder to Xuejing nurses and clinical technicians: inspect carefully and don't miss every detail!

Summarize

No matter what kind of leakage occurs, medical technicians should actively deal with it and take appropriate measures according to the specific situation to ensure patient safety and treatment effects.

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