Operating instructions

10. Operating Instructions – Make Adjustments
10-10 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244
Too high an I-Drain Alarm volume can result in an increased number of LOW
DRAIN VOLUME alarms.
If the volume of fluid drained is less than the expected volume, a LOW DRAIN
VOLUME alarm sounds. When Slow Flow or No Flow conditions occur during the
Initial Drain, the I-Drain Alarm volume is used to determine whether the system
alarms or moves on to the Fill cycle.
Review or adjust the I-Drain Alarm setting if you change your Last Fill Volume or if
you perform a CAPD exchange during the day. Refer to Table 10-1 on page 10-11
for the recommended settings based on a percentage of the Last Fill Volume.
WARNING
Patients whose Fill volumes are less than 1000 mL may
normally drain slowly. These patients typically weigh less
than 44 lbs (20 kg). Use of the Low Fill Mode minimizes the
incidence of LOW DRAIN VOLUME and CAUTION: NEGATIVE
UF alarms. These alarms can not be bypassed to prevent an
increased intraperitoneal volume (IIPV) situation in Low
Fill Mode. The Negative UF Limit should not be raised
above 50% and the Minimum Drain Volume % should not
be lowered below 85%, (the default values). It is required
that the Low Recirculation Volume Set be used with Low
Fill Mode procedures.
IIPV could result in a feeling of abdominal discomfort,
serious injury, or death. See page 18-58 for IIPV symptoms
or if IIPV is suspected.
Additional care should be taken to monitor for IIPV
symptoms for those patients not able to communicate
essential information to their caregiver during treatment.