Operating instructions

07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide 18-37
18. Troubleshooting
18.4 Bypass Procedures
18.4.1 Bypass Initial Drain
Follow the steps below to bypass an INITIAL DRAIN. Contact your dialysis center
to learn when it is safe to bypass.
WARNING
Bypassing an Initial Drain when there is still fluid left in the
peritoneal cavity can result in an increased intraperitoneal
volume (IIPV) situation later in your therapy. Change your
position or sit up to aid draining completely during the
Initial Drain.
IIPV can result in a feeling of abdominal discomfort,
serious injury, or death.
If any patient, or patient caregiver, suspects the patient has
IIPV during a treatment, press
STOP immediately, then
press
V and initiate a Manual Drain. The Manual Drain
procedure is located in 18.5, Manual Drain Procedure, on
page 18-53. See 18.8, Increased Intraperitoneal Volume
(IIPV), on page 18-58 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.
Steps to bypass Initial Drain Display screen
INTIAL DRAIN appears on the display screen.
1. Press
STOP.
2. Press
V.
INITIAL DRAIN
STOPPED: DRAIN
DRAIN VOLUME: ML