Six Protocols for using HD Monitor during Dialysis
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Access Patency Dialysis Adequacy • Cardiac Function

BETTER RESULTS.

Access Blood Flow Surveillance (mL/min each month) Normal AVG: > 600 mL/min AVG: > 500 mL/min Abnormal AVG: < 600 mL/min AVG: < 500 mL/min AV access flow falls 25% in 4 months1^ Abnormal AVG: > 2000 mL/min AVG: > 500 mL/min Evaluate for steal, hand ischemia, high CO and cardiac failure Preferred referral path Technical Failure Interventional Radiologist (PTA/Thrombolysis/ Stent) Success Criteria Met Presumptive Success _i_ Post-Intervention Surveillance AV flow increases 300-400 mL/min or AV flow > 1 L/min or AV flow returns to its baseline 1 If AVG flow falls by 25% in four months, and...

Pump Flow Optimization

Dialysis Adequacy Recirculation Management In Accesses & Catheters

Perform Initial Recirculation Measurement Proceed to Access Flow Measurement Perform Second Recirculation Measurement Confirm Zero % -► Recirculation with a third Measurement Reverse blood lines at needle tubing connection. Perform a Reversed Line Recirculation Measurement Lines are now in conventional position for dialysis, but were reversed for initial measurement Is reversed line recirc > or < than initial Recirc?. Lines are now reversed, initial measurements were made with lines in conventional position. Lines are now in conventional position for dialysis, but were reversed for initial...

• Normal Configuration: Arterial Catheter Hub to Arterial Bloodline + Venous Catheter Hub to Venous Bloodline j • Reverse Configuration: Arterial Catheter Hub to Venous Bloodline + Venous Catheter Hub to Arterial Catheter Hub

Dialysis Adequacy Protocol for Catheter Optimization transonic THE MEASURE OF BETTER RESULTS.

Best Practice in Hemodialysis Care

Cardiac Function Assessment Protocol transonic THE MEASURE OF BETTER RESULTS.