Patient and Family Education

Manual Dialysis Using the

Dialynate Set
Supplies
 Dialynate Set  Gloves
 2L or 3L bag of dialysis solution  Masks
 Timers (1 or 2)  Connecting supplies
 Coban  Disconnecting supplies
Priming Instructions
1. Wash or gel your hands.
2. Gather supplies.
3. Put on a mask.
4. Wash your hands.
5. Put on gloves.
6. Open the Dialynate Set. Leave the packaging after opening.
7. Hang dialysis solution on the pole.
8. Connect solution to the Dialynate Set using the luer connector. Clamp all
three luer connector lines.
9. Close the roller clamp below the buretrol.
10.Hang the drain bag lower than the buretrol of tubing.
11.Break the frangible on the bag of dialysis solution and open the clamp on
that connector line. Keeping the buretrol upright, fill with 60 mls of
dialysis solution and then clamp.
12.Keeping the patient line of the Dialynate Set on the sterile paper in the
packaging, open the roller clamp below buretrol and prime to the end of
the patient line.
13.Once primed, turn the stopcock closed to the patient line and open to the
drain line and let the remainder of the fluid prime through, stopping
when the volume in the buretrol is 5 to 10mls.
14.Label the 3 tubes attached to the stopcock as “Fill,” “Patient,” and “Drain.”

Connecting
1. Follow the steps for connecting to the cycler.
2. You can wrap the connection with Coban for added security.

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Manual Dialysis Using the Dialynate Set

Performing Manual Dialysis

To Learn More
• Dialysis Unit
206-987-3985
• After hours, weekends
and holidays call the
hospital at
206-987-2000 and ask
for the nephrologist
on call
• Ask your child’s
healthcare provider
• www.seattlechildrens.org
Free Interpreter
Services
• In the hospital, ask
your child’s nurse.
From outside the
hospital, call the
toll-free Family
Interpreting Line
1-866-583-1527. Tell
the interpreter the
name or extension you
need.
3. Once connected, open the stopcock to the drain line and let drain for the
prescribed amount of time. Set the timer. Record this initial drain.
4. Keeping the buretrol upright, fill the desired volume plus 10mls (For
example, a fill volume of 100mls plus 10mls is 110mls total). The volume
will be ordered and will change as your child grows.
5. With the stopcock open to the patient line, unclamp the roller clamp and
let the fluid in the buretrol go into the PD catheter (this is slow) until
there is only 10mls left, then clamp the roller clamp.
6. Close the stopcock to the patient line.
7. Start the timer for the desired dwell time (for example, 30 minutes).
8. When the timer dings at the end of the dwell time, open the stopcock to
drain the line.
9. Set the timer for the desired drain time (for example 10 to 15 minutes).
10.When the timer dings at the end of the drain, close the stopcock to the
drain line.
11.Measure the amount in the urimeter and then dump into the drain bag.
Be sure to record the difference between the amount in and the amount
out. This is the UF (ultrafiltration).
12.Repeat steps 2 to 9 for the prescribed amount of time on dialysis. Your
nurse will give you time instructions.
13.At the end of the therapy time, after the drain, instill the last fill volume
(this will be ordered and change as your child grows), and then clamp
everything.
14.Add up all the UF numbers to get the total UF.
Disconnecting:
1. Follow the steps for disconnecting from the cycler.
2. If you used the Coban, take it off before putting on gloves.

Getting Rid of the Setup:

1. Be sure all clamps are closed.
2. Remove the bag of dialysis solution.
3. Empty the drain bag into the toilet.
4. You can now throw the Dialynate set in the garbage.

Seattle Children’s offers interpreter services for Deaf, hard of hearing or non-English speaking patients, family members
and legal representatives free of charge. Seattle Children’s will make this information available in alternate formats upon
request. Call the Family Resource Center at 206-987-2201. 10/16
This handout has been reviewed by clinical staff at Seattle Children’s. However, your child’s needs are unique. Before you PE1571
act or rely upon this information, please talk with your child’s healthcare provider.
© 2012, 2015, 2016 Seattle Children’s, Seattle, Washington. All rights reserved.

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