A patient was undergoing continuous renal replacement therapy (crrt) on a prismaflex control unit.According to received information, the involved prismaflex crrt set (type unknown) was unloaded by the nurse during ongoing treatment without having clamped the access and return blood lines or the patient's central catheter.As a consequence, an unknown volume of blood drained into the fluid bags.The use error was immediately identified and the medical staff succeeded in stabilizing the patient's blood pressure.No additional information is available.
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