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*DTPHYORD* DTPHYORD Continuous Renal Replacement Therapy (CRRT) Orders Directions: Orders with boxes will be considered valid if checked or blanks filled in. Page 2 of 2 Orders without boxes will
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How to fill out continuous renal replacement formrapy

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How to fill out continuous renal replacement therapy:

01
Start by reviewing the patient's medical history and identifying if they have any contraindications for continuous renal replacement therapy (CRRT), such as uncontrolled bleeding or hemodynamic instability.
02
Ensure that the necessary equipment is available and functioning properly, including the CRRT machine, dialyzer, tubing, and solution bags.
03
Assess the patient's vascular access options for CRRT. This can include central venous catheters, arteriovenous fistulas, or grafts. Select the most appropriate access based on the patient's condition and anatomy.
04
Prepare the patient for CRRT by inserting the vascular access catheter under sterile conditions. This may involve local anesthesia and ultrasound guidance. Secure the catheter in place and confirm proper placement using imaging techniques.
05
Prime the CRRT circuit by connecting the tubing and solution bags according to the manufacturer's instructions. Ensure that all connections are secure and free from air bubbles.
06
Set the prescribed parameters for CRRT, including the desired blood and ultrafiltration flow rates, replacement fluid composition, and dialysate settings. Consult with the healthcare team and follow the specific protocol for the patient's condition.
07
Start the CRRT by initiating the machine and carefully monitoring the patient's hemodynamics, vital signs, and laboratory values. Adjust the settings as necessary to maintain hemodynamic stability and achieve the desired metabolic goals.
08
Regularly monitor the patient's fluid balance, electrolyte levels, and acid-base status throughout the course of CRRT. Adjust the replacement fluids and dialysate composition accordingly.
09
Document all relevant information during the CRRT process, including the patient's vital signs, laboratory results, interventions performed, and any complications or adverse events encountered.

Who needs continuous renal replacement therapy:

01
Patients with acute kidney injury (AKI) who are hemodynamically unstable or unable to tolerate intermittent hemodialysis.
02
Critically ill patients in the intensive care unit (ICU) with multi-organ failure or severe sepsis who develop AKI.
03
Patients with underlying chronic kidney disease (CKD) who experience acute decompensation or worsening renal function, particularly in the setting of volume overload or hyperkalemia.
04
Individuals with certain toxic ingestions or drug overdose that require continuous removal of toxic substances from the bloodstream.
05
Patients who have undergone major surgery or trauma and require renal replacement therapy to support organ function and prevent complications.
It is important to note that the decision to initiate CRRT should be made by a multidisciplinary team of healthcare professionals, including nephrologists, intensivists, and critical care nurses, based on the individual patient's clinical condition and needs.
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Continuous renal replacement therapy is a type of treatment for patients with severe kidney failure.
Continuous renal replacement therapy is typically performed by healthcare professionals such as nephrologists and critical care nurses.
Continuous renal replacement therapy is filled out by following specific medical protocols and guidelines set by healthcare institutions.
The purpose of continuous renal replacement therapy is to support patients with kidney failure by removing waste products and excess fluid from the blood.
Information reported on continuous renal replacement therapy includes patient demographics, treatment parameters, and laboratory results.
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