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Critical Care Trauma Center CONTINUOUS RENAL REPLACEMENT THERAPY USING CITRATE ANTICOAGULATION PREPRINTED ORDER Page 1 of 2 KEY: R REQUISITIONED P PROCESSED (GARDEN) MEDICATION ORDERS R Reason for
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How to fill out continuous renal replacement orders

How to fill out continuous renal replacement orders
01
Step 1: Start by gathering all the necessary information about the patient, such as their medical history, current condition, and any specific requirements for the continuous renal replacement therapy.
02
Step 2: Assess the patient's fluid status, renal function, and electrolyte balance to determine the appropriate parameters for the continuous renal replacement therapy.
03
Step 3: Choose the appropriate modality for continuous renal replacement therapy, such as continuous veno-venous hemofiltration (CVVH), continuous veno-venous hemodialysis (CVVHD), or continuous veno-venous hemodialfiltration (CVVHDF).
04
Step 4: Calculate the prescribed dose of the therapy based on the patient's weight, renal function, and desired treatment outcome.
05
Step 5: Determine the duration of the continuous renal replacement therapy based on the patient's clinical condition and response to the treatment.
06
Step 6: Select the appropriate anticoagulation strategy for the therapy, considering factors like bleeding risk and patient-specific contraindications.
07
Step 7: Write the continuous renal replacement orders clearly and accurately, including the prescribed dose, duration, modality, and anticoagulation strategy.
08
Step 8: Communicate the orders to the healthcare team responsible for implementing the continuous renal replacement therapy.
09
Step 9: Monitor the patient closely during the therapy, assessing their hemodynamic stability, fluid balance, and electrolyte levels.
10
Step 10: Adjust the therapy parameters as needed based on the patient's response and any changes in their clinical condition.
11
Step 11: Document the therapy progress, including any complications or adverse events encountered, and make necessary adjustments to the orders as required.
12
Step 12: Continuously evaluate the patient's response to the therapy and make appropriate modifications to ensure optimal outcomes.
Who needs continuous renal replacement orders?
01
Continuous renal replacement orders are typically needed for patients with acute kidney injury or severe renal dysfunction.
02
These orders are commonly prescribed for critically ill patients who require fluid removal, electrolyte balance correction, or toxin clearance.
03
Patients who are unable to tolerate intermittent hemodialysis may also benefit from continuous renal replacement therapy.
04
Continuous renal replacement orders are determined based on the patient's clinical condition, renal function, and specific therapeutic goals.
05
Consultation with a nephrologist or a renal specialist is often necessary to determine if continuous renal replacement therapy is appropriate for a patient.
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What is continuous renal replacement orders?
Continuous renal replacement orders are medical orders that dictate the specific parameters for the continuous removal of waste products and excess fluid from the blood of patients with impaired kidney function.
Who is required to file continuous renal replacement orders?
Continuous renal replacement orders are typically filed by nephrologists or other healthcare providers managing the care of patients with acute kidney injury or other kidney-related conditions.
How to fill out continuous renal replacement orders?
Continuous renal replacement orders are filled out by specifying the desired blood flow rate, dialysate rate, and ultrafiltration rate, among other parameters, to ensure effective treatment.
What is the purpose of continuous renal replacement orders?
The purpose of continuous renal replacement orders is to provide a customized treatment plan for patients with kidney dysfunction to help maintain appropriate fluid and electrolyte balance.
What information must be reported on continuous renal replacement orders?
Information such as patient demographics, medical history, current medications, and specific treatment parameters must be reported on continuous renal replacement orders.
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