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nephrology renal replacement therapy treatment hypothermia managment modalities modes rrt sepsis antibiotics continuous criticalcare crystalloids diagnosis effectiveness evidence factors foamed
Procalcitonin Guided Antibiotics in Sepsis Efficacy and Safety of Procalcitonin Guidance in Patients With Suspected or Confirmed
Review and Meta-Analysis ... Crit Care Med. 2018 ... VisualAbstract #EBM ... #Management
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
blood through the dialysis ... efficiency daily dialysis ... HD machine • CRRT ... machine CRRT Modes ... #managment #nephrology
Continuous Renal Replacement Therapy (CRRT) - Overview Types of CRRT • CVVHD - Continuous Veno-Venous hemodialysis -
requires dialysate fluid ... requires replacement fluid ... + replacement fluid ... Emergent dialysis ... Indications #Nephrology #Management
Renal Replacement Therapy (RRT) Modalities RRT Modalities in the ICU: • IHD (Intermittent HD): 3-5 hr
efficiency daily dialysis ... HD machine • CRRT ... session using a CRRT ... machine CRRT ... #managment #nephrology
Rewarming Methods in Hypothermia • Passive rewarming - Requires adequate patient physiologic mechanisms. Inadequate for more
rewarming + IV fluids ... CPB or ECMO • Dialysis ... #Hypothermia #management ... #treatment #ebm
The crusade against “Ab”Normal Saline continues. This is a non-physiologic fluid that can harm our
non-physiologic fluid ... Extracellular Fluid ... possibly requiring dialysis ... or CRRT. ... #criticalcare #management
Sepsis - Interventions that do / do not improve outcomes Do: - Have high index of suspicion and
, transfusion, fluid ... resuscitation, oxygen, CRRT ... Interventions #Management ... Factors #Matter #EBM
Hypothermia - Protocol for ED CORE TEMP < 34º INITIAL THERAPY • Remove wet garments • Avoid rough
Rapid - Level 1 fluid ... Slow - Hot Line fluid ... epinephrine • Consider paralysis ... Hypothermia #Protocol #management ... #treatment #algorithm
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