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crrt nephrology renal replacement management therapy managment modalities modes abg cardiac cardiology devices diagnosis differences ebm event holter hyponatremia icucard
Continuous Renal Replacement Therapy (CRRT) - Overview Types of CRRT • CVVHD - Continuous Veno-Venous hemodialysis -
Continuous Renal ... Overview Types of CRRT ... Hemofiltration - Convection ... - Diffusion + convection ... solutes + ↑ rapid correction
Continuous Renal Replacement Therapies (CRRT) - Comparison - Continuous Veno-venous Hemofiltration (CVVH) utilizes convection. Replacement fluid
) - Comparison ... CVVH) utilizes convection ... diffusion and convection ... combination of convection ... #Comparison #Nephrology
Renal Replacement Therapy (RRT) Modalities RRT Modalities in the ICU: • IHD (Intermittent HD): 3-5 hr
Replacement Therapy (RRT ... Modalities RRT ... (Continuous renal ... dialysate flow (both convection ... fluid removal and correction
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
Replacement Therapy (RRT ... Modalities of RRT ... (Continuous renal ... dialysate flow (both convection ... fluid removal and correction
What's in a Blood Gas? VBG vs ABG BOTTOM LINE: VBG is less painful, more easily obtained
Differences #Versus #Comparison ... PCO2 #Studies #Conversion ... #Correlation
Cardiac Event Monitoring Devices - Compared Ambulatory ECG (Hotter): • Advantages: Continuous recording, records asx events, all
• Advantages: Continuous ... monitoring period, Correlation ... • Advantages: Continuous ... • Advantages: Continuous ... Monitoring #Devices #Comparison
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
The target for correction ... hypertonic saline correction ... FE Urate post correction ... Volume • Consider correction ... • Calculate correction
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
Q-T interval correction ... sqrtRR) 0.42-1.2 RR ... units equation CONVERSION ... cmH20 PULMONARY RR ... 8.0 L/min VT*RR
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