Who is a good candidate for CRRT?

CRRT has to be considered for patients with cerebral edema, severe hemodynamic instability, persistent on-going metabolic acidosis, and large fluid removal requirements.

Do you make urine on CRRT?

Most of the patients on CRRT are unable to make urine because of their kidney failure. However, even if the patient starts making urine, the filtrating capacity of the kidney takes a longer time to recover. It can be weeks or months before the kidney is able to filter solutes and get rid of wastes.

What are the disadvantages of CRRT?

The major disadvantage of CRRT is its relatively lower clearance rate when compared to standard intermittent hemodialysis. This large comparative advantage to hemodialysis has made the technique the gold standard for extracorporeal removal of xenobiotics.

How do I return my Cvvh blood?

If treatment is being terminated urgently, perform blood return immediately using normal saline flush to prevent clotting and blood loss (Step 2-3). At the end of a treatment, blood that is contained within the CRRT circuit is retransfused to the patient.

How does the Aquarius system work in CRRT?

The possibility of making fluid balance errors during CRRT has been identified since the beginning of CRRT1. With the automated Total Fluid Loss Management (TFL) feature, the Aquarius™ system provides total control over fluid balance and automatically corrects fluid balance variance back to zero, so that fluid balance discrepancies are eliminated.

Is the Aquarius system compatible with citrate anticoagulation?

To perform an effective convective therapy, the Aquarius™ System with RCA has been designed to use CVVH post-dilution with citrate anticoagulation. Convective therapy via the Aquarius™ System with integrated RCA will not require the use of specific replacement solutions, when combined with ACD-A.

Can a patient change their weight during CRRT?

During treatment, patient weight can be modified at any time. Fluid balanceis a key aspect of the Continuous Renal Replacement Therapy (CRRT) prescription. The possibility of making fluid balance errors during CRRT has been identified since the beginning of CRRT1.

Why are accumulated fluid balance errors in CRRT dangerous?

In CRRT, accumulated fluid balance errors due to repeated alarm overrides can result in serious harm to the patient. NIKKISO ABP’s latest innovation is aimed at CRRT safety and performance.

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