(精选)【持续性肾脏替代治疗CRRT英文精品课件】CRRT Therapy in the Pediatric Critical Care Patient教学课件.pptVIP

* CRRT Therapy in the Pediatric Critical Care Patient An overview of common complications and solutions for Pediatric Critical Care Patients undergoing CRRT Therapy By Tom MacCrae RN, BSN Speaker Information 2 1/2 Years experience as EMT in Santa Clara County Graduated with BSN from Azusa Pacific University 2004 PICU RN at Lucile Packard Children’s Hospital since 2004 CRRT Clinical Coordinator in PICU since 2006 Hungry for Knowledge? Lets Get Ready to Learn!!!! Objectives Explanation of common catheter, filter, and pump complications with CRRT in the Pediatric Patient Examine specific patient related complications for pediatric patients undergoing CRRT therapy. Discuss the recommended solutions to common CRRT complications in the Pediatric Patient Review select case scenarios from the PICU at LPCH and discuss how specific CRRT complications were addressed CRRT with Prisma Machine Catheter complications Sluggish blood flow through the catheter Catheter entry site complications Patient position problems Blood clotting complications Blood Products / Drugs affecting catheter function Left Femoral Catheter Solutions To Catheter Complications Re-positioning the patient TPA for clotted catheters Infuse blood products and drugs as far away from the CRRT catheter as possible Reversing the catheter access if necessary Example of Catheter Location Tunneled Catheters Non-tunneled Catheter Filter Saturation Solutions To Filter / Pump Complications Adjust blood flow rate to accommodate for rising or falling access and return pressures Anticipate more frequent filter changes for PT in DIC Special attention to calcium and citrate infusions can help to minimize filter and pump complications Solutions To Filter / Pump Complications Careful observation for clots in the filter may warn of impending failure Keeping machine clean will also eliminate potential alarms and reduce pump complications Trouble shooting ala