r【持续性肾脏替代治疗CRRT英文精品课件】Continuous Renal Replacement Therapy.ppt

* * * * * * * * * * * * * Continuous Renal Replacement Therapy Developed by: Critical Care and Hemodialysis Educators, February 2009 King Faisal Specialist Hospital and Research Center, Nursing Development and Saudisation. 100 100 200 200 400 400 300 400 Principles Modes Troubleshooting Miscellaneous 300 300 300 200 400 200 100 500 500 500 500 100 Row 1, Col 1 Convection is the movement of solutes from an area of high concentration to low Concentration. True or False. False 1,2 Which port should you use to take an ACT/ PTT sample from? Where is this port located? Red Port Located before the filter and before the blood pump 1,3 Why is it important during bag change to always use the ‘Bag Change’ screen? To put the scale on hold 1,4 Name 3 safety equipments needed to run a CRRT machine? Blue clamps, Temporary disconnector adaptor, Quick reference guide manual, Manufacturer manual, Crank 2,1 Describe Ultrafiltration. The slow movement of fluids (solution) from high pressure to low pressure. 2,2 Which mode(s) will remove solutes mainly? CVVHD, CVVHDF 2,3 What does ‘Temporarily Disconnect’ mean? When should this be performed? It’s to disconnect the patient from the circuit temporary, no longer than one hour. Performed for a procedure usually i.e. CT scan, or change patient’s room 2,4 How do you troubleshoot “low arterial pressure alarm” Reduce the blood flow rate, check the vascular access, check the lines for kinks, flush the normal saline and assess lines. 3,1 In order to remove more solutes (middle and larger molecules) what principle is best Used? Convection 3,2 Your dehydrated and oliguric patient has the following lab results: Urea:15 K+=7.0 Creatinine=210 What is the best mode to use? CVVHD 3,3 What would you do if the TMP pressure is high? --Flush filter with saline bolus (if ordered) check for clots. -Consider pre-substituate dilution -Consider heparin. 3,4 What is a “Blood leak alarm”? How would you troubleshoot it? Filter is