AKI & DIALYSIS exam 3 Flashcards
What is SCUF
SLOW CONTINOUS ULTRA FILTRATION
blood is run through a filter but, dialysis fluid ISNT used
What is SCUF used for
Significant fluid overload
Used just to take the fluid off
what is CVVH
CONTINOUS VENO VENOUS HEMO FILTRATION
uses replacement fluids but, no dialysis fluid
What is CVVH used for
Fluid overload w/ electrolyte imbalances
What is CVVHD
CONTINOUS VENO HEMO DIALYSIS
What does CVVHD & CVVHDF do
Uses dialysis fluid
Used for fluid overload
What are indications for RRT
AEIOU Acidosis, electrolyte disturbances k+, intoxication (salicylate), overload ( hypoxemia) Uremia ( encephalopathy, pericardial rub, bleeding) Oliguria with fluid overload Azotemia with uremic symptoms Hyperkalemia Metabolic acidosis
What are indications of CRRT
Cerebral edema due to acute CNS Event or injury
Acute hepatic failure
What are risks of IHD
More rapid fluid and electrolyte shifts
Increased risk of increased ICP
higher incidence of hemodynamic instability with hypotension and decreased cardiac perfusion
What is the anion gap corrected with
CRRT
Almost all patients on CRRT for greater than 48 hours will experience what
Hypophosphatemia
Hypomagnesemia
What lab result may be falsely elevated in AKI
Prealbumin is excreted thru the kidneys and may be falsely elevated in AKI