The document discusses the major complications and advantages of continuous renal replacement therapy (CRRT). The complications relate to rapid shifts in fluids and solutes, vascular access issues, the need for anticoagulation, and dialysis membrane incompatibility. The advantages are that CRRT is suitable for hemodynamically unstable patients, allows for precise volume control, and is very effective at controlling uremia, electrolyte imbalances, and acidosis. However, disadvantages include expense, risks from anticoagulation like bleeding, and issues like line infections, disconnections, and electrolyte depletions if not carefully managed.
The document discusses the major complications and advantages of continuous renal replacement therapy (CRRT). The complications relate to rapid shifts in fluids and solutes, vascular access issues, the need for anticoagulation, and dialysis membrane incompatibility. The advantages are that CRRT is suitable for hemodynamically unstable patients, allows for precise volume control, and is very effective at controlling uremia, electrolyte imbalances, and acidosis. However, disadvantages include expense, risks from anticoagulation like bleeding, and issues like line infections, disconnections, and electrolyte depletions if not carefully managed.
The document discusses the major complications and advantages of continuous renal replacement therapy (CRRT). The complications relate to rapid shifts in fluids and solutes, vascular access issues, the need for anticoagulation, and dialysis membrane incompatibility. The advantages are that CRRT is suitable for hemodynamically unstable patients, allows for precise volume control, and is very effective at controlling uremia, electrolyte imbalances, and acidosis. However, disadvantages include expense, risks from anticoagulation like bleeding, and issues like line infections, disconnections, and electrolyte depletions if not carefully managed.
rapid shifts in plasma volume and solute composition,
vascular access, the necessity for anticoagulation and dialysis membrane incompatibility. Advantages of using CRRT Suitable for use in hemodynamically unstable patients. Precise volume control, which is immediately adaptable to changing circumstances. Very effective control of uremia, hypophosphatemia and hyperkalemia. Rapid control of metabolic acidosis Improved nutritional support (full protein diet). Available 24 hours a day with minimal training. Safer for patients with brain injuries and cardiovascular disorders (particularly diuretic resistant CCF). May have an effect as an adjuvant therapy in sepsis. Probable advantage in terms of renal recovery. Disadvantages of using CRRT Expense probably the same as IHD. Anticoagulation to prevent extracorporeal circuit from clotting. Complications of line insertion and sepsis. Risk of line disconnection. Hypothermia. Severe depletion of electrolytes particularly K+ and PO4, where care is not taken.