CRRT

Continuous Renal Replacement Therapy (CRRT) is a specialized form of renal replacement therapy used in the intensive care setting to manage acute kidney injury (AKI) or other forms of severe kidney dysfunction.
Here are key aspects of service:

Patient Assessment:

• Evaluate critically ill patients to determine the need for CRRT based on the severity of acute kidney injury, fluid overload, electrolyte imbalances, or other indications.

Prescription and Modality Selection:

• Prescribe the appropriate CRRT modality based on the patient's clinical condition. Common modalities include Continuous Veno-Venous Hemofiltration (CVVH), Continuous Veno-Venous Hemodialysis (CVVHD), and Continuous Veno-Venous Hemodiafiltration (CVVHDF).

Prescription Adjustment:

• Regularly review and adjust the CRRT prescription based on ongoing patient assessments, changes in clinical status, and laboratory results.

Fluid Management:

• Manage fluid balance by adjusting the ultrafiltration rate to address fluid overload while avoiding hemodynamic instability.

Medication Management:

• Adjust medication dosages based on the patient's renal function and the pharmacokinetics of drugs during CRRT.
• Consider the impact of CRRT on antibiotic dosing, anticoagulation, and other medications.

Collaboration with Intensive Care Team:

• Work closely with intensivists, critical care nurses, and other healthcare professionals to provide comprehensive care for critically ill patients.

Communication with Patients and Families:

• Communicate with patients and their families to explain the purpose of CRRT, potential complications, and the overall plan of care.