Renal replacement therapy: Fluid Management
DEFINITIONS
- Patient fluid balance – input and output over 24 hours
- Machine fluid balance – input by machine (dialysate, replacement fluid, anticoagulation) and output by machine (spent dialysate, ultrafiltrate)
- Effluent – total amount of fluid discarded by machine (ultrafiltrate + spent dialysate)
PRACTICAL CONSIDERATIONS
- -> need to get a copy of our CRRT prescription to go in here.
have a goal as to why CRRT is being implemented - write the prescription clearly
- review goal for the day regularly
- fluid removal rates of 300-400mL/hr are well tolerated in the fluid overloaded patient
- be realistic because there are many reasons why treatment is interrupted
References and Links
LITFL
- CCC – RRT Indications
- CCC – RRT principles in fluid management
- CCC – RRT Types
- CCC – RRT terminology and nomenclature
- CCC – RRT troubleshooting
Journals
- Kellum, J. A., et al (2010) “Continuous Renal Replacement Therapy” Oxford University Press, pages – pages 33-37
Critical Care
Compendium
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC