What does CVVHD stand for?
Continuous venous venous hemofiltration
Continuous venous venous hemodialysis
Slow continuous ultrafiltration
Continuous renal replacement therapy
Your patient has an ultrafiltration goal of net -100 each hour. He is receiving norepinephrine at 10 mL/hr and vancomycin 250 mL/hr. Over the last hour, he put out 10 mL of urine, 50 mL of bile through the NG tube, and 20 mL in the JP drain. What do you set your ultrafiltration rate at?
280
360
100
180
Your patient has an order to be net -50 per hour. Over the last hour, she received zosyn at 100 mL/hour and her heparin infusion was set at 10 mL/hour. Her PO intake was 100 mL. Her wound vac put out 25 mL. What do you set your ultrafiltration rate at?
185
210
135
235
Your patient has an order to be net -100 per hour. Over the last hour, she received tube feeds at 75 mL/hour. Her chest tube put out 20mL and she made 10 mL of urine. What do you set your ultrafiltration rate at?
75
145
205
Your patient has an order to be net -50 per hour. Over the last hour, she received 1 unit of PRBC (300 mL) and a 50 mL water flush through the NG tube. Her Levophed infusion is running at 10 mL/hr. Her FMS put out 50 mL. Her EBL from a clotted filter is 190 mL. What do you set your ultrafiltration rate at?
120
170
310
How do you set up the machine to run CVVHD?
The filter comes set up to run CVVHD
The connection on the filter is changed
The machine is programmed for that therapy
What is the first step when troubleshooting alarms?
Press mute (yellow button)
Press stop (red button)
Press treatment (green button)
Press FYI
What do you do when your patient’s BP drops?
Press and hold stop for 2 seconds
Give a fluid bolus
Reduce ultrafiltration rate
Return blood
All of the above
What is the most important part of setting up a new filter?
Press SIMPLE and read all of the instructions including the details
Gathering supplies
Priming the filter
Programming the machine
What indicates your filter or access is clotting?
Change in access, venous, and effulent pressures
The machine tells you
You can see the clot
Which team is the only team that can make changes to CRRT orders (with the exception of net fluid removal)?
Renal service
Primary team
ICU team
Surgery team
