Causes of AKI
Anatomy of the renal system
Kidneys
ureters
bladder
urethra
When is CRRT more beneficial than hemodialysis?
For patients who are too unstable to hemodialysis, such as, hypotension
What kind of disease processes would delay starting CRRT?
Anticoagulation requirements, severe acidosis, severe hypotension, vascular access challenges, lack of available equipment, short staffing
What vital signs should you monitor while a patient is getting CRRT?
All vitals, especially blood pressure
What is a cause of prerenal AKI?
Decreased blood flow to the kidney
volume depletion
vasodilation
decreased cardiac output
What is the different between hemodialysis and CRRT?
Hemodialysis is faster (3-4 hours) 3 days a week, can be used in outpatient settings, rapid fluid shifts
CRRT is slower (24hrs), in an ICU setting with acute ill patients, with gradual removal of fluids
How many nurses are usually assigned to patient who is receiving CRRT?
1 Nurse
How can we increase the recovery time upon leaving the ICU?
Early mobility
What is a cause of intrarenal AKI?
Acute tubular necrosis
Ischemia of the kidneys
What does CRRT do?
Removes plasma and water and gives back electrolytes while the patient recovers
What is a CRRT patient at risk for?
Bleeding, equipment issues, infection, electrolye imbalance, air embolism
What are potential complications of CRRT?
Hypoxemia, dysrhythmias, volume depletion, disequilibrium syndrome, infection vascular access