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ID:20543709
大小:8.89 MB
页数:28页
时间:2018-10-13
《【持续性肾脏替代治疗crrt英文精品课件】crrt therapy in the pediatric critical care patient》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、CRRTTherapyinthePediatricCriticalCarePatientAnoverviewofcommoncomplicationsandsolutionsforPediatricCriticalCarePatientsundergoingCRRTTherapyByTomMacCraeRN,BSNSpeakerInformation21/2YearsexperienceasEMTinSantaClaraCountyGraduatedwithBSNfromAzusaPacificUniversity2004PICURNatL
2、ucilePackardChildren’sHospitalsince2004CRRTClinicalCoordinatorinPICUsince2006HungryforKnowledge?LetsGetReadytoLearn!!!!ObjectivesExplanationofcommoncatheter,filter,andpumpcomplicationswithCRRTinthePediatricPatientExaminespecificpatientrelatedcomplicationsforpediatricpatient
3、sundergoingCRRTtherapy.DiscusstherecommendedsolutionstocommonCRRTcomplicationsinthePediatricPatientReviewselectcasescenariosfromthePICUatLPCHanddiscusshowspecificCRRTcomplicationswereaddressedCRRTwithPrismaMachineCathetercomplicationsSluggishbloodflowthroughthecatheterCathe
4、terentrysitecomplicationsPatientpositionproblemsBloodclottingcomplicationsBloodProducts/DrugsaffectingcatheterfunctionLeftFemoralCatheterSolutionsToCatheterComplicationsRe-positioningthepatientTPAforclottedcathetersInfusebloodproductsanddrugsasfarawayfromtheCRRTcatheteraspo
5、ssibleReversingthecatheteraccessifnecessaryExampleofCatheterLocationTunneledCathetersNon-tunneledCatheterCRRTCatheterwithPig-TailLumenDoubleLumenCatheterwithDilatorandWireFilter/PumpComplicationsSluggishbloodflowinthefilterandtubingFailingorclottingfilterCrackedfilterorrupt
6、uredtubingFiltersaturation,andshortfilterlifeFrequentairandbloodleakalarmsFilterSaturationSolutionsToFilter/PumpComplicationsAdjustbloodflowratetoaccommodateforrisingorfallingaccessandreturnpressuresAnticipatemorefrequentfilterchangesforPTinDICSpecialattentiontocalciumandci
7、trateinfusionscanhelptominimizefilterandpumpcomplicationsSolutionsToFilter/PumpComplicationsCarefulobservationforclotsinthefiltermaywarnofimpendingfailureKeepingmachinecleanwillalsoeliminatepotentialalarmsandreducepumpcomplicationsTroubleshootingalarmsinsteadofsilencingthem
8、willdecreaseassociatedcomplications.PediatricPatientComplicationsBloodPressureinst
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