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【持续性肾脏替代治疗crrt英文精品课件】crrt therapy in the pediatric critical care patient

【持续性肾脏替代治疗crrt英文精品课件】crrt therapy in the pediatric critical care patient

ID：20543709

大小：8.89 MB

页数：28页

时间：2018-10-13

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1、CRRTTherapyinthe PediatricCriticalCarePatientAnoverviewofcommoncomplicationsandsolutionsforPediatricCriticalCarePatientsundergoingCRRTTherapyByTomMacCraeRN,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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