We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Continuous Renal Replacement Therapy in the Critically III Child.
- Authors
Trinier, Ruth; St. George-Hyslop, Cecilia
- Abstract
Acute kidney injury (AKI) is a common occurrence in c ritical illness, including the critical illness seen in children. It is frequently seen as a result of complications arising from other diseases, treatments or processes and, increasingly, the children requiring treatment for AKI have multiple comorbidities. Children who require intensive care as a result of sepsis, cardiopulmonary bypass, acute respiratory distress syndrome or inbornerrors of metabolism may develop AKI requiring prompt intervention to prevent further deterioration. With the gradual removal of fluids and toxins minimizing the hemodynamic instability seen in more rapid methods of fluid removal, continuous renal replacement therapy is often considered the treatment of choice. Recent developments in equipment have facilitated use in lower body weights, how ever, morbidity and mortality remain high, and complications of therapy are frequent. A lthough the treatment plan is initiated and guided by the direction of a physician, the addition of a highly invasive therapy to the nursing care of a critically ill child requires a solid understanding of the critically ill child, continuous renal replacement therapy and the potential for complications. An expert nurse clinician will anticipate, monitor, assess and intervene appropriately to positively impact patient outcomes and minimize complications. Frequent skill review is necessary to maintain competency and confidence. This presentation will include a case-based approach to the nursing care of the critically ill child requiring continuous renal replacement therapy. Scenarios will review indications, access, filters, blood flow rates, anticoagulation, dosing, extra corporeal membrane oxygenation and continuous renal replacement therapy outcomes. Techniques to assist in learning and maintaining competence will also be reviewed.
- Subjects
TREATMENT of acute kidney failure; ACUTE kidney failure; CRITICALLY ill; EXTRACORPOREAL membrane oxygenation; HEMODIALYSIS; INTENSIVE care nursing; PATIENTS; PEDIATRIC nursing; CHILDREN
- Publication
Canadian Journal of Critical Care Nursing, 2016, Vol 27, Issue 2, p32
- ISSN
2368-8653
- Publication type
Article