Volume management by renal replacement therapy in acute kidney injury.

摘要: Management of fluid balance is one the basic but vital tasks in care critically ill patients. Hypovolemia results a decrease cardiac output and tissue perfusion may lead to progressive multiple organ dysfunction, including development acute renal injury (AKI). However, an effort reverse pre-renal oliguria, it not uncommon for patients with established oliguric failure, particularly when associated sepsis, receive excessive resuscitation, leading overload. In replacement therapy be required treat hypervolemia. Safe prescription loss during RRT requires intimate knowledge patient's underlying condition, understanding process ultrafiltration close monitoring cardiovascular response removal. To preserve AKI, important that prescribed way optimizes by removing without compromising effective circulating volume. who are clinically overloaded, equally amount removed as exact possible. Fluid errors can occur result inappropriate prescription, operator error or machine error. Some CRRT machines have potential significant if alarms overridden. Threshold values been developed which used predict severity harm. It education programs emphasize risk overriding alarms.