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DOCTOR S ORDERS CRRT ORDERS WITH NXSTAGE SYSTEM ONE All orders will be implemented as checked off or modified DIALYSIS COMPANY DaVita Liberty MODALITY CVVH PARAMETERS SCUF CRRT Continuous 24 hrs SHIFT THERAPY 6 hrs/day 2 L/hr 30 ml/kg for 70kg pt None SCUF L/hr Therapy Fluid Rate 4 L/hr Ultrafiltration Rate Even Neg ml/hr Neg 250 ml/hr Blood Flow Rate 250-300 ml/min ml/min 300-350 ml/min THERAPY FLUID COMPOSITION with for anticoagulation ANTICOAGULATION NxStage RFP 400 no lactate Bicarbonate 35 mEq/L Potassium 2 mEq/L Sodium 140 mEq/L Calcium 3 mEq/L Magnesium 1 mEq/L Chloride 111 mEq/L Glucose 100 mg/dl None NS flushes as needed per weight-based nomogram ELECTROLYTES Potassium Magnesium Phosphorous Calcium OR units/hr KCI 40 mEq/100 ml NS IV over 2 hrs PRN for K 3. 6 mEq/L Magnesium Sulfate 2 gm/50 ml NS IV over 1 hr PRN for Magnesium 1. 9 mg/dl Na Phosphate 20 mmol/250 ml NS IV over 6 hrs PRN for Phosphorous 2. 5 mg/dl Ca Gluconate 3 gm/100ml D5W IV over 1 hr PRN for ICa / 1. 1 q 8 h....

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At least in part, they compensated by pushing up their recommended blood flow rate. They “reversed” the usual ratio of blood flow (250 ml/min) to dialysate flow (500 ml/min)—> a ratio of 1:2 to a blood flow of (say) 450 vs. a dialysate flow of 150 —> a ratio of 3:1, or similar.

The maximum dialysate flow rate for the NxStage machine is 12.0L/hr. The dialysate volume refers to the amount of prescribed dialysate to be used per dialysis treatment.

The different modalities of CRRT (Fig. 1) are defined by the main mechanism with which clearance is achieved: simple diffusion (continuous veno-venous he- modialysis, CVVHD), convection (continuous veno- venous hemofiltration, CVVH), or a combination of both (continuous veno-venous hemodiafiltration, CVVHDF).

“In clinical practice, in order to achieve a delivered dose of 20–25 ml/kg/h, it is generally necessary to prescribe in the range of 25–30 ml/kg/h, and to minimize interruptions in CRRT”. “The dose should be frequently assessed, and prescription should be adjusted ingly”

In general, it is a good rule of thumb to increase the blood flow to the maximum amount that the patient and dialysis access can safely tolerate. Blood flows during dialysis range from 150 ml/min up to 500 ml/min. Note that a mature fistula has a blood flow rate greater than 600 ml/min.

CRRT blood flow rates are typically 150 ml/min. A dialysate flow rate of 1 L per hour, provides a dialysate flow of 16 ml/min. Increasing the dialysate flow will have a greater effect than any increase in blood flow rates with CRRT. Dialysate flows countercurrent, or in the opposite direction to blood flow.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232