SOE 036: Renal Replacement Therapy 1

IntroductionYou are assessing a patient who was admitted to the intensive care unit 2 days ago for urosepsis. They have developed a worsening AKI for which the consultant suggests initiating renal replacement...

What is renal replacement therapy?

Renal replacement therapy (RRT) describes techniques used to purify the blood and achieve the solute and fluid homeostasis usually produced by the kidney Continuous renal replacement therapy (CRRT) describes treatments which are applied for prolonged periods at a time...

How can modes of renal replacement be classified?

Modality of Fluid and Solute Removal HemofiltrationHaemodialysisHemodiafiltration Continuous vs. Intermittent Modality Intermittent:Intermittent haemodialysis (IHD)Slow low-efficiency dialysis (SLED)Extended daily dialysis (EDD)Continuous:Continuous venovenous...

What are the modalities of RRT?

Haemodialysis Haemofiltration Haemodiafiltration (Combined) Mechanisms Clearance of solutes via diffusion down a concentration gradientA counter-current flow of a solution containing various electrolytes on the opposite side of membrane to blood allows diffusion to...