Nursing for renal replacement therapies in the Intensive Care Unit: historical, educational, and protocol review

Blood Purification
I Baldwin, N Fealy

Abstract

Nurses have made a significant contribution to the development and application of dialysis in the 1950s and continuous renal replacement therapies (CRRT) in the Intensive Care Unit (ICU) setting from the 1980s. Any treatment requires patient and machine-circuit preparation, connection of the extracorporeal circuit (EC) to the patient vascular access catheter and regular tasks to maintain a treatment in progress. During treatment, nurses prepare fluids, adjust fluid settings to provide fluid balance, prepare electrolyte additives, monitor acid base and electrolyte levels, monitor patient and machine 'vital signs', and then when necessary diagnose circuit clotting and perform a disconnection of the EC from the patient. All of these aspects of CRRT nursing are essential to a suitable nursing policy or protocol. This paper provides a clinical review for this every day sequence when using CRRT in the ICU setting.

Citations

Oct 4, 2011·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Jesús López-HerceLuis Rodríguez
Nov 24, 2012·Annals of Intensive Care·Natacha MrozekBertrand Souweine
Feb 7, 2014·Journal of Elder Abuse & Neglect·Amanda Phelan
Feb 9, 2021·Critical Care Medicine·Rinaldo BellomoJohn A Kellum
May 4, 2021·Seminars in Dialysis·Luis A JuncosIan Baldwin
Mar 20, 2010·Current Opinion in Pediatrics

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