Continuous renal replacement therapy

Research Abstract

In the modern ICU, CRRT (continuous renal replacement therapy) is now performed using pump technology and double-lumen central venous access. Uraemic control and maintain lower urea and creatinine levels with CRRT that may offer a survival advantage. CRRT is mandatory in all patients who are at risk of or who have increase intracranial pressure and patients with significant cardiac disease are best treated with CRRT which restores dry body weight, improves urinary output, decreases neurohumoral activation and prolongs symptom- free and edema-free time. Moreover clinical benefits have also reported for cardiac surgery patients and patient with acute renal failure and septic shock. So the CRRT is now firmly established as a form of artificial support as an emergency treatment. Once the appropriate training of nursing staff and medical staff has been achieved, CRRT is easy to conduct, is safe and flexible, and it will easily become the only form of artificial renal. In conclusion; • Currently, mortality associated with ARF remains high, and CRRT is becoming the therapy of choice for the treatment of ARF in critically ill patients. • CRRT has many benefits for patients in the critical care unit, including improved hemodynamic stability, excellent fluid and solute removal. • Renal replacement therapy is not about the machine and the circuit, but about knowing, at all times the status of the patient, the functioning of the device and how the two are interacting. • When patient volume and frequency are appropriate, no one is better suited for the challenges of CRRT than critical care nurses. • CRRT is an ideal therapy for critically ill patients in unstable conditions. • The critical care nurse is an integral part of the multidisciplinary team, responsible for administering CRRT and assessing the patient’s response to therapy. • The nurse is also a key communicator in the process, ensuring that all members of the team are informed of assessment findings. • The ICU nurse plays an important role in attaining and maintaining fluid and electrolyte balance and optimizing patient outcomes and Quality of life.

Research Keywords

Qol, Nurses, Renal care