Continuous Renal Replacement Therapy for the Management of Acid-Base and Electrolyte Imbalances in Acute Kidney Injury
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- 作者：Lenar Yessayan ; Lyessay1@hfhs.org" class="auth_mail" title="E-mail the corresponding author ; Jerry Yee ; Stan Frinak ; Balazs Szamosfalvi
- 关键词：CRRT ; Hyponatremia ; Acidosis ; Alkalosis ; Hyperkalemia
- 刊名：Advances in Chronic Kidney Disease
- 出版年：2016
- 出版时间：May 2016
- 年：2016
- 卷：23
- 期：3
- 页码：203-210
- 全文大小：215 K
文摘
Continuous renal replacement therapy (CRRT) is used to manage electrolyte and acid-base imbalances in critically ill patients with acute kidney injury. Although a standard solution and prescription is acceptable in most clinical circumstances, specific disorders may require a tailored approach such as adjusting fluid composition, regulating CRRT dose, and using separate intravenous infusions to mitigate and correct these disturbances. Errors in fluid prescription, compounding, or delivery can be rapidly fatal. This article provides an overview of the principles of acid-base and electrolyte management using CRRT.