Modalities-renal replacement and dialysis
- Physiology: Diffusion
- Access: AV fistula/graft or CVC
- Prescription: Duration, volume goal; K, Na, Ca, HCO3 in bath, anticoag
- Complic.: HoTN, arrhythmia, disequilibrium syndrome* if very high BUN, ↑ CO HF
- Physiology: Convection
- Access: CVC
- Prescription: Volume goal, K & Ca in replacement fluid (HCO3 vs. citrate)
- Complic.: HoTN, ↓ PO4, ↓ iCa (citrate toxicity in hepatic dysfxn)
- Physiology: Diffusion
- Access: Peritoneal catheter
- Prescription: PD fluid (dextrose, icodextrin), dwell time, # cycles
- Complic.: Peritonitis, ↑ glc, ↓ albumin, R pleural effusion