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the following presentation is on fluid overload and treatment with the aqueduct smartflow system it is intended for clinicians either prescribers or providers of aqueducts therapy by the end of this training presentation you should be able to understand the causes and impact of hypervolemia or fluid overload understand the limitations of current therapies describe how aquadex smartflow therapy can achieve treatment goals understand patient selection venous access anticoagulation and uf and blood flow rate considerations and perform aqueduct smart flow system setup and troubleshooting there are several potential causes of hyper bulimia or fluid overload some of them are listed here most notably congestive heart failure but it may also occur during or after cardiac surgeries such as coronary artery bypass grafting nephrotic syndrome kidney damage liver damage myocardial infarction sepsis and severe burn signs and symptoms of fluid overload include the following jugular venous dissension