Prismaflex crrt flowsheet 2025

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SCUF (Slow continuous ultra filtration) CVVH (Continuous venovenous hemofiltration) CVVHD (Continuous venovenous hemodialysis) CVVHDF (Continuous venovenous hemodiafiltration)
Max flow rate: 8000ml/hr. Prismaflex does not allow the PBP rate to exceed the blood flow rate. Slide-out bar tray and removable carrying bar for hanging/removing fluid bags.
The general recommendation is to stay below 1.5 to 2.0ml/kg/hr. A minimum blood flow of 150 mL/min can be used to maximize clearance. [24] This value maximizes clearance efficiency while maintaining hemodynamic stability during CRRT.
The PRISMAFLEX System pumps blood from the patient through a filter and back into the patients circulatory system. As the blood passes through the filter, the desired treatment processes take place. Depending on the therapy, the processes can include fluid removal, hemofiltration or plasma exchange.
CRRT blood flow rates are typically 150 ml/min. A dialysate flow rate of 1 L per hour, provides a dialysate flow of 16 ml/min. Increasing the dialysate flow will have a greater effect than any increase in blood flow rates with CRRT. Dialysate flows countercurrent, or in the opposite direction to blood flow.
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The Prismaflex expect that it will take at least - 10 mmHg to pull the blood and at least + 10 mmHb of pressure to return the blood.
The rule of 7s is a basic approach where the potassium level of the patient plus the dialysate potassium concentration should equal approximately 7. This approach is acceptable as long as consideration is given to the individual patient and care is taken in patients with a propensity for arrhythmias.
National guidelines recommend that CRRT be prescribed at a dose of 2025 mL/kg/hr, however, prescription practices are variable. Inconsistent prescribing patterns among providers may lead to errors in dosing of medications such as antibiotics, and increase rates of blood chemistry abnormalities.

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