Mr. Maddox will be started on continuous renal replacement ...

[nenivikky]

Mr. Maddox will be started on continuous renal replacement therapy (CRRT). Describe the basic mechanisms of this therapy.
 
  What will be an ideal response?

Question 2

What factors found in the medical and social history are pertinent for determining Mrs. Moore's coronary heart disease (CHD) risk category?
 
  What will be an ideal response?

[catron30]

Answer to Question 1

 CRRT is a type of dialysis, or a renal replacement procedure that removes excessive and toxic by-products of metabolism from the blood, thus replacing the filtering function of healthy kidneys. CRRT is generally the mode of treatment for AKI because it will provide dialysis over a continuous period of time that will allow for a significant amount of fluid (1-2 L) to be removed.
 It is meant to slowly remove fluids and solutes while correcting the electrolyte and metabolic abnormalities associated with AKI.
 Two types of CRRT:
- Arteriovenous renal replacement therapies: continuous dialysis/hemofiltration by cannulation of an artery or vein; the patient's blood pressure is used to pump blood through the dialysis filter.
- Venovenous renal replacement therapies involve continuous dialysis/hemofiltration by a venovenous circuit and a pump to assist blood flow through the dialysis circuit.
 Venovenous renal replacement is usually used in the critical patient as the patient's blood pressure is usually unstable.

Answer to Question 2

 Elevated cholesterol
 HTN
 Overweight/obesity
 Increasing age
 African American
 Former smoker
 Physical inactivity

[nenivikky]

Wow, this really help

[dawsa925]

Thanks for the timely response, appreciate it