CRRT Prescription Made Easy

CRRT Prescription Made Easy

A Practical Handbook for Intensivists and Critical Care Nurses

The machine makes it easy to start CRRT. It does nothing to ensure the prescription is correct. Ask ten intensivists how they set a blood flow rate and you’ll get ten different answers — most defensible, few explained. This handbook closes that gap: a true bedside companion built around the seven components of a complete CRRT order, so every decision is deliberate rather than improvised.

What’s inside

• The seven-component prescription framework — modality, blood flow rate, dialysate rate, replacement fluid, net ultrafiltration, anticoagulation, and vascular access, each set with intent
• KDIGO-aligned dose calculations — worked step-by-step, not just quoted
• Citrate & heparin anticoagulation protocols — laid out with exact monitoring targets
• Full ICU drug-dosing table on CRRT — common medications, adjusted and ready to use
• Alarm troubleshooting guide — turns bedside panic into a checklist
• Special-population chapters — CRRT in liver failure, cardiac surgery, and paediatric patients
• Four fully worked case discussions — hyperkalaemia, citrate accumulation, post-cardiac-surgery fluid overload, and paediatric HUS, showing the reasoning in real time
• Quick-reference charts & a blank prescription template — ready to photocopy for the unit

Educational reference only — always follow your unit’s local protocols and manufacturer guidance.

By Dr. Gunadhar Padhi — Chief Intensivist, MD, IDCCM, FCCCM, ECMO (Paris); author of the EDIC preparation series.