The National Kidney Foundation is offering a free online resource on continuous renal replacement therapy.
Course Description
Blood-based continuous renal replacement therapy (CRRT) provides slow and continuous renal replacement over timeframes longer than typical intermittent hemodialysis sessions. Its primary use is in critically ill patients requiring volume control and/or correction of metabolic derangements in the setting of hemodynamic instability. CRRT permits more physiologic rates of correction and greater adaptability to patients’ clinical needs while maintaining better hemodynamic stability. It is typically done in an ICU setting and often requires specialized equipment and nursing training. In this course, we provide a detailed review of the principles of CRRT, CRRT modalities, and CRRT prescription.
Learning Objectives:
At the conclusion of this activity, participants will be able to:
- Recognize the indications for use of CRRT and identify differences between intermittent hemodialysis and CRRT
- Describe the types of CRRT, summarize mechanisms of solute transport across a CRRT filter, identify the components of a CRRT circuit, and understand CRRT delivery
- Write a prescription for each CRRT modality
- Evaluate safety alarms in CRRT and implement appropriate interventions
- Describe some common CRRT complications such as citrate toxicity, filter clogging and clotting
Target Audience:
- Nephrologists
- Nephrology fellows
- Intensivists
- Critical care fellows
- Dialysis nurses
- Critical care nurses
- Residents
Method of Participation
At the start of the module, learners will be directed to complete a pretest, followed by review of the videos included in the module. It is strongly encouraged for the learner to review the videos sequentially for the best learning experience. After this, they will be asked to review a set of clinical vignettes and answer any accompanying questions. At the very end, the learner will take a posttest and immediate feedback will be provided.
