What's "CVVH" in the ICU??

  1. 0 Can someone please help me out? I am a final-semester nursing student starting ICU tomorrow - I have a patient on "CVVH", and though I have many fine medical books, a big PDA, and lots of resources, I can't for the life of me decipher the letters. I have to present this patient tomorrow morning. Can someone throw me a bone and tell me what the initials stand for, so I can look up the treatment? Thanks so much, any help would be wonderful.:spin:
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    Visit  tutored profile page

    About tutored

    From 'New Jersey'; Joined Dec '05; Posts: 190; Likes: 48.

    27 Comments so far...

  4. Visit  SDALPN profile page
    2
    Continuous venovenous hemofiltration .

    Hope that helps.
    nyforlove and tutored like this.
  5. Visit  Jen911 profile page
    1
    Found this via google, I'm gonna guess it has to do with dialysis. Hopefully this will start you in the right direction.

    CVVH Continuous Veno-Venous Hemofiltration

    Jen911
    Last edit by Jen911 on Oct 1, '07 : Reason: Fat-finger syndrome!!
    tutored likes this.
  6. Visit  tutored profile page
    0
    SDALPN and JEN911, your are both awesome!!! I just posted that. My blood pressure's going down already. Now I don't have to look like an idiot in pre-conf, or ask an RN on the floor (I'd rather die)....you saved my pride! Thanks so much!
  7. Visit  BBFRN profile page
    1
    Be prepared- this will be one very sick patient.
    tutored likes this.
  8. Visit  tutored profile page
    0
    Oh, really? Thanks for the heads up. I'll have extra coffee tomorrow morning! I appreciate that. From what research I"ve been able to do (thanks to all of you!), it seems like this is a substitution for regular dialysis when the patient's status is shaky and they can't take another assault to their hemodynamics. Would you agree? Anyway, thanks so much for your response!
  9. Visit  cmo421 profile page
    1
    Quote from tutored
    Can someone please help me out? I am a final-semester nursing student starting ICU tomorrow - I have a patient on "CVVH", and though I have many fine medical books, a big PDA, and lots of resources, I can't for the life of me decipher the letters. I have to present this patient tomorrow morning. Can someone throw me a bone and tell me what the initials stand for, so I can look up the treatment? Thanks so much, any help would be wonderful.:spin:
    Nice pt to have,you should be happy. Time will fly. Lots of documentation,assessments and labor(heavy bags of solution)and even some math. Have fun!
    tutored likes this.
  10. Visit  BBFRN profile page
    1
    Quote from tutored
    Oh, really? Thanks for the heads up. I'll have extra coffee tomorrow morning! I appreciate that. From what research I"ve been able to do (thanks to all of you!), it seems like this is a substitution for regular dialysis when the patient's status is shaky and they can't take another assault to their hemodynamics. Would you agree? Anyway, thanks so much for your response!
    Make sure you pee before you get started. These are very unstable patients, and you'll learn tons. Watch how the nurse charts on the CVVH sheet- it's very interesting how everything is calculated. Good luck, and let us know how it goes!
    tutored likes this.
  11. Visit  tutored profile page
    0
    Thanks so much to all four of you for your great replies! Tonight, after reading your posts, I went from clueless, to scared, to psyched! (But still with a little healthy anxiety).....I"ll let you know!
  12. Visit  P_RN profile page
    0
    Would someone give us a precis on what's actually done? I've only done the dialysis with the AV-fistula or shunt. Not V v
  13. Visit  tutored profile page
    1
    Yeah, I can, thanks to everyone else for telling me what it is! It's a continuous filtration of the venous blood, through a large vein (my patient's tap is near the subclavian), mainly for patients who can't handle any insults to their hemodynamic stability and therefore aren't candidates for dialysis. My patient is septic on top of everything else wrong (mechanical ventilator, peritonitis with abdominal abscess, heart failure, acute renal failure), so the last thing he needs would be "another" opening into the body! It sure seems like he's toast. Add IV fentanyl, versed, and a muscle relaxant, TOGETHER!!! He's been in for 3-1/2 weeks. I was scared earlier today to start caring for him, but the pep talk from everyone has me excited to learn. Thanks again, everyone!
    Skeletor likes this.
  14. Visit  tutored profile page
    0
    correction: that's filtration of ALL blood (duh!), but with venous routes both ways.
  15. Visit  tutored profile page
    2
    If any of the four kind RNs who responded to my plea for help and info yesterday - thanks again! Today went well, though I felt a lump in my throat when I first went in and saw the CVVH machine with a huge double-lumen line coming out of the subclavian, plus two picc lines, each triple lumen with SEVEN concurrent IV drips, foley draining the worst-colored urine I've ever seen, mechanical ventilation, septic beyond belief, and for flavor, a COMPLETELY OPEN abdominal cavity, with a incision from xiphoid to pelvis, covered only with what looked like a sheet of plastic wrap over it (waiting for preliminary closure in the OR), with four JP drains in various areas. You were all right - he was truly a sick man - I'm assigned to him tomorrow, but I'm afraid he won't survive the OR this afternoon. Thanks again, all of you!:spin:
    Skeletor and Jen911 like this.


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