rikkemp

Does anyone have protocols/order sets for Spontaneous Awakening and Spontaneous Breathing Trials that they would be willing to share? Our system has a committee that has been working on developing these protocols. Unfortunately, the protocols seem to get progressively worse with each revision : ) Any suggestions would be appreciated.

Thanks for your response. It is such a help to hear how others approach different issues (especially with CRRT). It makes sense to me to leave this issue "flexible."

Just wondering what everyone does with the circuit priming volume on initiation of CRRT? We use the Fresenius 2008 for our CRRT. Historically we have not included this priming volume in our I & O or fluid calculation. The thought being that even though the patient has received approximately 250 ml of saline they are also having to adapt to having 250 ml of blood outside their body. Recently some dialysis techs have told our newer nurses that the priming volume must be included. They have experienced problems trying to get an additional 250 ml of fluid off in the first hour. Just wondering what the practice is in other places. Thanks for any feedback.

Just wondering if anyone has a citrate protocol or standing orders they use for CRRT that they would be willing to share. This is a new anticoagulation technique for our community. Thanks.