Should CVVHD be 1:1

Specialties Critical

Published

Should it be required that pts on CRTs be kept at a 1:1 ratio? I have a very unstable pt on CVVHD but also have to take on another pt cause my hospital doesn't require 1:1. I think it is ridic because my other patient gets super neglected while I'm constantly monitoring and managing this guy. We have a great suport system in my unit, but it all falls back on my nursing license. I can't seem to get my nurse manager to grasp on to my argument though... :cool:

Specializes in med surg, ca , critical care.
Should it be required that pts on CRTs be kept at a 1:1 ratio? I have a very unstable pt on CVVHD but also have to take on another pt cause my hospital doesn't require 1:1. I think it is ridic because my other patient gets super neglected while I'm constantly monitoring and managing this guy. We have a great suport system in my unit, but it all falls back on my nursing license. I can't seem

Where I work its 1:1 for cvvhd, I think it depends on when you start them.. are they truely septic and now all systems are failing or are you starting it earlier and there not so unstable yet.. it depends on your intensivist and your kidney doc and the nurse to recognize the need. We dont use prop. for sedation anymore and sometimes the vents are worse.. and if you just look at the machine .. which alot of replys did,,, no its not so complicated... but add your patient who has no pressure and a rhythm that sucks and stooling everywhere and without a tech or aide or whatever you call them and yea their a one to one patient ...

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Specializes in Trauma, Critical Care.

Our CRRT pts are almost always a 1:1. Only paired if A. Absolutely necessary B. they have good access with no difficulties running C. No major other issues (on pressures, Rotoprone, etc) I've never had one paired.

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