Description

General Objectives

Apply the different continuous renal replacement techniques to the critically ill patient. To put into practice the different therapeutic options related to the Continuous Extracorporeal
continuous extracorporeal depuration techniques. Recognise and resolve the most frequent incidents and complications related to continuous real substitution techniques.

Addressed to:

Graduates in nursing.
Graduates in medicine.

Content


Topic I. Acute kidney injury:

Introduction.
Definition of risk factors.
Risk factors.
Classification.
Pre-renal acute renal failure.
Parenchymal or renal acute renal failure.
Post-renal acute renal failure.
Consequences of ARF.
Management of the critically ill patient with ARF.
Summary.
Self-assessment.

Topic II. Physico-chemical basis of purification:

Introduction.
Diffusion.
Ultrafiltration and convection.
Adsorption.
Final considerations.
Summary.
Self-assessment.

Topic III. Components of a scrubbing system:

Introduction.
Vascular access.
Circuit.
Haemofilter.
Fluids.
Monitor.
Prisma monitor.
Prismaflex monitor.
Aquarius Monitor.
Multifiltrate Monitor.
Monitor Hygieia Ultima.
Summary.
Self-assessment.

Topic IV. Modalities of depuration. Dosage:

Introduction.
Modalities.
Continuous slow ultrafiltration (SCUF).
Continuous venovenous haemofiltration (CVVH).
Continuous venovenous haemodialysis (CVVHD).
Continuous venovenous haemodiafiltration (CVVHDF).
Haemoperfusion.
Plasmapheresis.
Dosage.
Summary.
Self-assessment.

Topic V. Anticoagulation of the system:

Introduction.
Heparin.
Citrate.
Prostaglandins.
Final considerations.
Summary.
Self-assessment.

Topic VI. Non-renal indications:

Introduction.
Congestive heart failure.
Intoxications.
Electrolyte disorders.
Lactic acidosis.
Rhabdomyolysis.
Hypothermia and hyperthermia.
liver failure
Multi-organ dysfunction syndrome.
Summary.
Self-assessment.

Topic VII. Complications:

Introduction.
Complications related to vascular access.
Complications related to the extracorporeal circuit.
Technique-related complications.
Final considerations.
Summary.
Self-assessment.

Topic VIII. Pharmacokinetics in extracorporeal clearance:

Introduction.
Drug characteristics.
Molecular weight.
Protein binding.
Volume of distribution.
Clearance.
Dosage adjustments.
Summary.
Self-assessment.

Topic IX. Assembly, handling and monitoring:

Introduction.
Setting up the system.
Handling during debugging.
Monitoring.
Inlet or "arterial" pressure.
Return or venous pressure.
Filter or pre-filter pressure.
effluent pressure
Transmembrane pressure.
Pressure delta.
Summary.
Self-assessment.

Topic X. Standardised nursing care:

Introduction.
Care plan.
Impaired urinary elimination. 00016. Domain 3.
Excess volume. 00026. Domain 2.
Risk of infection. 00004. Domain 11.
Hypothermia. 00006. Domain 11.
Risk of impairment of skin integrity. 00047. Domain 11.
Risk of fluid volume deficit. 00028. Domain 2.
Risk of haemorrhage. 00206. Domain 11.
Risk of shock. 00205. Domain 11.
Impaired gas exchange. 00030. Domain 3.
Summary.
Self-assessment.

Additional information

Country

Chile

Duration

150 hrs

Certification

AST - ALCALA

Ranking

Intensive Care

Documentation