A 50-year-old man on ICU has septic shock with AKI (KDIGO Stage 3). He is receiving CVVHDF. The prescribed effluent dose is 25 mL/kg/hr but the delive...

Question

A 50-year-old man on ICU has septic shock with AKI (KDIGO Stage 3). He is receiving CVVHDF. The prescribed effluent dose is 25 mL/kg/hr but the delivered dose, accounting for downtime (filter changes, investigations), is averaging 18 mL/kg/hr. Is this adequate?

Accepted Answer

No - the prescribed dose should be increased to 35 mL/kg/hr to ensure a delivered dose of 25 mL/kg/hr

Answer

Yes - any delivered dose above 15 mL/kg/hr is adequate

Answer

The dose is irrelevant as long as the patient is receiving some form of RRT

Answer

The delivered dose should be at least 40 mL/kg/hr for septic shock

Answer

Switch to intermittent haemodialysis to achieve higher clearance

uk-fficm MCQ (SBA): Renal Replacement Therapy

A 50-year-old man on ICU has septic shock with AKI (KDIGO Stage 3). He is receiving CVVHDF. The prescribed effluent dose is 25 mL/kg/hr but the delivered dose, accounting for downtime (filter changes, investigations), is averaging 18 mL/kg/hr. Is this adequate?