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Nephrology
Plan

Continuous renal replacement therapy (CRRT) for critically ill patient

Meaning

A continuous, 24-hour form of renal replacement therapy used to treat acute kidney injury (AKI) and fluid overload in critically ill patients who are hemodynamically unstable and cannot tolerate intermittent hemodialysis.

Clinical Context

Indicated for patients with severe AKI, fluid overload unresponsive to diuretics, and/or hemodynamic instability who cannot tolerate conventional hemodialysis. Different modalities of CRRT exist, including continuous venovenous hemofiltration (CVVH), continuous venovenous hemodialysis (CVVHD), and continuous venovenous hemodiafiltration (CVVHDF).

Example Usage

"Plan: Initiate CRRT (CVVH) due to worsening AKI and fluid overload, refractory to medical management."

Usage Context

Used to document the decision to initiate or continue CRRT in a critically ill patient. It's important to specify the modality of CRRT being used.

Related Phrases
Acute kidney injury
Hemodialysis
Fluid overload
Hemodynamic instability
CVVH
CVVHD
CVVHDF
Related ICD-10 Code
Z99.2

Frequently Asked Questions

Common questions about using medical phrases in clinical documentation

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