CRRT Project: Difference between revisions
TOstryzniuk (talk | contribs) m →Status: mnor |
TOstryzniuk (talk | contribs) REASON for CRRT project - for collectors |
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this is not live yet, | this is not live yet, Target Start date: March 1.2016. --[[User:TOstryzniuk|Trish Ostryzniuk]] 17:24, 2016 February 4 (CST) | ||
CRRT is going to be a permanent "temporary project" to collect reasons why patients receive [[CRRT]]([https://en.wikipedia.org/wiki/Hemofiltration]) treatment. | CRRT is going to be a permanent "temporary project" to collect reasons why patients receive [[CRRT]]([https://en.wikipedia.org/wiki/Hemofiltration]) treatment. | ||
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== Status == | == Status == | ||
{{discussion}} | {{discussion}} | ||
Julie mentioned that Nephrology is working on a FORM for the chart that the Nephrology ATTENDING must fill. This will be the form where Collectors will get there information from for reason for CRRT See list below. Collectors, any comment with List below?[[User:TOstryzniuk|Trish Ostryzniuk]] 17:24, 2016 February 4 (CST) | |||
== List of Reason for CRRT (updated Feb 4.16) == | |||
#AKI due to pre-renal/hypovolemia | |||
#AKI due to sepsis/distributive shock | |||
#Hepatorenal syndrome | |||
#AKI due to cardiorenal syndrome | |||
#AKI-contrast-induced | |||
#AKI Drug-induced(Ibuprofin,Genta/Vanco) | |||
#AKI due to endogenous toxin (myoglobin(rabdo)/hemoglobin/paraprotein) | |||
#AKI due to exogenous toxin exposure | |||
#AKI postop, NOS | |||
{{Discussion}} | |||
*what does NOS stand for? | |||
#AKI due to thromotic microangiopathy/vascular event | |||
#AKI due to acute glomerulonephritis | |||
#AKI due to acute interstitial nephritis | |||
#AKI due to urinary obstruction | |||
#ESRD-on CRRT | |||
#ESRD-on IHD | |||
#Drug OD -no AKI (removal of drug only) | |||
#Fluid reduction WITHOUT AKI or ESRD | |||
== Purpose == | == Purpose == | ||
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=== how to code === | === how to code === | ||
<detail> | <detail> | ||
==== Discussion - AKI post-op ==== | ==== Discussion - AKI post-op ==== | ||
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== Start/End Dates == | == Start/End Dates == | ||
*Start: <when?> | *Start: <when?> Potential: March 1.16 | ||
*End: there is no planned end date | *End: there is no planned end date | ||
Revision as of 17:24, 4 February 2016
this is not live yet, Target Start date: March 1.2016. --Trish Ostryzniuk 17:24, 2016 February 4 (CST)
CRRT is going to be a permanent "temporary project" to collect reasons why patients receive CRRT([1]) treatment.
Status
Template:Discussion Julie mentioned that Nephrology is working on a FORM for the chart that the Nephrology ATTENDING must fill. This will be the form where Collectors will get there information from for reason for CRRT See list below. Collectors, any comment with List below?Trish Ostryzniuk 17:24, 2016 February 4 (CST)
List of Reason for CRRT (updated Feb 4.16)
- AKI due to pre-renal/hypovolemia
- AKI due to sepsis/distributive shock
- Hepatorenal syndrome
- AKI due to cardiorenal syndrome
- AKI-contrast-induced
- AKI Drug-induced(Ibuprofin,Genta/Vanco)
- AKI due to endogenous toxin (myoglobin(rabdo)/hemoglobin/paraprotein)
- AKI due to exogenous toxin exposure
- AKI postop, NOS
- what does NOS stand for?
- AKI due to thromotic microangiopathy/vascular event
- AKI due to acute glomerulonephritis
- AKI due to acute interstitial nephritis
- AKI due to urinary obstruction
- ESRD-on CRRT
- ESRD-on IHD
- Drug OD -no AKI (removal of drug only)
- Fluid reduction WITHOUT AKI or ESRD
Purpose
<who wants to know, why>
Data Collection Instructions
for which patients to code
<detail>
how to code
<detail>
Discussion - AKI post-op
- 9 listed: AKI-post op
I would like to suggest using AKI: Fluid Volume Management...Pre-or Post-op
One of major reasons for CRRT in Non-Renal failure population at all sites having this renal replacement therapy(RRT) option often rises from the severe burn and trauma victim group.
Their need for fluids(crystalloid/colloid, blood products and nutritional support[TNA]) over a 24hour period can often exceed 20 liters in the first several days of ICU care...the severe burns with skin losses require significant volume replacement throughout their acute injury and debridement stages. CRRT allows for this excessive volume administration as diuretics cannot maintain a stable balance and further renal compromise is almost a certain outcome as well as progressive respiratory issues/failure in the ventilated patient. Allowing room for early nutritional replacement is a significant benefit and aids in improved outcomes. CRRT can remove up to 2L per hour-where and when necessary over a 24 hour period.
How to determine?
<detail>
Start/End Dates
- Start: <when?> Potential: March 1.16
- End: there is no planned end date
Template:CCMDB Data Integrity Checks
None yet
SAS Program
<needs detail when available>
See also
- <any related articles?>