CRRT

Learning Objectives

1. Determine the key clinical indications that necessitate renal replacement therapy in pediatric patients, considering factors such as impaired kidney function and electrolyte imbalances.
2. Differentiate between the various modalities available for renal replacement therapy and their applications in critical care settings, including intermittent hemodialysis, continuous renal replacement therapy, and peritoneal dialysis.
3. Comprehend the fundamental operating principles of each renal replacement therapy modality, including the mechanisms of solute clearance and fluid management, to facilitate appropriate treatment selection and optimization for critically ill pediatric patients.

Pre-Reading Resources

QStream Multiple Choice Questions

A 10-year-old boy with a history of congenital heart disease presents to the pediatric intensive care unit (PICU) with severe sepsis and multiorgan dysfunction syndrome. Despite aggressive fluid resuscitation and vasopressor support, his renal function continues to deteriorate. His serum creatinine has risen to 4.5 mg/dL, and he has developed metabolic acidosis and hyperkalemia refractory to medical management. Based on the clinical scenario, which of the following is the most appropriate indication for renal replacement therapy (RRT) in this patient?

• A. Hypernatremia
• B. Hypokalemia
• C. Hypovolemic Shock
• D. Refractory metabolic acidosis

Pediatric Critical Care Outline Specifications

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