Objectives

After participating in this educational activity, attendees should be able to:

1. Nurse will state the difference between continuous hemofiltration and continuous hemodialysis.
2. Nurse will differentiate between diffusion and convection and be able to state which molecules are cleared with each.
3. Nurse will verbalize what each of the settings do on the PrisMax operational screen controls (PBP, BFR, PFR, Dialysate, and Replacement Fluid).
4. Nurse will return demonstrate initial set up of the PrisMax circuit on CVVHDF mode including set up of the auto effluent accessory.
5. Nurse will return demonstrate the steps to return the patient's blood and place the system to recirculate saline.
6. Nurse will navigate the operational screen and demonstrate appropriate adjustment of the deaeration chamber.
7. Nurse will compare patient pressure graphs over time to identify trends indicative of clotting or clogging.
8. Nurse will assess pressure values and distinguish between clogging and clotting.
9. Nurse will identify alarms and follow the on-screen steps to resolve them.
10. Nurse will state the effect that citrate has on blood calcium, as well as the indication for RCA use with CRRT.
11. Nurse will state contraindications of PCA use.
12. Nurse will synthesize patient lab values in order to titrate citrate and calcium infusions per protocol.
13. Nurse will express the risk of "citrate lock" and explain the steps to prevent and screen for it. 

Faculty

Kathleen Worthington, MSN, RN
Renal Clinical Educator CRRT/HD/TPE
Baxter International Inc.

Sarah Caddeo, MSN, RN, ACCNS-AG
ICU Nurse Educator
Baystate Medical Center

Faculty Disclosure

The design and content of Baystate Continuing Interprofessional Education ( CE ) activities support quality improvement in healthcare and provide fair and balanced views of therapeutic options.  Faculty or planner conflicts of interest are resolved before the educational activity.

None of the members of the faculty and planning committee for this educational event have commercial relationships with any entity producing, marketing, re-selling or distributing health care goods and services consumed by or used on patients.