A.
Increase the fluid removal rate
✓
B.
Decrease the fluid removal rate or administer fluid boluses
✓
C.
Increase the blood flow rate
✓
D.
Disconnect from CRRT
✓
A.
Increase oxygen saturation immediately
✓
B.
Assess for underlying causes (e.g., hypoxemia, hypercapnia, pain, delirium), and administer appropriate sedation/analgesia
✓
C.
Restrain the patient
✓
D.
Administer a diuretic
✓
A.
Epinephrine is not working
✓
B.
Epinephrine-induced tachycardia and arrhythmias, requiring physician notification and possible dose reduction
✓
C.
Patient needs more fluid
✓
A.
Increase environmental stimulation
✓
B.
Assess for neurological deterioration, notify physician, and prepare for interventions to lower ICP
✓
C.
Administer a sedative without assessment
✓
D.
Administer a diuretic
✓
A.
Continue the infusion
✓
B.
Stop the infusion immediately, aspirate residual drug, and administer phentolamine or terbutaline (antidote) locally if ordered
✓
C.
Increase the infusion rate
✓
B.
Inadequate anticoagulation or filter malfunction
✓
B.
Assess patient's respiratory effort, check for disconnection, and ensure appropriate ventilator settings
✓
C.
Increase the tidal volume
✓
D.
Decrease the respiratory rate
✓
A.
Administer oral fluids
✓
B.
Secure the airway, support ventilation, and administer antidote if available (e.g., naloxone)
✓
C.
Administer a diuretic
✓
A.
Patient needs more vasopressin
✓
B.
Vasopressin-induced coronary vasoconstriction, requiring physician notification and potential discontinuation
✓
A.
Insufficient norepinephrine dose
✓
B.
Norepinephrine-induced tachycardia, requiring physician notification and possible dose reduction
✓
B.
Central fever (neurogenic fever) or infection
✓
B.
Prime the tubing to remove air bubbles, and ensure all connections are secure
✓
C.
Increase the infusion rate
✓
D.
Decrease the infusion rate
✓
A.
Administer antiplatelets
✓
B.
Administer fresh frozen plasma (FFP) or Vitamin K as ordered
✓
C.
Administer a diuretic
✓
A.
Patient needs more beta-blocker
✓
B.
Beta-blocker induced bradycardia and hypotension, requiring physician notification and possible hold/reduction of dose
✓
D.
Patient needs more fluids
✓
B.
Ischemic bowel or gastrointestinal bleed
✓
A.
Antibiotics are working
✓
B.
Inadequate antibiotic coverage or persistent source of infection, requiring further investigation
✓
C.
WBC is falsely elevated
✓
D.
Patient needs more fluid
✓
A.
Increase the CRRT blood flow
✓
B.
Assess for hypovolemia or bleeding, decrease CRRT fluid removal rate, or administer fluids/blood products as ordered
✓
C.
Stop CRRT without orders
✓
D.
Increase the CRRT fluid removal rate
✓
A.
Decreased afterload reduction
✓
B.
Suboptimal diastolic augmentation and decreased coronary artery perfusion
✓
D.
Increased heart rate
✓
B.
Severe brainstem dysfunction and poor prognosis
✓
C.
Patient is comfortable
✓
D.
Patient is recovering
✓
