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Title:

Thermic Control in PCRRT

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will be less effective if using Pre-filter Replacement Fluid. COBE Spectra THERM ... Observe for effectiveness of the warming techniques ... – PowerPoint PPT presentation

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Tags: pcrrt | control | therm | thermic

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Title: Thermic Control in PCRRT


1
Thermic Control in PCRRT
  • Theresa A. Mottes RN
  • Research Dialysis Nurse
  • C. S. Mott Childrens Hospital
  • University of Michigan

2
Sources of Heat Loss
  • Circuit heat loss
  • large circuit volume
  • blood flow rate dependent
  • dialysate rate dependent

3
Sources of Heat Loss
  • Patient Heat Loss
  • Large Hemofiltration circuit volumes relative to
    the patient size
  • External influences

4
Techniques for Thermic Control
  • Patient Warming Techniques
  • Over-the-bed Warmer
  • infants
  • Warming Blanket
  • older children
  • Increase Room Temperature

5
Techniques for Thermic Control
  • Circuit Warming Devices
  • Blood Warmer
  • Placed on the return line closest to the access
  • Dialysate/Replacement Fluid Warmer
  • Spectratherm
  • will be less effective if using Pre-filter
    Replacement Fluid

6
COBE Spectra THERM Blood/Fluid Warmer
20 cm
Flow Rates/hr
Temp (C0)
7
Nursing Monitoring
  • Monitor closely the patients temperature
  • Observe for effectiveness of the warming
    techniques
  • Note Patients not requiring warming
    interventions are most likely Febrile.
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