Table 2. The Protocol for Replacement of Electrolytes and Anticoagulation during CRRT.
Electrolytes | |
K+ (mEq/L) | |
>4.5 | No KCl mix in the 5 L hemozol® |
3.6-4.5 | 20 mEq KCl mix in the 5 L hemozol® |
<3.6 | 40 mEq KCl mix in the 5 L hemozol® |
P (mEq/L) | |
≥2.0 | No phosten® mix in the 5 L hemozol® |
<2.0 | 20 mL phosten® mix in the 5 L hemozol® |
Anticoagulation | |
Initial | |
High risk | No anticoagulation/saline flushing |
Low risk | Systemic heparinization |
Maintenance | |
High risk-1 | No anticoagulation/saline flushing |
High risk-2 | Regional anticoagulation (citrate or nafamostat) |
Low risk | Systemic heparinization |
CRRT, continuous renal replacement therapy.
Potassium and phosphate level check 2 times per day. Phosten®; potassium phosphate. Hemosol®; hemozol B0. Definitions; 1) High risk; active bleeding, post-operative within 48 hours, low platelet count <50000/mm3, prolonged PT/PTT ≥2.0 INR/60 sec. 2) Low risk; all patients except for high risk patients. 3) High risk-1 and high risk-2 were divided according to assessment of clotting in extracorporeal system during CRRT.