RRT – Part 2

A 68-year-old male with a history of hypertension and type 2 diabetes is admitted to the ICU with septic shock secondary to pneumonia. He develops oliguric acute kidney injury on day 2, with rising creatinine (3.4 mg/dL), persistent hyperphosphatemia, and metabolic acidosis. Despite fluid resuscitation and vasopressor support, he remains hemodynamically unstable. The team decides to initiate CRRT (CVVHDF). Over the next 48 hours, you are involved in managing his renal support, monitoring filter function, drug dosing, and electrolyte balance.