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The Patient Is a Gravida 6, Para 1

Question 19

Multiple Choice

The patient is a gravida 6, para 1.She is admitted after a cesarean section after an amniotic embolus.Her heart rate (HR) is more than 150 beats/min with a systolic BP less than 80 mm Hg.Her temperature is 38°C, and her condition has caused her to develop prerenal azotemia.The patient was fluid resuscitated through a double-lumen catheter, which was placed into her right femoral access, and started on vasopressors with a fair response (BP, 80/50 mm Hg; HR, 122 beats/min) .Because of her diagnosis and a concern regarding fulminating sepsis, the patient was begun on CVVH.Which of the statements best describes CVVH?


A) Complete renal replacement therapy requiring large volumes of ultrafiltrate and filter replacement
B) Complete renal replacement therapy that allows removal of solutes and modification of the volume and composition of extracellular fluid to occur evenly over time
C) Involves the introduction of sterile dialyzing fluid through an implanted catheter into the abdominal cavity, which relies on osmosis, diffusion, and active transport to help remove waste from the body
D) Complete renal replacement therapy that allows an exchange of fluid, solutes, and solvents across a semipermeable membrane at 100 to 300 mL/hr

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