This document contains information about a patient's dialysis treatment over a 24 hour period, including their medical history, vital signs, dialysis prescription details, anticoagulation medications, fluid balances, and machine settings throughout the treatment. Adjustments made by nurses are also recorded.

1. Fecha: __________________________________________________________________Nombre:_______________________________________________ Diagnosticos:________________________________________________________________________________
Antecedentes: ______________________________________________________________________________________________Peso: _______________________________SC: ___________H.C: ___________________________Scores Severidad: Apache: _________SOFA_________
Edad: __________________________________Ubicación: ____________________________________________________Dia terapia: ____________________Tiss 28 ______________________________________________________________________
Prescripcion
Modalidad:___________________________________________________Dosis: _______________________________________Filtro:___________________ SCUF: _____________ Balance Acumulado: __________________________________________________
FF%:_________________________________________Dosis dia anter: ______________Fecha inicio SET ___________ _____________ Balance Dia Anterior:_________________________________________________
Qb Meta: ___________ml/min____________ml/min Dializante __________ml/hrBomba pre: _________ml/hr Sustitucion Post:_______ml/hr Meta de Perdida Liq Pte Dia ______________________
Qb Alcanzado ______________ml/min Tipo Liquido: ______________Tipo Liquido: ______________________ Tipo Liquido: ___________ _________________cc/hr
Anticoagulacion
Citrato ACD A? Inicia en: _________ml/hrCalcio Infusion: Inicia en: ______ml/hrHeparina: Inicia : ________________u/hrOtros datos:____________________________________ ____________
Ajustes
Hora Sangre
Bomba Pre
Sangre
Dializante
Sustitucion
Post
Extraccion
liquido
paciente
programada
Extraccion
Real
Balance
TOTAL
Paciente x
hora
Heparin
u/hr
Calcio por
jeringa
Control
Paciente
Control
Filtro
PTM Entrada Retorno Filtro
Ajuste Nivel
Camara
Cambios:
B.Efluente
B.Liquidos
Enfermera
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
0:00
1:00
2:00
3:00
4:00
5:00
6:00
Subtotal
Total 24 Horas
HOJA DE MONITOREO DE PACIENTE EN TERAPIA DE CRRT
UNIDAD DE CUIDADO INTENSIVO
BALANCE HIDRICO ANTICOAGULACION PRESIONESLIQUIDOS DE TRATAMIENTO
Notas:________________________________________________________________________________________________________________________________________________________________
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2. _____________________________________________________________________________________________________________________________________________________________________