The document discusses the appropriate dose of continuous renal replacement therapy (CRRT) to prescribe. While studies have shown that 20-25 ml/kg/hr of effluent production is as effective as 35 ml/kg/hr, the prescribed dose may not equal the actual delivered dose due to downtime and other factors. Additionally, effluent production is an imperfect surrogate for solute clearance. The document concludes that CRRT dosing should be tailored to the individual patient's clinical situation, guided primarily by their condition, rather than a single number for ml/kg/hr.