title: Use of sodium citrate anticoagulation in a pediatric continuous venovenous hemodialysis patient.
abstract: CVVHD therapy in critically ill pediatric patients presents many challenges. The ability to maintain hemodynamic stability in the face of multiple fluid and medication requirements made this therapy a successful treatment option. The difficulties often associated with heparin anticoagulation were avoided through the use of citrate, and this was achieved without any bleeding complications. Using a collaborative approach of critical care nurses from one facility and nephrology nurses from another was a unique experience. The patient benefited from the professionals' expert care. All nurses collaborated in meeting jointly set patient goals.
authors.forename: D
authors.initials: D
authors.lastname: Macdonald
authors.forename: R
authors.initials: R
authors.lastname: Martin
mesh_terms: D000925:Anticoagulants; D002951:Citrates; D019343:Citric Acid; D005260:Female; D006440:Hemofiltration / Q000451:nursing*; D006801:Humans; D007223:Infant; D010347:Patient Care Planning; D006435:Renal Dialysis / Q000451:nursing*
chemical_list: D000925:Anticoagulants; D002951:Citrates; D019343:Citric Acid