CVVHD


 * Continuous Veno-Venous Hemodiafiltration (CVVHD)**
 * __Standard Replacement Fluid__**
 * __Revised 7/13/06__**

__Supplies:__ (1) 3 Liter bag Sterile Water for **__Irrigation__** (3) 50 mL vials Sodium Bicarbonate 8.4% (1 mEq/mL) (1) 250 mL vial Concentrated Sodium Chloride 23.4% (4 mEq/mL) __Preparation:__
 * 1) Inject 112 mL of sodium bicarbonate (8.4%) into 3 Liter bag of sterile water for irrigation (do not withdraw any sterile water from bag)
 * 2) Inject 84 mL of concentrated sodium chloride (23.4%) into bag
 * 3) Affix tamper seal to injection port
 * 4) Affix label (“BHEMOD”) to cover “Sterile Water for Irrigation” on bag

__Final Volume__: approximately 3,200 mL __Final Concentration__: 140 mEq sodium/Liter 35 mEq bicarbonate/Liter