Navigation for Departments
Step down from critical care
Follow the steps below:
| AKI transfer policy - ITU to Ward 7B, GRH |
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| Phone Renal on-call to refer patient |
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If patient accepted clear transfer with on-call intensivist
(this also serves as ITU step-down handover)
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Contact Renal on-call to arrange transfer to Ward 7B, GRH
Aim for transfer post ITU within 24 hours
Further discussion with intensivist not required if condition stable or improving
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Consider these criteria for safe step-down from ICU to renal unit:
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Metabolic
K < 6.0
pH normal
Bicarbonate > 16
Lactate normal
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Respiratory
Respiratory rate < 24 / minute
Saturations > 94% on not more than 35% oxygen
If patient required acute CPAP must have been independent of this for 24 hours
Independent of respiratory support for 48 hours
No tracheostomy
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Circulatory
HR < 120 / minute
BP > 100 mmHg systolic
MAP > 65 mmHg
Lactate < 4
If given inotropes must have been inotrope independent for > 24 hours
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Neurological
GCS > 12 for > 24 hours
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