OBJECTIVE: optimize the CRRT (continuous renal replacement therapy) prescription to keep the patient alive over a "time period" of 24 hours.
YOUR PATIENT: 55 year old man with pneumosepsis resulting in anuric acute kidney injury due to ischemic acute tubular necrosis. A right internal jugular temporary dialysis catheter has just been placed to start CRRT. The patient weighs 100kg.
TIME PERIOD: the 24 hour time period is broken up into 4-hour intervals, each of which is 15 seconds in real time.
INTERVALS: at each 4-hour interval, updated clinical data (pertinent lab values, balance of fluids in/out, pressor requirement, and ventilator FIO2) will appear. React accordingly and stabilize the patient by updating the CRRT prescription settings on the left. The prescription changes you make during a given interval will take effect upon transition into the following time interval.
OUTCOME: you will succeed if the patient survives the 24-hour period. If the patient does not survive, you will receive specific feedback regarding the ways your CRRT prescription could have been optimized.
TO BEGIN the simulation, you will have to click the button "Start Simulation"
NOTE these instructions will be available to review again as needed by clicking "Review Instructions".
Game Over
Life or Death
Instructions
OBJECTIVE: optimize the CRRT (continuous renal replacement therapy) prescription to keep the patient alive over a "time period" of 24 hours.
YOUR PATIENT: 55 year old man with pneumosepsis resulting in anuric acute kidney injury due to ischemic acute tubular necrosis. A right internal jugular temporary dialysis catheter has just been placed to start CRRT. The patient weighs 100kg.
TIME PERIOD: the 24 hour time period is broken up into 4-hour intervals, each of which is 15 seconds in real time.
INTERVALS: at each 4-hour interval, updated clinical data (pertinent lab values, balance of fluids in/out, pressor requirement, and ventilator FIO2) will appear. React accordingly and stabilize the patient by updating the CRRT prescription settings on the left. The prescription changes you make during a given interval will take effect upon transition into the following time interval.
OUTCOME: you will succeed if the patient survives the 24-hour period. If the patient does not survive, you will receive specific feedback regarding the ways your CRRT prescription could have been optimized.
TO BEGIN the simulation, you will have to click the button "Start Simulation"