Sherpath Lesson - Continuous Renal
Replacement, Artificial Kidneys, and
Kidney Transplantation Questions
and Answers Updated 2026
WhichMtreatmentMwouldMtheMnurseMexpectMtoMbeMusedMonMaMpatientMwhoMisMhemo
dynamicallyMunstableMandMwillMreceiveMrenalMreplacementMtherapyMtoMremoveMlargeMvo
lumesMofMfluid?M-MAnswerMContinuousMVenovenousMHemofiltrationM(CVVH)
(bcMCVVHMremovesMlargeMvolumesMofMwaterMandMsolutesMfromMtheMpatientMoverMaMl
ongerMperiodMofMtimeMbyMusingMultrafiltrationMandMconvection)
WhichMorderMwouldMtheMnurseManticipateMforMaMpatientMreceivingMcontinuousMrenalMr
eplacementMtherapyM(CRRT)?M-MAnswerMChangeMtheMHemofilterMeveryM48Mhours
(bcMTheMhemofilterMshouldMbeMchangedMeveryM24MtoM48MhoursMdueMtoMlossMofMfiltr
ationMefficiencyMandMpotentialMforMclotting)
WhichMpatientMwouldMbeMaMcandidateMforManMartificialMwearableMkidneyM(WAK)?M-
MAnswerMAMpatientMwhoseMglomerularMfiltrationMrateM(GFR)MhasMreachedM10MmL/min/
1.73Mm2
(bcMAMGFRMofM10MmL/min/1.73Mm2MisMindicativeMofMendMstageMrenalMdisease,Mwhich
MisMtheMtargetMpopulationMforMaMWAK)
WhichMinformationMwouldMtheMnurseMgiveMaMpatientMaboutMtheMbenefitsMofMkidneyMtr
ansplantation?M-MAnswerM"IfMtheMkidneyMcomesMfromMaMliveMdonor,MyourMone-
yearMsurvivalMrateMisM95%."
(bcMSurvivalMratesMafterMkidneyMtransplantationMareMveryMhigh,MrangingMfromM90%Mfor
MkidneysMfromMdiseasedMdonorsMtoM95%MforMkidneysMfromMliveMdonors)
WhichMconditionMwouldMtheMnurseMidentifyMasMaMcontraindicationMtoMaMkidneyMtranspl
ant?MSelectMallMthatMapply.MOne,Msome,MorMallMresponsesMmayMbeMcorrect.M-
MAnswerMChronicMRespiratoryMFailure;MChronicMAlcoholMUse
(bcMChronicMrespiratoryMfailureMisMaMcontraindicationMtoMtransplantMdueMtoMinabilityMt
oMtolerateMsurgeryMandMrecovery;MPatientsMwithMunresolvedMpsychologicalMdisordersMor
MaddictionsMareMnotMcandidatesMforMtransplantMdueMtoMriskMofMnonadherenceMtoMthe
MtreatmentMplanMandMcareMofMtheMnewMkidney)
Replacement, Artificial Kidneys, and
Kidney Transplantation Questions
and Answers Updated 2026
WhichMtreatmentMwouldMtheMnurseMexpectMtoMbeMusedMonMaMpatientMwhoMisMhemo
dynamicallyMunstableMandMwillMreceiveMrenalMreplacementMtherapyMtoMremoveMlargeMvo
lumesMofMfluid?M-MAnswerMContinuousMVenovenousMHemofiltrationM(CVVH)
(bcMCVVHMremovesMlargeMvolumesMofMwaterMandMsolutesMfromMtheMpatientMoverMaMl
ongerMperiodMofMtimeMbyMusingMultrafiltrationMandMconvection)
WhichMorderMwouldMtheMnurseManticipateMforMaMpatientMreceivingMcontinuousMrenalMr
eplacementMtherapyM(CRRT)?M-MAnswerMChangeMtheMHemofilterMeveryM48Mhours
(bcMTheMhemofilterMshouldMbeMchangedMeveryM24MtoM48MhoursMdueMtoMlossMofMfiltr
ationMefficiencyMandMpotentialMforMclotting)
WhichMpatientMwouldMbeMaMcandidateMforManMartificialMwearableMkidneyM(WAK)?M-
MAnswerMAMpatientMwhoseMglomerularMfiltrationMrateM(GFR)MhasMreachedM10MmL/min/
1.73Mm2
(bcMAMGFRMofM10MmL/min/1.73Mm2MisMindicativeMofMendMstageMrenalMdisease,Mwhich
MisMtheMtargetMpopulationMforMaMWAK)
WhichMinformationMwouldMtheMnurseMgiveMaMpatientMaboutMtheMbenefitsMofMkidneyMtr
ansplantation?M-MAnswerM"IfMtheMkidneyMcomesMfromMaMliveMdonor,MyourMone-
yearMsurvivalMrateMisM95%."
(bcMSurvivalMratesMafterMkidneyMtransplantationMareMveryMhigh,MrangingMfromM90%Mfor
MkidneysMfromMdiseasedMdonorsMtoM95%MforMkidneysMfromMliveMdonors)
WhichMconditionMwouldMtheMnurseMidentifyMasMaMcontraindicationMtoMaMkidneyMtranspl
ant?MSelectMallMthatMapply.MOne,Msome,MorMallMresponsesMmayMbeMcorrect.M-
MAnswerMChronicMRespiratoryMFailure;MChronicMAlcoholMUse
(bcMChronicMrespiratoryMfailureMisMaMcontraindicationMtoMtransplantMdueMtoMinabilityMt
oMtolerateMsurgeryMandMrecovery;MPatientsMwithMunresolvedMpsychologicalMdisordersMor
MaddictionsMareMnotMcandidatesMforMtransplantMdueMtoMriskMofMnonadherenceMtoMthe
MtreatmentMplanMandMcareMofMtheMnewMkidney)