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• do not visit zoos, cultural events involving animals; Perform professional catheter care every 24 hours for patients with central venous catheterization to properly secure the access and avoid distortion and compression. If CRRT is integrated with ECMO therapy, the sequence and tightness of the catheter should be confirmed by two nurses. It is assumed that the outflow and inflow lines of the CRRT are connected downstream of the oxygenator.

(2) Closely monitor the consciousness and vital signs of patients; Accurately calculate the inflow and outflow of fluid. Closely monitor blood clotting in the bypass circuit, respond effectively to any alarms, and ensure that the machine is working properly.

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    The replacement fluid must be freshly prepared and labeled under strict sterile conditions. (5) Heparin resistance Under some conditions of heparin use, aPTT cannot reach the standard and blood clotting occurs. In this case, it is necessary to monitor the activity of plasma antithrombin III ( ATIII ). If this activity decreases, fresh frozen plasma must be added to restore heparin sensitivity.

    2 Periodic care > Initiate empiric antibiotic therapy in patients with ARF. ADDITIONAL SOURCES 2.1 Online consultation for diagnosis and treatment Inform the attending physician of the need to make a medical decision to replace the HTLV with mechanical ventilation if any of the following events occur: hemodynamic instability, impaired respiratory function, as evidenced by a clear contraction of the accessory respiratory muscles, persistence of hypoxemia despite oxygen therapy, deterioration in consciousness, respiratory rate > 40 breaths per minute on a continuous basis, a significant amount of sputum. > The base reproduction number R0 (the expected number of secondary infections caused by infection in one person in a fully susceptible population) for COVID-19 was estimated to be in the range of 2.5-3 until April 2020, but is currently 5.7 according to the CDC (95% CI 3.8–8.9), which is five times higher than for seasonal influenza.

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