So my patient has a non citrate filter, and her TMP has been around 100mmHg pretty much all night, but just after the last morning turn, her TMP creeping up to 250mmHg, which seems a bit high.
It's high but it's not that high yet, it's still in the green zone, but I wasn't sure if I should just keep an eye on it or if I should change the filter now so it doesn't clotted.
I think this difficult decision making is due to my lack of experience with the filter. Anyway, I decided to ring the access to get her opinion as she has way more experience than me. She said 250 is probably still ok but just make sure it's still in the green zone, if it swing to the yellow zone then we should change it to prevent clotting. So I keep observing till I went home, and luckily the TMP didn't go any higher than 250mmHg by the time I left.
So yeah, it's a good decent making experience.
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