The present disclosure describes novel standardized citrate replacement
fluid solutions and a standardized dialysate solution for use with CRRT
methods. The standardized citrate replacement fluid solutions and
standardized dialysate solutions do not require modification based on the
clinical status of the individual patients. The use of the standardized
solutions described herein offers significant advantages over the prior
art solutions used in CRRT. The present disclosure describes superior
metabolic and electrolyte control and significantly increased dialyzer
patency in: (a) 24 intensive care unit (ICU) patients with ARF using a
0.67% trisodium citrate replacement fluid solution, and (b) 32 ICU
patients with ARF using a 0.5% trisodium citrate replacement fluid
solution. Both groups were treated with Bicarbonate-25 dialysate and
achieved effluent rates of 35 mL/kg/hr.