The invention discloses a preparing adjusting method of a CRRT local 
citric acid anticoagulation substitution fluid. The method comprises the steps of inputting a CRRT treating parameter and a biochemical and 
blood gas test result; adjusting the speed of 
citric acid in front of a pump, and controlling the 
target concentration of 
plasma citric acid at 3.5-4.0 mmol / L; according to the concentration of formula ionized 
calcium, and with the combination of the concentration of blood gas ionized 
calcium in front of a filter and the predicted input speed of 5% 
calcium chloride, adjusting a 
peripheral calcium supplement parameter; according to the concentration of blood gas 
bicarbonate, and with the combination of the concentration of blood gas 
bicarbonate in front of a filter, adjusting a 
peripheral sodium bicarbonate supplement parameter; according to the concentration of sodion, and with the combination of the concentration of blood gas sodion in front of a filter, adjusting a formula basic 
liquid injection water using amount. Therefore, not only can the speeds of 
sodium citrate and 
calcium supplement be accurately predicted in a personalized mode according to the CRRT treating parameter and the patient condition, but also the degree of influences of the substitution fluid on all electrolytes in blood and acid-base in the treating process can be predicated, and synchronous adjustment on a CRRT local citric acid anticoagulation substitution fluid formula is achieved.