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Article A1423043

Early Mobility Activities during Continuous Renal Replacement Therapy

Author(s): Cherylynn A. Brownback, RN, BSN, CCRN, Tricia Fletcher, RN, BSN, CCRN-CMC, Lynelle Pierce, RN, MSN, CCRN, CCNS, and Susan Klaus RN, PhD

Contact Hours 1.00

CERP A 1.00

Expires Jul 01, 2018

Topics: Pulmonary, Renal

Population: Adult

Role: Staff

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Activity Summary

Continuous renal replacement therapy (CRRT) is a therapeutic technique used to support critically ill patients with acute renal failure in intensive care units. CRRT is preferred over hemodialysis for patients who cannot tolerate the rapid fluid and electrolyte shifts associated with hemodialysis because of their tenuous hemodynamic state. Traditionally, such patients have not been candidates for mobilization and have remained on strict bed rest. Mobilization is now being initiated on patients undergoing CRRT in intensive care units. This case study chronicles the successful mobilization of a patient undergoing CRRT. This experience suggests that CRRT patients who are appropriate candidates may be mobilized safely and therefore should not automatically be excluded from mobilization therapies.

Objectives

  • Describe the complications associated with prolonged bed rest and the potential benefits of instituting early mobility activities in critically ill patients.
  • Identify barriers to progressive mobility for patients undergoing continuous renal replacement therapy (CRRT).
  • Discuss considerations for determining which patients are appropriate candidates for early mobility activities while undergoing CRRT and ideas for accomplishing mobilization of these patients safely.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.

Disclosure

This activity has been reviewed by the Nurse Planner. It has been determined that the material presented here shows no bias. Approval of a continuing education activity does not imply endorsement by AACN or ANCC of any commercial products displayed or discussed in conjunction with the activity.

Accreditation

The American Association of Critical-Care Nurses (AACN) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s (ANCC's) Commission on Accreditation, ANCC Provider Number 0012 (60 min contact hour). AACN has been approved as a provider of continuing education in nursing by the California State Board of Registered Nursing, California Provider number CEP1036 contact hours (50 min contact hour).

AACN programming meets the standards for most states that require mandatory continuing education contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.