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

Member: Free
NonMember: $10.00

Added to Collection

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.


  • 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

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