Role of Fluid Stewardship in the Critically Ill

Author(s): Brittany Tyree, PharmD, Czarina Bock, PharmD, BCPS, BCCCP, CACP

Contact Hours 1.00

CERP A 1.00

Pharmacology Hours 1.00

Expires Jan 01, 2026

Topics: Medication Management

Member: Free
NonMember: $10.00

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Intravenous fluids are the most commonly administered medications in critically ill adults. Like all medications, intravenous fluids should be administered for an appropriate indication and duration with consideration for adverse effects. Intravenous fluids are used inappropriately in approximately 20% of patients, increasing the risk of fluid overload. Detrimental consequences of fluid overload include organ dysfunction, longer hospital stay, and increased risk of mortality. This article reviews the evidence related to intravenous fluid administration and defines the core concepts of fluid stewardship in the critical care setting.


  • Describe the characteristics, utilization, and adverse effects of intravenous fluids in critically ill patients.
  • Review the literature regarding the selection of an appropriate intravenous fluid
  • Identify and implement fluid stewardship strategies in a patient care setting

Continuing Education Disclosure Statement

Successful Completion

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


The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 1.00 contact hours.

Accreditation refers to recognition of continuing education only and does not imply AACN, ANCC, or CBRN approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity.


Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content will be identified by the Nurse Planner within the activity. Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content has been mitigated.

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.

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