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Nursing Interventions for Sepsis: Fluid Management

Contact Hours Awarded: 2.5

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Course Overview

Nursing Interventions for Sepsis: Fluid Management
Morgan Curry

Author: Chelsea McCracken

Fluid resuscitation is a cornerstone of sepsis therapy. Everyone agrees that patients with sepsis need fluids, but the agreements end there. Crystalloid or colloid? 30ml/kg or end-point based? How do we assess the efficacy of fluid resuscitation in sepsis? In this course we will discuss all of this and more!

Course Outline

  1. The Importance of Fluid Resuscitation in Sepsis
  2. The Great Debate: Crystalloid vs. Colloid
  3. Choice of Crystalloid Fluid for Resuscitation: Is Normal Saline Really “Normal”?
  4. How Much Fluid Do Septic Patients Need?
  5. Macrovascular/Microvascular End Points of Resuscitation: (CVP, SVV, Bedside Echocardiography, Lactate Levels, Sv02 and Scv02, Capillary Refill Time)
  6. Fluid Challenge Without the Fluid: Passive Leg Raise and End-Expiration Occlusion Test
  7. Putting It Together
  8. Summary
  9. References

Accreditation Statement

Nursing CE Central is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

In this course, we will discuss fluid resuscitation strategies in septic patients with evidence of tissue hypoperfusion. It will take the average learner 150 minutes to complete.

Course Objectives

After completing this course, the learner will be able to:

  1. Understand the physiologic importance of fluid resuscitation in sepsis.
  2. Describe the difference and pros/cons of crystalloid vs colloid fluid resuscitation.
  3. Explain how different endpoints can be used to measure fluid resuscitation effectiveness in sepsis.

Target Audience

  • Registered Nurses (RN)
  • Advanced Practice Registered Nurses (APRN)
  • Licensed Practical Nurses (LPN/LVN)

Requirement for Completion

  1. Enrollment in the course by the learner
  2. Read and learn all course materials
  3. Complete the course evaluation
  4. Attest and testify learning of the course materials

Accreditations + Approvals

  • American Nurses Credentialing Center (ANCC) (P0614)
  • California Board of Registered Nursing (CEP 17418)
  • Kentucky Board of Nursing (7-0090)
  • Louisiana State Board of Nursing (58)
  • New York State Department of Education (IC 208)
  • Florida Board of Nursing (50-23983)

Conflict of Interest Statement

Nursing CE Central nor any of the authors, planners, content experts or any contributors have a commercial interest nor were influenced by commercial interests in the creation of this course, financially or otherwise.

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Course Created on: March 01, 2019

Course Expires on: March 01, 2022

Course Offering: #12