Managing Fluid Balance for Patients Requiring CRRT

Professor Gavin Leslie

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Lecture overview

Determining body fluid balance in critically ill patients is a major challenge, particularly where patients have required extensive resuscitation and/or have renal impairment. Fluid imbalance and overload, key consequences of severe acute kidney injury, can lead to an increase in patient morbidity and mortality. Nurses play a critical role in the assessment of fluid balance and the management of patient care interventions such as renal replacement therapy which allow significant manipulation of body fluid status and require diligent management to ensure effective fluid balance maintenance.

Learning Objectives:
By the end of this lecture, the attendee will be able to:

  1. Identify key issues in managing fluid balance for critically ill patients.
  2. Describe components of fluid assessment.
  3. Discuss potential inaccuracies in assessing fluid balance.
  4. Plan effective approaches to assessing and maintaining fluid balance when on renal replacement therapy.

This lecture is equal to 1 CE Contact Hour, 1 CPD Point, and 1 AMA PRA Category 1 Credit


Additional CME Info

Release Date: February 1, 2020, Termination Date: January 31, 2023

Accreditation: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of EB Medicine and Continulus. EB Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation: EB Medicine designates this internet enduring material for a maximum of 1 AMA PRA Category 1 Credit™ per lecture. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Commercial Support: This activity received no commercial support.

Earning Credit: In order to earn CME credit, the participant must take the pre-test, listen to the lecture, take the CME post-test, and complete the post-test evaluation.

Duration 1 hour(s).

Lecture speaker

Professor Gavin Leslie
RN, PhD, BAppSc, PG Diploma (Clin Nurs) FCNA, FACCCN

Prof. Gavin Leslie has worked in critical care for almost 40 years. He was founding president of the Confederation of Australian Critical Care Nurses (now Australian College of Critical Care Nurses) and is a life member of ACCCN. Prof. Leslie was editor-in-chief of Australian Critical Care (2000-2016). He has been involved in research grants investigating adverse events after ICU discharge, fluid management and renal replacement therapies, pressure area prevention, wound management, rehabilitation of survivors of critical illness, enteral feeding and rapid response systems and care.

Prof. Leslie joined Edith Cowan University in 2000 as the inaugural joint appointment in Critical Care Nursing after working in education, clinical practice, administration, and research roles in health care. He joined Curtin University in 2007 and has since been appointed as Professor of Critical Care Nursing and Director of Graduate Research whilst continuing his appointment and clinical research with Royal Perth Hospital till 2016. He developed the Master of Clinical Nursing at both ECU and Curtin and had a key role in supporting the development of the Paramedicine programme at Curtin University. He has published over 140 peer reviewed articles and journal editorials, 5 book chapters, and over $3.9M in research grants and postdoctoral fellowships.


CME Faculty Disclosure: It is the policy of EB Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME-sponsored educational activities. All faculty participating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that may arise from the relationship. In compliance with all ACCME Essentials, Standards, and Guidelines, all faculty for this CME activity were asked to complete a full disclosure statement. The speaker did not report any relevant financial interest or other relationship with the manufacturer(s) of any commercial product(s) discussed in this educational presentation.