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Fluid Responsiveness and the Six Pillars of Fluid Resuscitation

Six Pillars - 2



Faculty: Daria Ruffolo, DNP, ACNP-BC, CCRN
Contact Hours: 1.5 contact hours of Continuing Education (which includes 1 hour of pharmacology and 1.25 hours of Advanced Procedures)

1.5 Contact hours

90 days of access (renewable)

Printable handouts

5-item quiz

100% online

Successful fluid resuscitation in the acute or critical setting is a crucial step in patient stabilization. The nurse practitioner (NP) who is well-versed in the most current principles governing fluid resuscitation can therefore move confidently during critical situations. By the end of this session, the NP will be able to identify the pathophysiological complications associated with ineffective volume resuscitation in the acutely ill or injured, describe the relevant physiological endpoints for determining euvolemia in various patient populations, and confidently use multiple strategies to optimize resuscitation.

This offering is structured around six pillars of fluid resuscitation, which are defined as follows:

  1. Fluid responsiveness is foundational to resuscitation.
  2. Central venous pressure (CVP) and vena cava measurement are not the sole indicators for determining fluid responsiveness.
  3. An accurate reading of fluid responsiveness can be gained by using the passive leg raising maneuver in tandem with the stroke volume index.
  4. A fluid challenge ordinarily produces a small and brief hemodynamic response.
  5. Fluid responsiveness does not always necessitate a fluid bolus.
  6. An elevated CVP should be strongly considered in relation to compromised organ perfusion.

How It Works

  1. Log in at www.NPcourses.com
  2. Go to My Account in the upper right corner and click on Courses.
  3. Locate your Course in the list and click on it.
  4. Click on Access Course to proceed.
  5. PowerPoint handouts are available for every lecture under “Materials.” We strongly recommend that you download and print each lecture’s handout so that you may highlight and take notes as you view each video. 
  6. Please note that there is information covered in the video lectures that will not be on the handouts, so you must watch the video in its entirety. It is very important to spend time studying all PowerPoint handouts and to watch all course lecture(s) before attempting to take the required quiz.
  7. Each quiz includes 5 items to complete in 10 minutes. Participants have a maximum of 3 attempts to pass each exam with a score of 70% or higher.
  8. After successful completion of the quiz, participants must complete a Course Evaluation.
  9. Upon submission of the Course Evaluation, your Continuing Education Certificate will appear for you to print and/or save in PDF format. We strongly recommend that you print or save the certificate immediately, as your certificate will not be stored in your account indefinitely.

Refunds are not allowed on any of Barkley & Associates’ products.

What Makes
Our CE
"Simply the Best!"

Features concise up-to-date lectures with full slideshows

Lecture handouts (available to download and print)

One month to complete from time of purchase.

Fast forward/rewind capability so you can be sure to master the material

Full screen capability; perfect for tablet users

Access on your computer immediately!

Portable: Carry with you on your smartphone or laptop

Obtain needed CE and pharmacology contact hours

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