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Early mobility activities during continuous renal replacement therapy.

Cherylynn A Brownback1, Patricia Fletcher2, Lynelle N B Pierce2

  • 1Cherylynn A. Brownback was the medical intensive care unit's educator at The University of Kansas Hospital in Kansas City when the report was written. Patricia Fletcher is a staff nurse in the cardiothoracic intensive care unit at The University of Kansas Hospital. Lynelle N. B. Pierce is a clinical education specialist at The University of Kansas Hospital. Susan Klaus is the clinical nursing researcher at The University of Kansas Hospital. cbrownback@kumc.edu.

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Summary
This summary is machine-generated.

Critically ill patients on continuous renal replacement therapy (CRRT) can be safely mobilized. This approach allows for physical therapy in intensive care units, improving patient outcomes.

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Area of Science:

  • Nephrology
  • Critical Care Medicine
  • Physical Therapy

Background:

  • Continuous renal replacement therapy (CRRT) supports critically ill patients with acute renal failure.
  • CRRT is preferred for hemodynamically unstable patients due to slower fluid shifts.
  • Traditionally, CRRT patients were excluded from mobilization due to bed rest requirements.

Observation:

  • This case study details the successful mobilization of a patient undergoing CRRT in an intensive care unit.
  • The patient was able to participate in physical therapy despite being on CRRT.
  • No adverse events were reported during the mobilization process.

Findings:

  • Mobilization is feasible and safe for select CRRT patients.
  • Early mobilization can be initiated for patients undergoing CRRT.
  • This challenges the traditional approach of strict bed rest for CRRT patients.

Implications:

  • CRRT patients should not be automatically excluded from mobilization therapies.
  • Safe mobilization protocols can be developed for CRRT patients.
  • This may improve functional outcomes and recovery for critically ill patients on CRRT.