Step by Step






Credit Hours: CME 1.25

Target Audience:

This activity is directed to physicians who take care of hospitalized children, medical students, nurse practitioners, and physician assistants working in the emergency room, intensive care unit, or hospital wards.

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • Explain the Pediatric maintenance IV fluids guideline recommendations.
  • Describe potential issues with IV fluids such as Hyperchloremic Metabolic acidosis, fluid overflow and hyponatremia. 
  • Review the history of IV fluids in Pediatrics. 

There is no educational content to this course. This course is designed to only administer the post-test and collect CME evaluations for the podcast associated with this training.

Suggested Additional Reading & Joint Accreditation Statement:

  1. Leonard G. Feld, Daniel R. Neuspiel, Byron A. Foster, Michael G. Leu, Matthew D. Garber, Kelly Austin, Rajit K. Basu, Edward E. Conway, James J. Fehr, Clare Hawkins, Ron L. Kaplan, Echo V. Rowe, Muhammad Waseem, Michael L. Moritz, SUBCOMMITTEE ON FLUID AND ELECTROLYTE THERAPY. Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics Dec 2018, 142 (6) e20183083; DOI: 10.1542/peds.2018-3083
  2. Prough D S, Bidani A. Hyperchloremic metabolic acidosis is a predictable consequence of intraoperative infusion of 0.9% saline. Anesthesiology 1999901247–1249.
  3. Bullivant E M A, Wilcox C S, Welch W J. Intrarenal vasoconstriction during hyperchloremia: role of thromboxane. Am J Physiol 1989256152–157.

Joint Accreditation Statement: This statement supersedes all other accreditation statements on this page.
In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME) and the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 1.25 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

Michael L. Moritz, MD — Professor of Pediatrics, Clinical Director, Pediatric Nephrology, UPMC Children's Hospital of Pittsburgh; Medical Director, Pediatric Dialysis, UPMC Children's Hospital of Pittsburgh; Medical Director, Pediatric Kidney Transplant Program, UPMC Children's Hospital of Pittsburgh
No relationships with industry relevant to the content of this educational activity have been disclosed.
Tony R. Tarchichi MD — Assistant Professor, Department of Pediatrics, Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center (UPMC.) Paul C. Gaffney Diagnostic Referral Group
No relationships with industry relevant to the content of this educational activity have been disclosed.
No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

The University of Pittsburgh is an affirmative action, equal opportunity institution.