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Digital Seminar

Kidney Failure: The Latest on Assessment and Management of Acute, Chronic and End Stage Renal Disease


Speaker:
Carla J. Moschella, PA-C, MS, RD
Duration:
6 Hours 28 Minutes
Format:
Audio and Video
Copyright:
Apr 03, 2014
Product Code:
POS075745
Media Type:
Digital Seminar


Description

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  • What do a Urinalysis, Serum BUN and Creatinine Level Tell You
  • Choose Appropriate Hypertension Medication for Your Patient
  • Effective Patient and Family Education to Promote Compliance
  • Predict the On-Set of End-Stage Renal Disease
  • What Labs to Order to Get the Most Accurate Results Quickly

The kidneys play an essential role in maintaining overall health but are also a cause of one of the most debilitating chronic conditions when they failure to work properly. This program will give you the latest on acute and chronic kidney fail, how to manage, and how to work towards the best patient outcomes. Get the most effective strategies to recognize when a patient may be at risk for developing kidney disease and to recognize signs of kidney dysfunction. A solid understanding of interpreting labs, such as BUN, creatinine, and urinalysis, will also be presented. This program will give you the most up-to date information on treatments and management strategies for patients who already have kidney disease. You will also gain more knowledge about the treatments, complications, and monitoring of end-stage renal disease (ESRD). Through the use of radiologic images, case studies, and question-and-answer discussions, you will leave with an improved understanding of all aspects of kidney function and disease that is immediately applicable to your clinical experience.

OUTLINE

Assess kidney function

  • Labs:
  • Urinalysis
    • Findings for diabetic nephropathy, urinary tract infection, hypertensive disease
    • Proteinuria and hematuria
    • BUN, creatinine, glomerular filtration rate, and creatinine clearance
    • Case studies
  • Imaging tests:
    • Indications for plain film, CT scan, ultrasound, angiogram, IVP
  • The kidneys and hypertension:
    • Choose the appropriate HTN medication(s) for your patient
      • Diuretics, angiotensin-converting enzyme inhibitors, angiotensin II receptor blockers, beta blockers, alpha blockers
  • Case studies

Acute renal failure (ARF)

  • Causes
    • Perfusion
    • Medications (ACE inhibitors, NSAIDS, aminoglycosides)
    • Renal arterial stenosis
    • Urinary tract obstruction
    • Glomerulonephritis
  • Identification of signs/symptoms
    • Urination
    • Hypertension
    • Edema
    • Confusion
  • Labs and imaging studies
    • What to order to get the best results the quickest
  • Treatment
    • Medications
      • Loop diuretics
      • Anti-hypertensives
    • Dietary restrictions
      • Low-potassium
      • Low phosphorous
    • Fluid and fluid restrictions
  • Recovery and prevention
    • Patient and family education to promote compliance
    • Avoid hospital readmissions

Chronic kidney disease (CKD)

  • Labs and imaging studies
  • Diabetic nephropathy and hypertensive glomerulosclerosis
  • Screening recommendations
    • Frequency of testing
    • Monitoring creatinine, glomerular filtration rate, urine protein
    • Blood pressure monitoring
  • 5 Stages of CKD
    • Complications and treatment of each stage
    • Hyperkalemia, hyperphosphatemia, anemia, HTN, bone disease, hyperlipidemia, malnutrition
  • Prognosis
    • Expected rate of decline in kidney function
    • Predicting the onset of End-Stage Renal Disease (ESRD)
  • Dietary restrictions and treatments
    • When to Implement
    • Types of Diets
      • Potassium
      • Phosphorous
      • Fluid
      • Protein
  • Patient Compliance and Patient Education
    • Importance of family
    • How to encourage patient compliance
    • What to do with non-compliance
    • Cultural considerations

End-stage Renal Disease (ESRD):

  • Choosing the best treatment
    • Hemodialysis and access issues
    • Peritoneal dialysis
    • Transplant: cadaveric donor and living donor
    • Pre-transplant work-up and post-transplant care
  • Helping your patients choose the best option and preparing them for these therapies
  • Complications of each therapy
    • Access complications
    • Infections
    • Blood pressure changes
  • Nutrition and diet considerations associated with ESRD
  • Providing psychosocial support for your patients and families
    • Caregiver stress
    • Community support
  • Palliative care/when to refer for hospice
  • Case Studies

OBJECTIVES

  • Recognize which patients are at risk for developing chronic kidney disease (CKD) and acute renal failure (ARF).
  • Assess patients with CKD and ARF by analyzing risk factors, the urinalysis, and labs.
  • Explain the five stages of CKD, their associated complications, and their treatment and prognosis.
  • Assess for end-stage renal disease.
  • Appraise how to prepare patients for renal replacement therapy (dialysis and/ or transplant) and when it is appropriate to initiate these treatments.
  • Assess how the kidneys control blood pressure, and understand the roles the various classes of anti-hypertensive medications play in the treatment of hypertension.
  • Explain how to detect and treat diabetic nephropathy.
  • Choose the best method of patient education to promote compliance with dietary and fluid restrictions.

 


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ADA Needs

We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

 

Satisfaction Guarantee

Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

Credit


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

CE Broker


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.6 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Carla J. Moschella, PA-C, MS, RD's Profile

Carla J. Moschella, PA-C, MS, RD Related seminars and products

Director of Academic Education, Physician Assistant Studies Assistant Professor

MGH Institute


Carla Moschella, MS, PA-C, RD, is a physician assistant and registered dietitian with over 25 years of clinical experience in nutrition, nephrology, gastroenterology, and internal medicine. She received her Master of Science degree in Medical Dietetics from Framingham State College in Massachusetts and her Physician Associate Certificate from Yale University School of Medicine. She was employed for several years as a physician assistant in nephrology at Tufts Medical Center in Boston. In that capacity she managed patients with all stages of chronic kidney disease, including those who were undergoing evaluation for a kidney transplant and those who already had received a one.

She has lectured at many national and state conferences on kidney disease, including at the National Kidney Foundation’s annual meetings, at the physician assistant’s national conference in New Orleans, and at several physician assistant state associations, including Arizona, Maine, Massachusetts, and Vermont. She is the author of the chapter on nephrology in Lange Q&A Physician Assistant Examination, published by McGraw-Hill, the PA text for preparation for the national certifying and recertifying exams. She authored an article on the National Kidney Foundation’s practice guidelines for chronic kidney disease in the Journal of the American Academy of Physician Assistants, and she co-authored an article entitled, “Interaction between cyclosporin A and Hypericum perforatum (St. John’s wort) following organ transplantation” in the American Journal of Kidney Diseases. She also has served as a reviewer for many journals and textbooks. Miss Moschella is a member of Pi Alpha, the national honor society for physician assistants, and Alpha Eta, the national honor society for allied health professionals.

 

Speaker Disclosures:

Financial: Carla Moschella is a Lead Clinician for Logistics Health, Inc. She receives speaking honorarium from PESI, Inc. 

Nonfinancial: Carla Moschella has no relevant nonfinancial relationship to disclose.

 


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Target Audience

Nurse, Nurse Practitioners, Advance Practice Nurses, Case Managers, Physician Assistants, Clinical Nurse Specialists, Registered Dieticians

Reviews

5
4
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2
1

Overall:      5

Total Reviews: 1

Comments

Audrey Z

"as an online course I really enjoyed this seminar; I learned great deal; really liked presenter repeating comments of participants"

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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