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Renal Review

Presented by:  Karen Marzlin

Course Description:
Do you know how to differentiate chronic kidney disease (CKD) from acute kidney injury (AKI)?  Do you understand why we stop drugs like ACE inhibitors with the development of AKI but continue them in patients with CKD?  Do you understand how the BUN, creatinine and glomerular filtration rate tell us different things about the patient’s kidney function?  Renal function issues seem to arise often in the acute care environment. The kidneys are complex organs.  Careful monitoring of kidney function is necessary in those with or without chronic kidney to assure normal acid base balance, electrolyte balance, volume balance and so much more.

The literature tells us that approximately 20% of hospitalized patients develop AKI. That increases to 50% of ICU patients. Some report mortality rates up to 33% in patients who develop AKI in the hospital. Yet another trial demonstrated that in hospitalized patients who developed AKI, there was a delay in the recognition and treatment of the AKI in 43% of those patients.

During this 2.5-hour prerecorded video course Karen will walk you through the intricacies of renal disease. She will take difficult concepts and presents them in a way that makes sense and clarifies what you see at the bedside. The difference between CKD and AKI will be discussed and clarified. Karen will help you understand strategies that can help decrease the development of AKI. During this educational journey Karen will bring clarity to concepts related to kidney function as you develop expertise and gain confidence in your care of patients with renal disorders.

As an extra bonus for those of you who work in the ICU Karen will spend a few minutes at the end of the program discussing renal replacement therapy.

Course Content:    

  1. Review of the Renal Anatomy and Physiology
  2. Diagnostic Parameters Evaluating Kidney Function
  3. Chronic Kidney Disease (CKD)
    1. Recognition
    2. Risk Factors / Protection Strategies
    3. Consequences / Complications
  4. Acute Kidney Injury (AKI)
    1. Staging
    2. Etiology
    3. Classifications
    4. Prerenal AKI
    5. Intrarenal AKI
    6. Post Renal AKI
    7. Treatment Strategies
    8. Renal Replacement Therapies
  5. Electrolytes
    1. Sodium
    2. Potassium
    3. Calcium
    4. Magnesium
    5. Phosphorous
  6. Renal Considerations for the ICU
    1. Continuous Renal Replacement Therapy

Course Objectives

  1. Examine the structure and function of the nephron in normal kidney function.
  2. Identify diagnostic tools and parameters utilized to assess kidney function.
  3. Define parameters associated with a diagnosis of chronic kidney disease.
  4. Discuss strategies to prevent progression of chronic kidney disease.
  5. Examine complications associated with chronic kidney disease.
  6. Define parameters associated with a diagnosis of acute kidney injury.
  7. Compare diagnostic findings of prerenal intrarenal and postrenal acute kidney injury.
  8. Describe treatment strategies for acute kidney injury.
  9. Examine renal replacement strategies used in the treatment of kidney disease.
  10. Compare and contrast hypo from hyper electrolyte abnormalities.

Continuing Education:    
2.50 hours of continuing education (contact hours) will be offered with this program. CNEA is a provider approved by the California Board of Registered Nursing, provider number 15714.

Online classes are available for 12 month access.

Course Price:
Click here for course price

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