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Acid-Base Balance in Hemodialysis Patients with End-Stage Renal Disease

The content and the CNE Exam for this program is available for free. Please click here to Create and Account or to add this content to an existing account.

Provided by: Church & Dwight
Acid-base and electrolyte management are a critical component in the management of patients with end stage renal disease (ESRD). However, the artificial homeostasis achieved by renal replacement therapy is much coarser than the balance achieved by functioning kidneys, and laboratory indicators of acid-base balance vary from patient to patient by a much greater amount in dialysis patient than in individuals with normal renal function. This learning activity will provide a brief overview of the basic chemistry involved in acid-base balance, review metabolic acidosis and metabolic alkalosis as potential complications in hemodialysis, and provide insight as to why these conditions occur and how to avoid them.

The presence of any product, company, or corporation in any recording or content in no way signifies an endorsement of the product, company or corporation by ANCC Commission on Accreditation or the American Nephrology Nurses' Association (ANNA).

Carol Headley, DNSc, RN, CNN, Patricia McCarley, MSN, RN, NP, CNN, Jill Taylor, BA, and Linda Barker, BS, developers of this program, have no conflicts of interest to disclose. No off-label use of any product is included in this program.

This continuing nursing education activity was approved by the American Nephrology Nurses' Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

Contact Hours available through: 11/20/2009

For contact hour credit, review the PDF thoroughly and then complete the CNE exam.

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Acid-Base Balance in Hemodialysis Patients with End-Stage Renal Disease 
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Total Contact Hours Available: 1.50 CH

At the end of this learning module, the learner will be able to:
  1. Define pH and the body's pH requirements for metabolic function.
  2. Discuss the role of the kidneys in maintaining a normal acid-base balance.
  3. Recognize the symptoms, causes and consequences of metabolic acidosis and metabolic alkalosis.
  4. Discuss the use of arterial blood gas values and the anion gap in the diagnosis of metabolic acidosis and metabolic alkalosis.
  5. Discuss the use of hemodialysis in maintaining the physiologic balance of pH in ESRD.
  6. Identify and differentiate between types of dialysate preparations commonly utilized in providing hemodialysis.
  7. Describe circumstances under which hemodialysis dialysate bicarbonate prescriptions might be individualized based upon specific patient parameters.
  8. Discuss the assessment of patient parameters and recommendations for collection of laboratory test specimens as a part of determining the adequacy of hemodialysis.


 
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