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Changing the Paradigm: Management of the New Patient

‐ Sep 22, 2013 10:00am

A patient seen in the emergency room didn't know they needed dialysis. The nephrologist is called, and a central venous catheter is placed. Is this the best strategy? Is this just doing what we have always done and expecting different outcomes? What are the best practices to implement in the care of the patient who is new to dialysis? What are other centers doing to decrease this initial central venous catheter conundrum?

Contact hours available until 9/22/2015.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Conflict of Interest Disclosure:
Brent Miller – Advisory Board, NxStage Medical; Consultant/Speaker’s Bureau, Fresenius Medical Care

Conference Committee Disclosures:
Dawn Koonkongsatian – Employee, Fresenius Medical Care
Kristin Larson – Employee, NxStage Medical
Denise Murcek – Employee, Fresenius Medical Care
Beth St. John - Employee, Fresenius Medical Care
Lucy Todd – Employee, Baxter Healthcare
Kyra Trappett – Employee, DaVita

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Accreditation Statement:
American Nephrology Nurses’ Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

ANNA is a provider approved by the California Board of Registered Nursing, provider number CEP 00910.

  • Recognize the appropriate use of peritoneal dialysis in the patient needing rapid initiation of dialysis therapy for uremia.
  • Discuss acute catheter placement and potential complications.
  • Analyze peritoneal dialysis prescriptions that are used in the acute setting.


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