For patients starting peritoneal dialysis who have urine output, initiating with a full dose prescription is no longer advised. An Incremental prescription considers clearance achieved via residual renal function, then adds enough dialysis to achieve adequacy. Benefits, patient management, and transitioning to full therapy when needed is discussed.

Continuing Education Instructions and Disclosure Information:
ANCC Contact hours available until 4/28/2028

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online nursing continuing professional development (NCPD) evaluation. You will be able to print your ANCC contact hour certificate at any time after you complete the evaluation.

Disclosure of relevant financial relationships with ineligible companies:

Planning Committee Disclosures:
Patricia McCarley: Fresenius Medical Care (Stock Options), VIFOR Pharma (Consultant)
Shawn Pleasant: Fresenius Medical Care (Employee)
Lucy Todd: Total Quality Medical (Consultant)

Speaker Disclosures:
Lisa Ales: Vantive Healthcare LLC, Employee

Commercial Support:
This program has not received any commercial support.

Accreditation Statement:
The American Nephrology Nurses Association (ANNA) is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

As a designated Approved Provider by the American Board for Transplant Certification (ABTC), American Nephrology Nurses Association (ANNA) grants Category 1 Continuing Education Points for Transplant certifications (CEPTC) for this offering. Approval #20004.

ANNA urges participants to be aware of the CE requirements for re-licensure in the states in which they hold a license.

Learning Outcome:
After completing this learning activity, the participant will be able to describe the appropriate candidates that may benefit from commencing peritoneal dialysis on an incremental PD prescription and explain the clinical benefits, concerns, and outcomes associated with incremental peritoneal dialysis.

Lisa Ales MSN, FNP-BC, FNP-C, CNN

Appearances