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Acute and Chronic Kidney Disease

If you are like many healthcare professionals, you might find the complexity of renal disease intimidating and the management strategies confusing. In addi...
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Information

Faculty:
Carla J. Moschella
Duration:
Full Day
Format:
Audio and Video
Copyright:
Dec 07, 2016

Description

  • Clues for Accurate Assessment of Kidney Function
  • Management Strategies for Acute Kidney Injury
  • Navigating Common Complications
  • Must-Know Medication Considerations
  • Current Dietary Interventions
  • Helping the Patient Cope with End-Stage Disease

If you are like many healthcare professionals, you might find the complexity of renal disease intimidating and the management strategies confusing. In addition, you have the task of helping patients and families cope with a debilitating condition and a high rate of non-compliance. If this sounds familiar, then don’t miss the opportunity to join expert, Carla Moschella, MS, PA-C, RDN, for this program loaded with practical information designed to increase your confidence when caring for today’s complex renal patient.

Carla will present the latest information on acute and chronic kidney failure, including treatment recommendations that lead to the best possible patient outcomes. You will gain more knowledge on the causes, complications, medications, and dietary recommendations, and leave with an improved understanding of all aspects of kidney function and disease that is immediately applicable to your clinical practice.

 

Handouts

Outline

Accurately Assessing Kidney Function

  • Interpreting Lab Tests
    • BUN
    • Creatinine
    • GFR
  • Urinalysis
    • Normal Findings
    • Proteinuria
    • Hematuria
  • Indications for Imaging Studies
    • Ultrasound
    • CT Scan
    • Angiogram
    • IVP

Recognizing the 5 Stages of Chronic Kidney Disease (CKD)

  • Screening Recommendations
  • The Possible Cause
  • Accurate Staging
  • Common Complications Including:
    • Hyperkalemia
    • Hyperphosphatemia
    • Anemia
    • Acidosis
    • Malnutrition
  • Management Strategies
    • Recommended Medications
    • Dietary Restrictions
  • Predicting Outcomes
    • Rate of Decline
    • Onset of ESRD

The Kidneys and Hypertension

  • Goals for Blood Pressure Control
  • Choosing the Appropriate Medications
    • Diuretics
    • ACE Inhibitors
    • ARBs
    • Calcium Channel Blockers
    • Beta & Alpha Blockers
  • Hypertensive Nephrosclerosis
    • Lab & Imaging Findings
    • Prognosis

The Kidneys and Diabetes

  • Urinalysis
    • Screening & Monitoring
    • Frequency of Testing
  • Diabetic Nephropathy
    • Controlling BP & Glucose
    • Recommendations for Treatment

Acute Kidney Injury (AKI)

  • Deciphering the Cause
    • Medications
    • Contrast Dye
    • Shock
    • Glomerulonephritis
    • Urinary Tract Obstruction
  • Reversible vs. Irreversible
  • Identifying the Signs & Symptoms
  • Monitoring the Patient
  • Appropriate Interventions

Kidney Disease & Nutrition

  • Diet for CKD & AKI
  • Dietary Interventions:
    • Sodium
    • Phosphorus
    • Potassium
    • Protein
  • When to Use & Why

End-Stage Renal Disease

  • Hemodialysis & Access Issues
  • Peritoneal Dialysis
  • Transplant
    • Cadaveric vs. Living Donor
    • Pre-Transplant Considerations
    • Post-Transplant Care
  • Complications of Therapy
    • Infection
    • Rejection
    • Cancer
  • Psychosocial Support
  • Transitioning to Palliative Care or Hospice

Patient Education & Compliance

  • Strategies to Prevent Non-Compliance
  • Cultural Considerations
  • Avoiding Re-Admission
  • Incorporating the Family

 

Faculty

Acute and Chronic Kidney Disease

Carla J. Moschella, PA-C, MS, RD Related seminars and products: 3

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.