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Urgent and Non-Urgent Hyperkalemia

Course description

This activity will address the some of the considerations that inform clinical judgments essential to the evaluation and management of hyperkalemia as encountered in the outpatient arena. Program content includes a review of the cellular mechanisms that normally ensure potassium homeostasis, how these are affected by RAAS inhibitors, hyperkalemic risk assessment based on clinical trials, and characteristics of the ideal, current and emerging oral ion exchangers.

Learning Objectives: 

After participation in this activity, learners will be better able to:

  • Describe the pathophysiology of hyperkalemia as affected by underlying conditions that modify clinical outcomes 
  • Identify considerations that clarify the urgency of actionable degrees of hyperkalemia based on information from clinical trials
  • Describe mechanisms that regulate potassium balance and how they are affected by renin-angiotensin-aldosterone system (RAAS) inhibition
  • Describe how emerging oral ion exchangers may affect current practices
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Target audience: 
  • Physicians
  • Physician Assistants
  • Nurse Practitioners
  • Nurses
  • Pharmacists
  • Dietitians
CME/CE Information:

Physician

The National Kidney Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The National Kidney Foundation designates this enduring for a maximum of 1.5 AMA PRA Category 1 Credit(s).  Physicians should claim only the credit commensurate with the extent of their participation in the activity.  

Physician Assistant

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit(s)™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1.5 hours of Category I credit for completing this program.

Nurse Practitioners

This program is approved for 1.5 contact hours of continuing education (which includes 0.33 hours of pharmacology) by the American Association of Nurse Practitioners. Program ID 16072225.

This program was planned in accordance with AANP CE Standards and Policies.  

Nurse

The National Kidney Foundation is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Awarded 1.5 contact hours of continuing nursing education (includes 0.33 contact hour in the area of pharmacology).

Dietitian

The National Kidney Foundation is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR).  CDR Credentialed Practitioners will receive 1.5 Continuing Professional Education Units (CPEUs) for completion of this activity/material.

Pharmacist

The University of Illinois at Chicago College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education.  Reading the learning objectives and faculty disclosures; participating in the entire knowledge-based activity, completing the pre-test, active learning activity, post-test (minimum score of 70% required; may be taken up to 3 times) and activity evaluation; estimating duration of time spent on the activity; and submitting NABP eProfile ID and MMDD are prerequisites for receiving continuing pharmacy education credits.  This knowledge-based activity has been assigned ACPE Universal Activity Number 0016-9999-16-048-H01-P, for 1.5 contact hours (0.15 CEUs).  All ACPE credit awarded to participants must be uploaded to CPE Monitor ™ within 30 days of the activity date, so pharmacists and pharmacy technicians are required to provide their e-Profile ID and date of birth (MMDD) at the time of the activity.  Please contact pharmce@uic.edu if you do not see activity information listed within 30 days.  For more information and to set up your e-Profile visit: www.MyCPEmonitor.net.

Method of Participation:

Learners will review the materials on accreditation information, target audience, learning objectives, and disclosure information; participate in the entire self-study consisting of slides and audio; and complete the post-test (minimum score of 70% required) and evaluation to successfully earn credit.  The estimated time for completion is 1.5 hours. 

Declaration of Disclosure:

It is the policy of the National Kidney Foundation (NKF) to ensure balance, independence, objectivity, and scientific rigor in all CME/CE activities. Any individual who has control over CME/CE content is required to disclose to learners prior to the activity any relevant financial relationship(s) they may have with commercial interests supporting this activity or whose products or devices are discussed in this activity.  

If, on the basis of information disclosed, a perceived conflict exists, resolution will be achieved based on NKF's Disclosure and Conflict of Interest Policy.

Unlabeled/Investigational Use:

During their presentations, faculty may discuss an unlabeled use or an investigational use not approved for a commercial product. Each faculty member is required to disclose this information to the audience when referring to an unlabeled or investigational use.

Disclaimer:

The faculty and National Kidney Foundation (NKF) do not recommend the use of any pharmaceutical, diagnostic test, or device outside of the labeled indications as approved by the FDA. Please refer to the official prescribing information for each product for approved indications, contraindications, and warnings.

Information contained in this NKF educational resource is based upon current data available at the time of publication. Information is intended to help clinicians become aware of new scientific findings and developments.  This NKF educational resource is not intended to set out a preferred standard of care and should not be construed as one. Neither should the information be interpreted as prescribing an exclusive course of management.

Variations in practice will inevitably and appropriately occur when clinicians take into account the needs of individual patients, available resources, and limitations unique to an institution or type of practice. Every healthcare professional making use of information in this NKF educational resource is responsible for interpreting the data as it pertains to clinical decision making in each individual patient.

Credits & accreditation
  • 1.50 AANP Contact Hours
  • 1.50 ACPE Contact Hours
  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 ANCC Nurse Contact Hours
  • 1.50 Attendance
  • 0.33 AANP Pharmacology
  • 0.33 ANCC Pharmacology
  • 1.50 Category I Credit for Physician Assistants
  • 1.50 CDR CPEUs
Faculty & disclosure
Faculty Disclosures:

Ishir Bhan, MD, MPH
Harvard University
Assistant Professor of Medicine
Boston, MA
Disclosure: Is a consultant for Amgen in the area of Mineral and Bone Disease, and received a research grant from Biogen in the area of Vitamin D and Multiple Sclerosis.

Linda Fried, MD, MPH, FNKF
Professor of Medicine, Epidemiology, and Clinical & Translational Science
University of Pittsburgh
VA Pittsburgh Healthcare System
Pittsburgh, PA
Disclosure: Other: Pfizer; Research Grants: Abbvie and Nephrogenex; Consultant: Bayer

Csaba Kovesdy, MD
Fred Hatch Professor of Medicine
University of Tennessee Health Science Center
Memphis, TN
Disclosure: Has no financial relationships with commercial interest(s).

Planning Committee Disclosures:

Darren Grabe, BS, PharmD
Associate Professor, Interim Chair Pharmacy Practice Department
Albany College of Pharmacy and Health Sciences
Delmar, NY
Disclosure: Has no financial relationships with commercial interest(s).

Beth Evans, RN, MSN, DNP
Associate Professor, Interim Chair Pharmacy Practice Department
Albany College of Pharmacy and Health Sciences
Delmar, NY
Disclosure: Has no financial relationships with commercial interest(s).

Nancy Schuessler, MFA
Program Director
National Kidney Foundation
New York, NY
Disclosure: Has no financial relationships with commercial interest(s).

Nathalie Harden
Director, CME
National Kidney Foundation
New York, NY
Disclosure: Has no financial relationships with commercial interest(s).

Anna Okoniewski
CME/CE Activities Manager
National Kidney Foundation
New York, NY
Disclosure: Has no financial relationships with commercial interest(s).

CME/CE Reviewer Disclosures:

Henkie Tan, MD, PhD, FACS, FAST
Surgical Director, Kidney Transplantation
Associate Professor of Surgery
Veterans Hospital of Pittsburgh
University of Pittsburg Medical Center
Pittsburgh, PA
Disclosure: Has no financial relationships with commercial interest(s).

Annette Hood, DNP, APRN, ANP-BC
Nephrology Nurse Practitioner
Metro Hypertension & Kidney Center
Hazelwood, MO 
Disclosure: Has no financial relationships with commercial interest(s).

Marisa Juarez, MPH, RD, LD
Senior Renal Dietitian
Texas Children's Hospital
Houston, TX
Disclosure: Spouse receives a salary from Baxter.

The University of Illinois at Chicago College of Pharmacy
Office of Continuing Education and Meeting Services
Chicago, IL
Disclosure: No financial relationships with commercial interest(s).

Supported by an educational grant by ZS Pharma.

Additional information
Required hardware / software: 

System requirements can be found here.

Contact Information:

For any questions concerning this activity, please send an email to CMEinfo@kidney.org or call NKF at 1-800-622-9010.

To view NKF privacy and confidentiality policy as it relates to CME/CE activity, please visit http://www.kidney.org/

For additional professional education resources, contact NKF at 1-800-622-9010 or visit https://www.kidney.org/professionals 

Course summary
Available credit: 
  • 1.50 AANP Contact Hours
  • 1.50 ACPE Contact Hours
  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 ANCC Nurse Contact Hours
  • 1.50 Attendance
  • 0.33 AANP Pharmacology
  • 0.33 ANCC Pharmacology
  • 1.50 Category I Credit for Physician Assistants
  • 1.50 CDR CPEUs
Course opens: 
08/17/2016
Course expires: 
08/17/2017
Cost:
$0.00

Enrollment Restricted

Please login or register for a PERC account to take this course.