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Managing Suboptimal Responsiveness to Anemia Treatment for Patients with CKD

New Course!

This course will provide an overview of key principles associated with the management of anemia in CKD, including factors that may contribute to suboptimal response to anemia treatment. It will also address evidenced-based approaches for patients who do not respond adequately to anemia treatment through series of clinical vignettes.

 

Transitions in Care for Dialysis Patients

New Video!

Dr. Leslie Wong provides a dynamic and comprehensive presentation on transitioning patients to home dialysis. In this recorded session, Dr. Wong will review important transition points in the care of dialysis patients, discuss practical aspects of Transitional Care Units (TCU), analyze patient outcomes from TCUs, and outline methods to screen and identify appropriate patients for home dialysis. He will also briefly discuss incremental start dialysis, urgent start dialysis, and transitioning from PD to HHD.

Composition of PD Solutions and Their Clinical Application

New Course!

This course provides a comprehensive overview of the dialysate solutions used in peritoneal dialysis; the composition and the role of each constituent. It will review the biocompatability of the conventional dextrose based solutions with special regards to the pH, Glucose Degradation Products (GDPS) and Advanced Glycosylation Endproducts (AGEs), and their effect on the peritoneal membrane. The course will also discuss the alternative PD solutions and their impact on peritoneal membrane, technique survival and patient outcomes.

Home Dialysis Options

This short animated video will provide an introduction to home dialysis options. It will outline the pros & cons of each modality. It also highlights the importance of modality education to grow home therapies.

 

Good Nutritional Practices for Hemodialysis Patients

This course will provide an overview on nutritional disorders and challenges of hemodialysis patients. It will summarize nutritional monitoring & assessment with 5 key Nutritional Practices for dialysis patients. It will also discuss special recommendations for dialysis patients with diabetes.

 

Anemia Jeopardy! 1 Player

Test your knowledge on Anemia Management in CKD!

Review the Anemia Management in Kidney Disease elearning course to learn more.

Anemia Jeopardy! 2 Players

Compete and test your knowledge on Anemia Management in CKD!

Review the Anemia Management in Kidney Disease elearning course to learn more.

Anemia Management in Kidney Disease

This course discusses the clinical manifestations, diagnostic criteria, etiologies and guideline recommendations on the management of anemia in Chronic Kidney Disease (CKD). It provides an overview on iron deficiency anemia, Erythropoietin Stimulating Agents (ESAs) recommendations and the use of IV vs. oral iron agents.

CKD-MBD Jeopardy! 1 Player

Test your knowledge on CKD-MBD!

Review the following elearning courses to learn more:

Understanding Hyperphosphatemia and Mineral Bone Disorder

Pharmacological Intervention and Outcomes in Hyperphosphatemia and Mineral Bone Disorder

CKD-MBD Jeopardy! 2 Players

Compete and test your knowledge on CKD-MBD!

Review the following elearning courses to learn more:

Understanding Hyperphosphatemia and Mineral Bone Disorder

Pharmacological Intervention and Outcomes in Hyperphosphatemia and Mineral Bone Disorder

Understanding Hyperphosphatemia and Mineral Bone Disorder

This course discusses the pathophysiology of Mineral Bone Disorder in chronic kidney disease (CKD) and reviews the roles of the major players in mineral bone homeostasis. The course also provides an introduction to the management and treatment approaches for this disorder.

KDIGO CKD-MBD 2017 Updates is available now! Click Here to start presentation.

Learn about the 2017 Updates of the KDOQI Mineral and Bone Disorder Guidelines and stay up-to-date with topics related to MBD diagnosis, recommended phosphorus intake, goal phosphorus levels, goal PTH levels, and MBD in transplant patients. The key differences between the 2017 and 2009 guideline recommendations are highlighted in the short presentation. Full guideline document can be accessed at the end of the presentation or by clicking on the references icon.

Fluids – Electrolytes – Acids and Bases

This course provides a comprehensive overview on major components of body fluid, mechanisms of homeostasis and their impact on fluid movement. It will review acid/base chemistry and roles of electrolytes in normal body functions. It will also cover how these components are regulated by the kidneys, the possible causes, symptoms and treatment strategies of imbalances in patients with kidney disease.

 

Fluids, Electrolytes, Acids and Bases Module 1

This module will review the basic concepts of body fluid composition, body water distribution, electrolyte distribution and acid/base chemistry.

 

Fluids, Electrolytes, Acids and Bases Module 2

This module will discuss how fluids, electrolytes, acids and bases are balanced within the body through homeostasis.

 

Fluids, Electrolytes, Acids and Bases Module 3

This module will discuss what happens when fluids, electrolytes, acids and bases are imbalanced in patients with kidney disease. It will cover causes, symptoms and possible treatment strategies of these imbalances.

 

Transitioning from Peritoneal Dialysis to Home Hemodialysis

This course will provide an overview on Peritoneal Dialysis (PD) to Home Hemodialysis (HHD) transition pathways, potential reasons for PD technique failure, patient considerations on choosing HHD. It will highlight the importance of early modality education and the outcomes with a PD to HHD approach.

*This is currently available as non-CE course only.

Home Therapies: Current State and Future Potential

This course will provide an overview on the current state of home therapies. It will describe why home dialysis therapies are underutilized and list reasons to justify the use of home therapies as a first-line option. It will also explain important patient and caregiver factors to consider when choosing between peritoneal dialysis and home hemodialysis. 

The Kidneys in Health and Disease

This course will review renal anatomy and nephron structure, principles of renal physiology, Acute Kidney Injury (AKI) prevalence and classification, Chronic Kidney Disease (CKD) prevalence and classification.

Hypertension in Hemodialysis Patients

New Course!

This course provides a comprehensive overview of the blood pressure (BP) management in hemodialysis patients. It reviews BP classification and the importance of appropriately monitoring patients with various methods for measuring BP. The diagnosis of hypertension and best practice recommendations for management and treatment for such patients are also discussed. Further, the course covers the potential causes and interventions for resistant and paradoxical hypertension during dialysis.

 

Fluid Management in Kidney Disease

This course will describe fluid compartments of the body and the role of the kidneys in fluid management, the consequences of fluid overload in kidney disease, guideline recommendations on fluid management approaches and the principles and applications of tools for measuring and evaluating fluid overload in patients with kidney disease.

Vascular Access in Hemodialysis

This course will discuss the importance of early patient education, explain risks, benefits and current trends for each type of vascular access. It will review basic principles of patient evaluation and discuss appropriate cannulation techniques and vascular access related complications.

KDOQI Vascular Access Guidelines 2020 Update is available now! Click Here to start presentation.

Learn about the 2020 Updates of the KDOQI Vascular Access Guidelines and stay up-to-date with topics related to patient preparation, access selection & placement, access dysfunction surveillance, AVG complications and catheter complications. The key differences between the 2006 and 2020 guideline recommendations are highlighted in the short presentation. Full guideline document can be accessed at the end of the presentation or by clicking on the references icon.

KDOQI Vascular Access Guideline Update 2020

Hemodialysis Essentials

Hemodialysis is the most common renal replacement modality in the US. This course will review history and current trends in hemodialysis, discuss the indications for hemodialysis and the components needed to perform it. We will look at the basic mechanisms of hemodialysis, hemodialysis prescriptions, dose and discuss potential complications and safety concerns. 

Home Hemodialysis: The Basics

Home hemodialysis is a valuable alternative to in center treatment for patients that prefer dialysis at home. This course provides an introduction to types of home hemodialysis prescriptions, technical requirements, patient selection and training. It further discusses the benefits as well as the potential complications of home hemodialysis.

Home Hemodialysis: The Basics – Module 1

This module reviews the history of home hemodialysis and discusses different types of home hemodialysis prescriptions.

Home Hemodialysis: The Basics – Module 2

This module provides an overview on various important lifestyle and technical factors to consider when performing home hemodialysis.

Home Hemodialysis: The Basics – Module 3

This module discusses considerations on patient selection and training for home hemodialysis.

Home Hemodialysis: The Basics – Module 4

This module reviews important safety aspects and discusses clinical outcomes associated with home hemodialysis.

Understanding and Applying the PET

This course will provide an overview on the purpose of peritoneal testing, how to perform a Peritoneal Equilibration Test (PET) and identifying common mistakes during a PET. It will review the parameters in a PET lab report and discuss patient cases to demonstrate how PET results can be used to customize PD prescriptions.

 

PD Plus Exchanges

This short animated video will provide an overview on PD Plus exchanges as a treatment option to individualize the PD prescription for selected patients. It will cover the key considerations to optimize the PD prescription and how PD Plus exchanges can be set up.

 

Welcome to the S.T.O.P Peritonitis Task Force Game!

This game provides a simulated clinic environment for you to manage your patients. You need to review medical records and lab data in order to select the appropriate treatments for your patients. You may learn materials by clicking on the “Play To Learn” mode when you enter the game. You may test yourself by clicking on the “Play To Win” mode and earn points moving up from Level 1 to Level 2.

You will gain a better understanding on the ISPD peritonitis recommendations 2016 update on prevention and treatment after the completion of this activity.

Challenge yourself to obliterate peritonitis now!

Peritonitis in Peritoneal Dialysis

This course provides up-to-date information on the classification, diagnosis and treatment of peritonitis in peritoneal dialysis (PD) patients according to the updated 2016 ISPD guideline recommendations. It also covers patient and treatment-related factors that can impact peritonitis and discusses prevention strategies.

Non-infectious Complications of Peritoneal Dialysis

This course will discuss the management of PD catheter complications, intra-abdominal pressure (IAP), other non-infectious complications and management of encapsulated peritoneal sclerosis (EPS).

Working With The PD Prescription

In this course, we will review the current peritoneal dialysis modalities, discuss the steps necessary for determining the initial PD prescription, as well as ways to evaluate and enhance the prescription according to current guidelines and recommendations.

Travailler avec la prescription de dialyse péritonéale

Dans ce cours, nous aborderons les modalités actuelles de dialyse péritonéale, les étapes nécessaires pour déterminer la prescription initiale, ainsi que les moyens d’améliorer la prescription selon les directives et recommandations en vigueur.

 

 

Peritoneal Dialysis Essentials

This course introduces the principles of peritoneal dialysis (PD). It reviews the essential components of PD such as the anatomy of the peritoneum, the concepts behind solute and fluid transport, patient selection criteria and the components of a successful PD program.

Les bases de la dialyse péritonéale

Nouveau cours en français!

Ce cours introduit les principes de la dialyse péritonéale (PD). Il donne un aperçu général des composantes essentielles de la DP, telles que l'anatomie du péritoine, les concepts du transport de soluté et de fluide, les critères de sélection des patients et les composantes d'un programme de DP fructueux.

 

Peritoneal Dialysis Essentials – Module 1

This module provides an overview on the anatomy of the peritoneum and physiology of peritoneal transport.

 

Peritoneal Dialysis Essentials – Module 2

This module reviews key concepts on peritoneal dialysis (PD) solutions, prescription parameters and modalities.

Peritoneal Dialysis Essentials – Module 3

This module discusses general patient selection criteria for peritoneal dialysis (PD) and components of a successful peritoneal dialysis (PD) program.

Urgent Start Peritoneal Dialysis and Transitioning to Hemodialysis

In this course, we will define an optimal dialysis start, discuss how to identify urgent start dialysis patients, list appropriate situations for urgent start peritoneal dialysis (PD) and describe factors necessary for achieving successful urgent start in peritoneal dialysis (PD) patients. We will also assess chronic dialysis options for urgent starts and describe steps involved in transitioning to these therapies.

Understanding Hyperphosphatemia and Mineral Bone Disorder – Module 1

This module discusses the definition of mineral bone disorder (MBD) in chronic kidney disease (CKD), important markers in CKD-MBD and monitoring parameters.

Understanding Hyperphosphatemia and Mineral Bone Disorder – Module 2

This module provides an overview on pathophysiology of CKD-MBD and review the roles of different key players in mineral bone homeostasis.

Understanding Hyperphosphatemia and Mineral Bone Disorder – Module 3

This module provides an introduction to the management and treatment approaches for CKD-MBD.

Peritoneal Dialysis (PD) in Children

This course provides an introduction to fundamental concepts of peritoneal dialysis (PD) in children, its challenges and potential complications.

Solutions de dialyse péritonéale (DP)

Ce cours donne un aperçu général des électrolytes, agents osmotiques et bases tampons actuellement utilisés dans les solutions de dialyse péritonéale (SDP). Le cours aborde également la biocompatibilité des SDP avec une attention particulière aux produits de dégradation du glucose (PDG) et aux produits terminaux de glycation avancée PTGA.

 

 

Peritoneal Dialysis (PD) Access

This course describes the underlying concepts in peritoneal dialysis (PD) access and how they can be applied to the improvement of clinical outcomes. It teaches how to identify the appropriateness of catheter type based on individual patient characteristics and incorporate appropriate patient preparation procedures into patient care. This peritoneal dialysis (PD) access course also covers how to recognize common signs and symptoms of complications associated with PD access

Peritoneal Dialysis Exit-Site Classification

This course will discuss peritoneal dialysis (PD) catheter exit-site infection (ESI), risk factors and accepted classification schemes. We will also review characteristics of different exit-site categories. We will also discuss how to perform ESI rate calculations and review elements and best practice guidelines for exit-site care.

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