Introduction to Home Hemodialysis: Current Trends, Prescription Types, and General Aspects to Consider
New Course!
Home Hemodialysis Curriculum
Module 1: The first module in our home hemodialysis curriculum will introduce you to the fundamental elements of HHD, including a review of current trends in HHD utilization, an introduction to the components of an HHD prescription, and a discussion of important considerations for HHD therapy – such as vascular access, physical requirements, and remote monitoring and support.
Introduction to Home Hemodialysis: Effect of Increasing Frequency and Duration of Hemodialysis, Benefits and Risks
New Course!
Home Hemodialysis Curriculum
Module 2: The second module in our home hemodialysis curriculum describes adequacy measures and guidelines for conventional and more frequent hemodialysis, reviews the effects of increasing frequency and duration of hemodialysis treatments, and discusses the associated benefits and risks of performing more frequent hemodialysis at home.
Patient Eligibility for Home HD, Shared Decision-Making, and Training Fundamentals
New Course!
Home Hemodialysis Curriculum
Module 3: The third module in our home hemodialysis curriculum reviews strategies to support patients choosing home hemodialysis, including how to evaluate patient eligibility for HHD and remove modifiable barriers to home treatment; how to talk to patients about their treatment options, engage in shared decision-making, and deliver person-centered care; and introduces elements of successful patient training to promote success at home.
Hemodiafiltration (HDF) 101
Hemodiafiltration (HDF) Curriculum
Module 2: This module introduces the fundamentals of hemodiafiltration (HDF), the technical requirements, different HDF modalities, and a potential prescription.
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. #Spanish
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
Hemodialysis Vascular Access Cannulation
This course will provide an in-depth review on vascular access care and the recommended cannulation techniques. It will address the importance of access care and evaluation before cannulation, describe the most common cannulation-related complications and discuss measures to prevent these complications.
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
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. #Spanish
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. Click Here to start presentation.
Peritoneal Dialysis Essentials (Modules 1-3)
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.
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
The PD Prescription
In this course, we will review peritoneal dialysis modalities, discuss the steps necessary for determining the initial PD prescription, as well as ways to evaluate and optimize the prescription according to current guidelines and recommendations. We will utilize the online PD calculator to walk through patient cases and illustrate important clinical considerations.
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
Composition of PD Solutions and Their Clinical Application
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.
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
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. #Spanish
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
Clinical and Surgical Management of Non-Infectious Complications in PD
This course will discuss common causes of non-infectious complications of peritoneal dialysis (PD) and review patient case examples on the prevention, recognition, and management of non-infectious PD complications. A comprehensive roundtable discussion will cover many frequently asked questions from the clinical and surgical aspects.
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
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.
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
A Practical Approach to Sodium Management in Dialysis Patients
This course will review sodium balance and toxicity in dialysis patients, discuss the role of sodium (NA) according to the new understanding of physiology, explain sodium-water imbalances in dialysis patients, describe dietary approach and sodium management in Hemodialysis (HD) and peritoneal dialysis (PD) patients. #Spanish
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
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. #Spanish
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. Click Here to start presentation.
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
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. #Spanish
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
Urgent Start Peritoneal Dialysis
In this course, we will describe the history of dialysis initiation and define urgent start Peritoneal Dialysis (PD), review the outcomes, potential benefits, and risks associated with urgent start PD, discuss the logistic and prescription considerations of urgent start PD, and examine the use of PD for acute kidney injury. #Spanish
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
Introduction to Continuous Kidney Replacement Therapy (CKRT)
This educational course is designed to provide an introductory overview of continuous kidney replacement therapy (CKRT), which is commonly used in the critical care setting. Several fundamental concepts will be addressed, including basics of kidney anatomy and function, options for kidney replacement in the critical care setting, fundamental principles governing different CKRT modalities, and a review of potential clinical challenges associated with CKRT. This is an opportunity for clinicians to enhance their familiarity with the terminology of CKRT and gain confidence in the understanding of its goals, mechanisms of action, and circuit components.
Fundamentals of Therapeutic Plasma Exchange (TPE)
Therapeutic plasma exchange, or TPE, is a component of the management of a wide range of clinical conditions. TPE involves the separation and removal of plasma, which often contains pathologically relevant substances, from the other components of blood. This removed volume is accounted for with the infusion of a replacement solution that also has the potential to add individual components that may be absent or deficient in the patient. TPE may be provided with different techniques, and this course has been designed to educate providers on the core aspects of TPE procedures, common clinical indications for this therapeutic approach, potential complications of TPE, and other clinical considerations such as anticoagulation management.
ECMO Physiologic Foundations for Practice-Changing Technology
Extracorporeal Membrane Oxygenation, otherwise known as ECMO, is a technique that provides respiratory and/or cardiac support to patients whose own heart and lungs are unable to meet the body’s metabolic demands. The use of this technique has increased dramatically over the past decade, with a wide range of potential clinical applications. This activity is designed to familiarize you with key physiologic principles of respiratory and cardiovascular functions, how common pathologic conditions can disrupt cardiopulmonary function, and the role of ECMO in helping to preserve cardiopulmonary function.
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, the use of IV vs. oral iron agents and Hypoxia-Inducible Factor Prolyl Hydroxylase Inhibitors (HIF-PHIs).#Spanish
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
Managing Suboptimal Responsiveness to Anemia Treatment for Patients with CKD
New Updates!
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.
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
The Use and Application of Hemodiafiltration (HDF)
This course provides a comprehensive overview of fundamental concepts of Hemodiafiltration (HDF). It describes the technical requirements for HDF, discuss the potential prescription with HDF, and review the clinical outcomes with the use of HDF. #HDF
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
Diabetic Kidney Disease and Use of Sodium Glucose Transporter 2 (SGLT2) Inhibitors
In this course, we will describe the role of the kidneys and sodium glucose transporters (SGLTs) in glucose homeostasis. We will review diagnosis, prevalence, and current treatment options for diabetes and diabetic kidney disease (DKD) and explain the mechanism of action of SGLT2 inhibitors. We will also highlight the importance of early prescribing of SGLT2 inhibitors in CKD and DKD.
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
Significance of Serum Albumin as a Clinical Indicator in CKD and ESRD
This course provides a comprehensive overview on the physiology and functional importance of serum albumin, discusses the pathophysiology and methods of evaluation of hypoalbuminemia in CKD and ESRD. It reviews albumin loss associated with different dialysis modalities and the effect of hypoalbuminemia on clinical outcomes.
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
Pharmacological Intervention and Outcomes in Hyperphosphatemia and Mineral Bone Disorder
This course will provide an overview on the characteristics of different phosphate binders for treatment of hyperphosphatemia in dialysis patients. It will describe the general mode of action and administration of phosphate binders, discuss effects of phosphate binders and explain how vitamin D and calcimimetics can be used in the treatment of Secondary Hyperparathyroidism (SHPT), and different barriers to CKD-MBD management. #Spanish
If you have purchased CME credit(s) for this course, please click HERE to view the Learner Notification.
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. #Spanish
Hypertension in Hemodialysis Patients
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.
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.