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Renal Regulation of Extracellular
Fluid Volume and Osmolality
(Vol 31/No. 4. On-line test expires: 08/20/2006)
To receive continuing education credit, you must read the information in this article and take an on-line post test and fill out an on-line program evaluation form. The certificate will then be generated for you as a .pdf file which you can print out locally on your computer.

CE Certification by ANNA requires a handling charge that must be paid by credit card. Pricing information is available by clicking on the "Post-Test Evaluation" link below.
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  AUTHOR
Lori Candela, EdD, RN
Lori Candela, EdD, RN, is Assistant Professor,
University of Nevada School of Nursing, Las Vegas, NV.
Carolyn Yucha, PhD, RN
Carolyn Yucha, PhD, RN, is Professor and Dean, University of Nevada at Las Vegas, Las Vegas, NV.
  OUTLINE

In order for our body cells to function properly, they must be surrounded in extracellular fluid that is relatively constant with regard to osmolality. The kidneys, in concert with neural and endocrine input, regulate the volume and osmolality of the extracellular fluid by altering the amount of sodium and water excreted. This is accomplished primarily through alterations in sodium and water reabsorption, the mechanisms of which differ within each nephron segment..

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  CE RELATED INFORMATION
This offering for 2.5 contact hours is being provided by the American Nephrology Nurses’ Association (ANNA), which is accredited as a provider and approver of continuing education in nursing by the American Nurses’ Credentialing Center-Commission on Accreditation (ANCCCOA). This educational activity is approved by most states and specialty organizations that recognize the ANCC-COA accreditation process. ANNA is an approved provider of continuing education in nursing by the California Board of Registered Nursing, BRN Provider No. 00910.

  EDUCATIONAL OBJECTIVES

Goal:
Discuss the mechanism by which the kidney integrates signals from other body systems to control extracellular fluid volume and osmolality.

Objectives:
1. Describe the mechanisms by which sodium and water input and output are controlled.
2. Outline the neurological and endocrine effects on sodium and water homeostasis.
3. Compare and contrast the mechanisms for sodium, chloride and water transport in the proximal tubule, the thick ascending limb and the collecting duct.

AUTHOR DISCLOSURE STATEMENT
Lori Candela has no conflicts of interest to disclose.
Carolyn Yucha has no conflicts of interest to disclose.



 ANNA and HDCN CE POLICY STATEMENTS

The CE policy and disclosure statements of the American Nephrology Nurses' Association are given in detail on the Symposium Home Page. The CE policy statements of HDCN are listed on this page.