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Accurate Dry Weight Assessment:
Reducing the Incidence of Hypertension and Cardiac Disease in Patients on Hemodialysis
 (Vol 31/No. 6. On-line test expires: 12/20/2006)
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.
  DOWNLOAD TEST ARTICLE
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  AUTHOR
Wendy Purcell, RN, BEdStud, GradDipNurs
 Wendy Purcell, RN, BEdStud, GradDipNurs, is a Renal Anemia Coordinator for the Royal Melbourne Hospital and the North West Dialysis Service in Melbourne, Victoria, Australia; and an international member of ANNA.
Elizabeth Manias, PhD, RN, BPharm, MPharm, GradCertCritCare, MNursStud
 Elizabeth Manias, PhD, RN, BPharm, MPharm, GradCertCritCare, MNursStud, is an Associate Professor and the Higher Degrees Coordinator at the School of Nursing, The University of Melbourne.
Allison Williams, PhD(c), RN, GradCertNurs, GradDipNurs, MNursStud
 Allison Williams, PhD(c), RN, GradCertNurs, GradDipNurs, MNursStud, is the coordinator of the Postgraduate Diploma in Renal Nursing and Master of Nursing (by Coursework) at the School of Nursing, The University of Melbourne, Victoria.
Rowan Walker, MD, MBBS, FRACP
 Rowan Walker, MD, MBBS, FRACP, is Deputy Director of Nephrology, Royal Melbourne Hospital, and Physician in Charge of ESKD and Director of Dialysis and Transplantation, Royal Children’s Hospital, Melbourne, Victoria.
  OUTLINE

Hypertension is a major cause of cardiac disease in patients on hemodialysis (HD) and is most commonly due to hypervolemia. Removal of excess water during HD can successfully normalize blood pressure, but its success depends on an accurate assessment of dry weight. This article reviews the literature concerning hypertension in patients on HD and proposes that increased attention by dialysis staff to assessing dry weight may reduce the incidence of hypertension and cardiac disease in these patients.
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  CE RELATED INFORMATION
This offering for 1.6 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 impact of chronic volume overload and inaccurate dry weight assessment on the incidence of hypertension and cardiac disease in patients on hemodialysis.

 Objectives:
1. Cite the morbidity and mortality associated with hypertension in patients with kidney disease.
2. Examine effective methods to attain dry weight and control hypertension in patients on hemodialysis.
3. Explain physiologic principles that affect ultrafiltration and achievement of dry weight during the dialysis treatment.
AUTHOR DISCLOSURE STATEMENT
Wendy Purcell, RN, BEdStud, GradDipNurs has no conflicts of interest to disclose.
Elizabeth Manias, PhD, RN, BPharm, MPharm, GradCertCritCare, MNursStud has no conflicts of interest to disclose.
Allison Williams, PhD(c), RN, GradCertNurs, GradDipNurs, MNursStud has no conflicts of interest to disclose.
Rowan Walker, MD, MBBS, FRACP has no conflicts of interest to disclose.



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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.