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Clinical Management of Intradialytic Hypotension: Survey Results
(Vol 32/No. 3. On-line test expires: 6/20/2007)
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.

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  AUTHOR
Susan M. Hossli, MSN, RN
Susan M. Hossli, MSN, RN, is Vice President, Clinical Marketing, The Synephros Group, Madison, WI. She is a member of ANNA’s Windy City Chapter.
  OUTLINE

Intradialytic hypotension (IDH) is one of the most common complications of hemodialysis treatment. Incidence of IDH varies from 10% to 50% of hemodialysis treatments. Numerous publications address the pathophysiology, effect of frequent episodes, and clinical management of IDH, but no recent publication has studied how IDH is managed in dialysis clinics. Interviews and a mail survey were conducted to develop a better understanding of the clinical issues and concerns surrounding the management of hemodialysis patients who experience episodes of IDH. Results of the survey indicate that IDH is prevalent and that clinical management is protocol- driven and consistent with treatment recommendations in the literature.

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  CE RELATED INFORMATION
This offering for 1.0 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; and the Kansas State Board of Nursing, Provider No. LT0148-0738. This offering is accepted for RN and LPN relicensure in Kansas

  EDUCATIONAL OBJECTIVES

Goal:
Examine the need for further research about the prevalence, and the clinical management, of intradialytic hypotension (IDH).

Objectives:
1. Relate the stated incidence of intradialytic hypotension (IDH) as a complication of hemodialysis to unit protocols that should exist.
2. Describe the protocols for management of intradialytic hyportension that are most commonly reported.
3. Analyze the need for further research into the inicidence and management of intradialytic hypotension.


AUTHOR DISCLOSURE STATEMENT
Susan M. Hossli, MSN, RN 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.