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The Challenges of Using Serum Ferritin to Guide IV Iron Treatment Practices in Patients on Hemodialysis With Anemia
 (Vol 33/No. 5. On-line test expires: 10/20/2008)
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  AUTHOR
Andrea Easom, MA, MNSc, APN, BC, CNN
 Andrea Easom, MA, MNSc, APN, BC, CNN, is Clinical Instructor, University of Arkansas for Medical Sciences, College of Medicine, Nephrology Division, Little Rock, AR. She is a member of the Arkansas Chapter of ANNA.
  OUTLINE

Expert guidelines recommend routine administration of intravenous iron therapy and frequent monitoring of iron status for patients on hemodialysis who are being treated for anemia with erythropoiesis-stimulating agents. However, monitoring iron status using conventional markers, such as serum ferritin, may be complicated by acute and chronic inflammation and malnutrition, which are common in this patient population. Therefore, nephrology nurses must be knowledgeable of the limitations of using serum ferritin to assess iron status and how to interpret high serum ferritin values to effectively treat patients on hemodialysis with anemia.
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  CE RELATED INFORMATION
This offering for 1.4 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:
Nephrology nurses will be able to incorporate the 2006 KDOQI clinical practice recommendations for iron administration into their anemia management practices.

Objectives:
1. Discuss the 2006 KDOQI clinical practice recommendations for target ranges for serum ferritin levels and transferring saturation.
2. Describe reasons that serum ferritin is an imprecise measure of iron status.
3. List resources the nurse can employ to more accurately determine the patient’s iron status.


AUTHOR DISCLOSURE STATEMENT
Andrea Easom 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.