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C-Reactive Protein and Anemia:Implications for Patients on Dialysis
 (Vol 33/No. 5. On-line test expires: 10/20/2008)
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
Please download and print the PDF file below:
  AUTHOR
Randee Breiterman-White, MSN, RN, CNN
 Randee Breiterman-White, MSN, RN, CNN, is Clinical Nurse Specialist and Case Manager in Nephrology, Vanderbilt University Medical Center, Nashville, TN. She is a member of the Music City Chapter of ANNA. The author has no conflict of interest to disclose.
  OUTLINE

C-reactive protein (CRP) is an acute-phase reactant protein that increases significantly in the presence of intercurrent (concurrent) events such as infectious and inflammatory processes. Data indicate that CRP levels correlate with anemia parameters, higher levels being associated with an increased comorbidity burden, lower hemoglobin (Hb) levels, and higher Epoetin alfa dose requirements. This article explores the use of CRP monitoring in patients on dialysis, and the relationship to anemia outcomes.
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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:
Discuss the clinical insights that may be provided by CRP levels, and the implications for anemia management.

Objectives:
1. Discuss why CRP levels are typically elevated in patients on dialysis.
2. Explain variations in CRP levels during infectious or inflammatory conditions.
3. Explain how CRP levels may reflect and prevent anemia outcomes.
AUTHOR DISCLOSURE STATEMENT
Randee Breiterman-White 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.