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Flash Pulmonary Edema in Patients with Chronic Kidney Disease and End Stage Renal Disease
(Vol 34/No. 1. On-line test expires: 02/20/2009)
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
Carol M. Headley, DNSc, RN, CNN
Carol M. Headley, DNSc, RN, CNN, is Nephrology Advanced Practice Nurse at The VA Medical Center, Memphis, TN. She is ANNA’s National Program chairperson and a member of ANNA’s Memphis Blues Chapter.
Barry M. Wall, MD
Barry M. Wall, MD, is Professor of Medicine at The University of Tennessee Health Science Center, Memphis, TN, and Nephrology, Associate Chief at The VA Medical Center, Memphis, TN.
  OUTLINE

Flash pulmonary edema, also termed acute onset pulmonary edema, is characterized by the sudden onset of respiratory distress related to accumulation of fluid in the lung interstitium over a matter of minutes or hours. Chronic kidney disease is often associated with predisposing cardiac risk factors that make patients susceptible to development of flash pulmonary edema. This article highlights the connection between cardiac pathologies found in chronic kidney disease and development of flash pulmonary edema. Nephrology nurses may be instrumental in reducing the risk of flash pulmonary edema by recognizing symptoms of heart failure and need for treatment of acute elevations in blood pressure.

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  CE RELATED INFORMATION
This offering for 1.5 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; 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:
Recognize the risk for development of flash pulmonary edema in patients with chronic kidney disease and ESRD.

Objectives:
1. Identify causes of flash pulmonary edema that may occur in conjunction with chronic kidney disease and ESRD.
2. Recognize signs and symptoms of flash pulmonary edema.
3. Describe nursing measures that may avert development of flash pulmonary edema in individuals with advanced chronic kidney disease.


AUTHOR DISCLOSURE STATEMENT
Carol M. Headley has no conflicts of interest to disclose.
Barry M. Wall 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.