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IV Iron Use in Patients With Higher Serum Ferritin: Case Study on Anemia in Kidney Disease
 (Vol 35/No. 2. On-line test expires: 02/20/2010)
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.
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Please download and print the PDF file below:
  AUTHOR
Kristin Larson, MSN, ANP, GNP, CNN
 Kristin Larson, MSN, ANP, GNP, CNN, is a Nephrology Nurse Practitioner, Nephrology Associates, Salt Lake City, UT. She is the Chairperson of ANNA’s Health Policy Committee and a member of the Intermountain Chapter.
  OUTLINE

Anemia management practices in patients on hemodialysis that incorporate a balanced approach to erythropoiesis-stimulating agent (ESA) and intravenous (IV) iron therapy, use the lowest effective dose of ESA, and provide IV iron therapy in patients with higher serum ferritin levels have become important treatment considerations. This case study, followed by an indepth discussion, addresses these issues and helps to identify safe and effective treatment strategies to assist nurses in improving patient outcomes.
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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:
To identify anemia management practices for safely and effectively achieving appropriate hemoglobin (Hb) targets, reducing ESA requirements, addressing elevated serum ferritin levels, and overcoming obstacles to effective erythropoiesis.

Objectives:
1. Evaluate a case study involving an increase in maintenance IV iron to improve Hb levels and overall patient outcomes.
2. Understand how to interpret updated KDOQI and FDA recommendations that address emerging information about ESAs, Hb targets, IV iron, and patients with elevated serum ferritin levels.
3. Discuss the relevance of this information for treating patients on hemodialysis who have anemia and recent evidence that IV iron administration is an effective solution for such patients.

AUTHOR DISCLOSURE STATEMENT

Kristin Larson 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.