Conference Coverage

Reducing Central Venous Catheter Related Infections

Dallas—Infection, the second leading cause of death in patients with end-stage renal disease, is associated with increased hospitalization rates and increased healthcare costs. Approximately 19% of dialysis procedures nationwide involve central venous catheters (CVCs); CVCs are associated with 70% of access-related blood stream infections in patients with ESRD receiving hemodialysis therapy. According to Norma Gomez, MBA, MSN, RN, CNNe, decreasing ... Read More »

Use Patterns of Patiromer in Cohort of US Veterans with Hyperkalemia

Dallas—The novel sodium-free, non-absorbed potassium binder patiromer is approved for the treatment of hyperkalemia. Elvira O. Gosmanova, MD, and colleagues reported on the results of a retrospective cohort study designed to describe the potassium binder treatment patterns among US veterans with hyperkalemia. Study results were presented at the 2019 ANNA National Symposium in a presentation titled Disparities in Real-World Utilization ... Read More »

Case Report: Peritoneal Dialysis in a Patient with Ascites

Dallas—During the 2019 ANNA National Symposium, Terrie Colvard, BSN, RN, and Nikeyia Davis, BSN, RN, CNN, described a procedure that enables patients with ascites requiring paracentesis who are dialysis dependent to effectively utilize peritoneal dialysis. The presentation was titled Utilization of Peritoneal Dialysis in Patients with Ascites. Abdominal paracentesis involves surgical puncture of the peritoneal cavity with a needle or ... Read More »

Dialysis Nurses Advocate for Patient Autonomy

Dallas—The patient advocacy role of the nephrology nurse is key, allowing the nurse to assist patients gain full understanding of their treatment plan, gain confidence, and participate in decision making. Leah J. Wayner, MSN, ACNP, CNN-NP, of the division of nephrology at the University of Virginia in Charlottesville, recently undertook an exploration of the nurse-patient relationship as it related to ... Read More »

Patient-Centered Care Key in Promoting Self-Management of Chronic Kidney Disease

Dallas—Patients receiving hemodialysis therapy may face complex lifestyle changes, including diet and fluid restrictions, that have adverse effects on their physical and emotional well-being. The role of nephrology nurses to promote patient self-management and helping patients manage these changes in lifestyle is key. Rahel Bahru, RN, BN, MScA(N), and colleagues at the hemodialysis unit of St. Mary’s Hospital Center at ... Read More »

The Psychological Effects of Unplanned Initiation of Dialysis

Dallas—Patients with end-stage renal failure who have to initiate dialysis without prior planning are at increased risk for morbidity, mortality, and have increased use of healthcare resources. Eva-Lena Nilsson, MSN, RN, at the Skanes University Hospital, Malmo, Sweden, conducted a study to describe the meaning of the phenomenon described as “initiating hemodialysis in an unplanned fashion.” The study design was ... Read More »

Patients with History of Diabetes Require Hourly Glucose Checks during Hemodialysis

Dallas—To answer the question “How can nurses manage the care for preventing hypoglycemia for patients on insulin drip wile on hemodialysis?,” Margaret Shegog, BSN, RN, and colleagues conducted a literature review. They reported results of the review at the 2019 ANNA National Symposium in a presentation titled, Rebound Hypoglycemia Post Hemodialysis Related to Intradialytic Insulin Titration. Patients have a false ... Read More »

Blood Pressure Measurement in Pediatric Transplant Recipients

Dallas—Compared with the general pediatric population, life expectancy is decreased among pediatric renal transplant recipients, cardiovascular disease is a key factor in poor outcomes. When blood pressure is improperly measured and thus untreated or undertreated, both cardiovascular health and overall health can be directly affected. Cindy Richards, BSN,, RN, CNN, and colleagues at Children’s of Alabama, Birmingham, reported on efforts ... Read More »

2019 ANNA National Symposium

April 14-17 Dallas, Texas The American Nephrology Nurses Association (ANNA) celebrated 50 years of education, advocacy, networking, and science for nephrology nurse members at its 2019 National Symposium. From its beginning in 1969, ANNA has grown to 8500 members, representing healthcare professionals working in areas that include conservative management, hemodialysis, peritoneal dialysis, continuous renal replacement therapy, transplantation, industry, and government ... Read More »