This course is broken up into (4) 2-hour classes and is under review by CDR for 8 CPE credits
Class Dates:
(We promise we'll have some breaks)
**All classes will be recorded if you are unable to attend for the live event**
A special welcome from Jess
How to print the slides
How to attend the LIVE classes
Class Dates: **All classes will be recorded if you are unable to attend for the live event**
CLASS RECORDING 1.1 Intro, objectives, basic info
CLASS RECORDING 1.2 Etiology, what hemo does, how hemo works
CLASS RECORDING 1.3 Access and Adequacy
CLASS RECORDING 1.4 Modern versus Liberalized Renal Diet
Class Slides- Module 1
Labs to know reference sheet
Traditional Renal Diet vs Modern Renal Diet
Test your Understanding
Feedback for us please!
Module 2: Part 1
Module 2: Part 2
Module 2: Part 3 Case Studies
Class Slides- Module 2
Albumin decision tree.docx
Albumin as a Nutritional Marker in Kidney Disease
Inflammation Cheat Sheet
Test your understanding
Feedback for us, please:)
Module 3 Recording: Part 1
Class Slides- Module 3
Malnutrition Screening Tool
SGA Tool
Malnutrition inflammation index form
Protein food sources
Protein powerhouse handout
Adding more calories & protein handout
Test your learning
Feedback for us please:)
Class Recording Day #3 (includes multiple topics - will be pieced out ASAP)
Class Slides Module 5
REL_Double-Boil-Your-Potatoes (2)
Test your understanding
Possible Non-Diet Hyperkalemia
Feedback for us please:)
Potassium case studies
Class Recording
Class Slides- Module 4
Test your learning
Blank VDRA Dosing Spreadsheet + Instructions
Phos Binders Dosing and Considerations
Excellent Secondary Hyperparathyroidism Overview
Hidden Phos 1
Hidden Phos 2
Article Understanding Sources of Dietary Phosphorus in the Treatment of Patients with CKD
Update on Phos Binders
THE-MAGIC-OF-YOUR-PHOSPHATE-BINDERS-HANDOUT
Phosphorus case studies
PTH Case studies
Resources
Phosphorus IQ Quiz
Binder decision tree
Renal nutrition is a whole new world...
The renal world is full of new acronyms and abbreviations, labs and patients that don’t follow the usual rules, new medications that you are responsible for managing, juggling multiple disease states, and a diet that seems to fly in the face of decades of healthy eating research. It can be overwhelming, confusing, and frustrating. On top of that, you quickly find out that everyone - doctors, nurses, patients- is looking to you to be an expert from day 1 on all things renal. It’s definitely a humbling first couple years as you realize you have a lot to learn.
However, it can also be rewarding by pushing you to be more creative and raising your clinical judgment and knowledge to new heights. You also have the unique opportunity to work with a team that can give you great support and together you see lives change and improve. This is the renal world.
So consider this course as your cultural and travel guide to help you learn the new language and culture, be confident in finding your way around- and help others find their way as well, and experience all the great attractions to make your renal world adventure unforgettable- in a good way.
•Understand kidney disease, treatment, nutritional guidelines and needs of individuals receiving hemodialysis (HD)
•Confidently analyze and assess labs, symptoms, diets, medications and physical assessment of individuals receiving HD
•Identify nutrition needs and work with the patient to implement evidence-based nutrition interventions
•Evaluate and monitor effectiveness of interventions, and make appropriate changes if needed
The objectives are covered in each of these 6 modules:
1- Overview of kidney disease, dialysis, the renal dietitian’s role, and the renal diet:
Functions of the kidney, causes of kidney disease
How dialysis works, dialysis access and how dialysis and access type impacts labs
Review of labs- what makes them high or low, renal ranges
Renal dietitian role and responsibilities (labs, nutrition assessment on a monthly basis, patient nutrition needs )
Renal diet- components of traditional and liberalized renal diet, the evidence supporting implementing each
2- Inflammation and Albumin:
Inflammation in CKD- causes and contributions
Assessing inflammation in patients (conditions, lifestyle, diet symptoms, labs)
Albumin role and importance in dialysis patients
KDOQI guidelines and recommendations for albumin
Interventions for inflammation and low albumin
Case studies
3- Malnutrition and protein
Complexities of malnutrition in CKD
Protein needs and how to assess protein intake
Protein food sources
Diagnosing/ screening for malnutrition: SGA, malnutrition inflammation score, malnutrition screening tool
Causes and intervention for malnutrition and decreased intake
Using protein supplements: KDOQI and evidence based guidelines
Case studies
4- Bone and mineral management (Access to just this session
Review relationship between PTH, calcium, phosphorus and vitamin D
Bone and mineral diseases and how they impact calcium, PTH and phosphorus
Target ranges for bone and mineral labs
How medications impact bone and mineral labs
Overview of medications used in bone and mineral management- how they work, starting doses, considerations
For phosphorus, PTH, calcium and vitamin D- impact on CKD outcomes, causes of abnormal levels, dietary impact, evidence-based guidelines for target ranges, assessment and interventions, clinical tools for using different medications, sample protocols for monitoring and evaluation.
Case studies
5- Potassium balance
Impact of potassium in CKD
Guidelines and evidence for target ranges, causes and interventions
Non-dietary causes for high potassium
Food sources for potassium
Medications to lower potassium
Monitoring and evaluation
Case studies
6- Fluid and sodium management
Impact of sodium and fluid on CKD
Guidelines and evidence for target ranges, causes and interventions
Review ultrafiltration impact on outcomes in CKD
Sodium restriction- primary sources of sodium, strategies for reducing sodium intake
Dry mouth- causes and interventions
Psychological and psychosocial causes and interventions
Tools for monitoring and evaluation of fluid gains and sodium intake
Case studies
PLUS:
- References for more in-depth study
- Curated patient handouts and clinical resources for each module
- Guidance on resources for further training in renal nutrition, kidney disease and counseling techniques, CEUs, and patient handouts
Lindsey Zirker, MS, RD, CSR, LD
I am beyond excited to introduce Lindsey Zirker as the instructor for the MNT in Hemodialysis Course. I met Lindsey at National Kidney Foundation Spring Clinicals over ten years ago as a newbie dietitian and was immediately drawn to her in depth but practical knowledge regarding implementing the best science-based nutrition guidelines. As a new dietitian more than ten years ago, she answered many many many of my questions as I became oriented to working in dialysis
Lindsey has been in the nephrology field in some capacity her entire career. She spent more than 10 years as the dietitian at the Idaho Kidney Center. She now serves as the Program Development Director for the RenAlign non-profit and spends the majority of her time creating incredible evidence-based resources and courses to help renal dietitians. She runs a private practice on the side seeing people with early stage CKD.
She has an incredible capacity for taking a deep dive into the science of nutrition and assimilating it into practical practice. She is an accomplished speaker that can take complex science on topics such as inflammation or gut health, and make them simple and applicable in daily practice.
Excellent
Excellent
Read LessThank you from a new renal RD!!
Thank you from a new renal RD!!
Read LessEverything about this course was helpful! The Bone Management section was very thorough and helpful.
Everything about this course was helpful! The Bone Management section was very thorough and helpful.
Read Less