Carla J. Moschella – Acute and Chronic Kidney Disease

Carla J. Moschella – Acute and Chronic Kidney Disease

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Description

Faculty:
Carla J. Moschella
Duration:
Full Day
Format:
Audio and Video
Copyright:
Dec 07, 2016

Description

Outline

Accurately assessing the function of the kidneys.

  • Interpreting Lab Tests
    • BUN
    • Creatinine
    • GFR
  • Urinalysis
    • Normal Findings
    • Proteinuria
    • Hematuria
  • Indications for Imaging Studies
    • Ultrasound
    • CT Scan
    • Angiogram
    • IVP

There are 5 stages of chronic kidneys disease.

  • Screening Recommendations
  • The Possible Cause
  • Accurate Staging
  • Common Complications Including:
    • Hyperkalemia
    • Hyperphosphatemia
    • Anemia
    • Acidosis
    • Malnutrition
  • Management Strategies
    • Recommended Medications
    • Dietary Restrictions
  • Predicting Outcomes
    • Rate of Decline
    • Onset of ESRD

The kidneys and hypertension are related.

  • Goals for Blood Pressure Control
  • Choosing the Appropriate Medications
    • Diuretics
    • ACE Inhibitors
    • ARBs
    • Calcium Channel Blockers
    • Beta & Alpha Blockers
  • Hypertensive Nephrosclerosis
    • Lab & Imaging Findings
    • Prognosis

Diabetes and the kidneys.

  • Urinalysis
    • Screening & Monitoring
    • Frequency of Testing
  • Diabetic Nephropathy
    • Controlling BP & Glucose
    • Recommendations for Treatment

AKI is an injury to the kidneys.

  • Deciphering the Cause
    • Medications
    • Contrast Dye
    • Shock
    • Glomerulonephritis
    • Urinary Tract Obstruction
  • Reversible vs. Irreversible
  • Identifying the Signs & Symptoms
  • Monitoring the Patient
  • Appropriate Interventions

Nutrition and disease of the kidneys.

  • Diet for CKD & AKI
  • Dietary Interventions:
    • Sodium
    • Phosphorus
    • Potassium
    • Protein
  • When to Use & Why

End-Stage Renal Disease is a disease.

  • Hemodialysis & Access Issues
  • Peritoneal Dialysis
  • Transplant
    • Cadaveric vs. Living Donor
    • Pre-Transplant Considerations
    • Post-Transplant Care
  • Complications of Therapy
    • Infection
    • Rejection
    • Cancer
  • Psychosocial Support
  • Transitioning to Palliative Care or Hospice

Patient education and compliance.

  • Strategies to Prevent Non-Compliance
  • Cultural Considerations
  • Avoiding Re-Admission
  • Incorporating the Family

Faculty

Carla J. Moschella, PA-C, MS, RD's Profile

Carla J. Moschella, PA-C, MS, RD Related seminars and products: 3

Director of Academic Education, Physician Assistant Studies Assistant Professor

MGH Institute


Moschella is a PA-C. She has 25 years of experience in nutrition, gastroenterology, and internal medicine. She received her Doctor of Medicine degree from the Yale University School of Medicine. She worked as a physician assistant for several years in Boston. She managed patients with all stages of chronic kidney disease, including those who were undergoing evaluation for a transplant and those who already had one.

She lectured at the National Kidney Foundation’s annual meetings, as well as at the physician assistant’s national conference in New Orleans, and at several physician assistant state associations, including Arizona, Maine, Massachusetts, and Vermont. She is the author of a chapter. Physician assistant examination. The PA text is used to prepare for the national certifying and recertifying exams. She was the author of an article in the Journal of the National Kidney Foundation. The American Academy of Physician Assistants. She co-authored an article about the interaction between cyclosporin A and Hypericum perforatum. The American Journal of Kidney Diseases is a journal. . She is a reviewer for many journals. Miss Moschella is a member of Pi Alpha, the national honor society for physician assistants, and Alpha Eta, the national honor society for allied health professionals.

Speaker disclosures.

She is a Clinician for Logistics Health, Inc.

No relevant nonfinancial relationship has been disclosed by Moschella.


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