Managing Common Causes of Hyponatremia: Jon, Anna

Title:

Managing Common Causes of Hyponatremia: Jon, Anna

Topic: Nephrology
Relevant Terms: Hyponatremia, SIADH, Thiazide-induced, Vaptans
Primary Audience: Hospitalists and general internal medicine faculty, including residents
Launch Date: 27-Apr-11
Credits: 0.5 AMA PRA Category 1 Credit
Expiration Date: The accreditation for this activity has expired.
Patients Seen:  Jon Anna
Curriculum Name: Managing Common Causes of Hyponatremia

Learning Objectives

Upon completion of the activity, participants should be able to:

  1. Assess the safety and efficacy of current and emerging therapies for the management of hyponatremia. (MK, PC)*
  2. Describe the physiologic and pharmacologic mechanisms that lead to the development of hyponatremia. (MK)*
  3. Identify appropriate management approaches for patients experiencing hyponatremia in the hospital setting. (MK, PC, PB)*

    Faculty

    Leonard Feldman, MD
    Assistant Professor of Medicine
    Johns Hopkins University School of Medicine
    Med-Peds Urban Health Residency Program Director
    Associate Program Director, Osler Medical Residency
    Director, Comprehensive General Medicine Consult Service
    Editor, Johns Hopkins Consultative Medicine Essentials for Hospitalists
    Baltimore, Maryland
    Robert M. Centor, MD, FACP
    Associate Dean
    Professor, General Internal Medicine
    University of Alabama
    Huntsville Regional Medical Campus
    Birmingham, Alabama
    Derek M. Fine, MD
    Associate Professor of Medicine
    Division of Nephrology
    Johns Hopkins University School of Medicine
    Baltimore, Maryland
    Michael L. Moritz, MD
    Clinical Director of Pediatric Nephrology
    Medical Director, Pediatric Dialysis
    Associate Professor of Pediatrics
    University of Pittsburgh School of Medicine
    Division of Pediatric Nephrology
    Pittsburgh, Pennsylvania
    Samuel H. Sigal, MD
    Division of Gastroenterology
    Department of Medicine
    New York University School of Medicine
    New York, New York
    Richard H. Sterns, MD
    Professor of Medicine
    University of Rochester School of Medicine and Dentistry
    Chief of Medicine
    Rochester General Hospital
    Rochester, New York
    The Johns Hopkins University School of Medicine takes responsibility for the content, quality, and scientific integrity of this CME activity.

    Presented by the Johns Hopkins University School of Medicine


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    As a provider approved by the Accreditation Council for Continuing Medical Education (ACCME), it is the policy of the Johns Hopkins University School of Medicine Office of Continuing Medical Education (OCME) to require signed disclosure of the existence of financial relationships with industry from any individual in a position to control the content of a CME activity sponsored by OCME. Members of the Planning Committee are required to disclose all relationships regardless of their relevance to the content of the activity. Faculty are required to disclose only those relationships that are relevant to their specific presentation. The following relationships have been reported for this activity:
     
    Faculty Disclosures
    Participating Faculty Disclosures
    Participating faculty include Dr Centor, Dr Moritz, Dr Sigal, and Dr Sterns:
    Dr Moritz reports serving as a consultant/advisor for Otsuka America Pharmaceutical, Inc.
    Dr Sigal reports having served on a speakers' bureau for Otsuka America Pharmaceutical, Inc (resigned).
    Dr Sterns reports receiving honoraria from Astellas Pharma US, Inc and Otsuka America Pharmaceutical, Inc.
     
    No other speakers have indicated that they have any financial interests or relationships with a commercial entity whose products or services are relevant to the content of their presentation(s).
     
    Planner Disclosures
    Planners include Dr Feldman (Course Director) and Dr Fine:
    No planner has indicated that they have any financial interests or relationships with a commercial entity.
     
    Grants to investigators at The Johns Hopkins University are negotiated and administered by the institution that receives the grants, typically through the Office of Research Administration. Individual investigators who participate in the sponsored project(s) are not directly compensated by the sponsor, but may receive salary or other support from the institution to support their effort on the project(s).
     
    Off-Label Product Discussion – No faculty member has indicated that their presentation will include information on off-label products.
     
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    The opinions and recommendations expressed by faculty and other experts whose input is included in this activity are their own. This activity is produced for educational purposes only. Use of Johns Hopkins University School of Medicine name implies review of educational format, design, and approach. Please review the complete prescribing information of specific drugs or combinations of drugs, including indications, contraindications, warnings, and adverse effects before administering pharmacologic therapy to patients.
     
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    ACCREDITATION STATEMENT
    The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

    CREDIT DESIGNATION
    The Johns Hopkins University School of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1
    Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
     
    The estimated time to complete this activity: 30 minutes.
     
    HOW TO RECEIVE CREDIT
    By reviewing the course content and successfully completing the post-test and evaluation, physicians are entitled to receive 0.5 AMA PRA Category 1 Credits™. Statement of credit will be available to print from your user history page.
     
    • Read the learning objectives and faculty disclosures.
    • If this is your first time participating in Dr. Feldman’s ConsultService, you will be presented with the Curriculum Question. This is a brief case scenario with a series of statements. Please read this question and designate the statements as either consistent with, or inconsistent with, evidence-based best practice. You will be able to refine your responses at the end of the activity.
    • Respond to the 6 pre-test questions.
    • Participate in the activity, which discusses 2 patient cases.
    • Complete the post-test and activity evaluation. You will also be able to revise your responses to the Curriculum Question.
    • Physicians who successfully complete the post-test and evaluation will receive CME credit. You must score with a 70% or higher on the post-test to receive credit for this activity.
    • All other participants who successfully complete the post-test and evaluation will receive a certificate of participation.
    *ACGME General Competency Definitions: PC = Patient Care; MK = Medical Knowledge; PB = Practice-Based Learning & Improvement.