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Paula Visit 1: 47-Year-Old Female with Cirrhosis and Bacterial Peritonitis


Paula Visit 1: 47-Year-Old Female with Cirrhosis and Bacterial Peritonitis

Topic: Nephrology
Relevant Terms: Hospitalists, Hyponatremia
Primary Audience: This activity has been designed to meet the educational needs of hospitalists and other internal medicine faculty at hospitals who are involved in the perioperative care of patients w ith or at-risk for hyponatremia.
Launch Date: 06-Jun-13
Credits: 0.5 AMA PRA Category 1 Credit
Expiration Date: The accreditation for this activity has expired.
Curriculum Name: Management of Hospitalized Patients with Hyponatremia

Learning Objectives

After completing this activity, the participant will demonstrate the ability to:

  1. Identify physiologic factors that are involved in the development of hyponatremia in the hospitalized patient.
  2. Compare the safety and efficacy of current and emerging therapies used to manage hospitalized patients with hyponatremia.


    Kurt Pfeifer, MD, FACP (Course Director)
    Associate Professor of Medicine
    General Internal Medicine
    Medical College of Wisconsin
    Milwaukee, Wisconsin
    Rachel Thompson, MD, FHM
    Director, Medicine Operative Consult Clinic
    Harborview Medical Center
    Associate Professor, Department of Medicine
    General Internal Medicine
    University of Washington
    Seattle, Washington
    Hyponatremia is the most common electrolyte abnormality that occurs in hospitalized patients and is most commonly associated with increased morbidity and mortality among patients with heart, liver, or neurologic disease, and the elderly. Although several disease states may be responsible for the development of hyponatremia in hospitalized patients, medications may contribute to this electrolyte disorder as well. With the emergence of hospitalists and internal medicine physicians as key providers of inpatient care, there is a need to educate this growing body of physicians, who need to care for an increasingly complex patient population. This interactive case will examine the best strategies to manage patients with hyponatremia to provide hospitalists with the expertise and skills to deliver the best possible care and improve patient outcomes.
    To provide hospitalists and general internal medicine faculty with up-to-date information on the management of patients with hyponatremia.


    This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of USF Health and ASiM. USF Health is accredited by the ACCME to provide continuing medical education for physicians.
    USF Health designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
    Estimated time to complete the activity: 30 minutes.

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    Relevant financial relationships exist between the following individuals and commercial interests:

    Dr Pfeifer reports having no relevant financial or advisory relationships with corporate organziations related to this activity.

    Dr Thompson reports having no relevant financial or advisory relationships with corporate organziations related to this activity.

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    In order to successfully complete this activity, please follow the instructions below:
    • Read the learning objectives and faculty disclosures.
    • You will then be presented with a Curriculum Challenge 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.
    • Participate in the activity, which discusses 1 patient case.
    • Complete the post-test and activity evaluation. You will also be able to revise your responses to the Curriculum Challenge.
    • Physicians who successfully complete the post-test and evaluation will receive CME credit. You must achieve a score of 70% or higher on the post-test to receive credit for this activity.
    By reviewing the course content and successfully completing the post-test and evaluation, physicians are entitled to receive 0.5 AMA PRA Category 1 Credit™. A statement of credit will be available to print from your user history page.
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    Supported by an educational grant from Otsuka America Pharmaceutical, Inc.
     Jointly sponsored by