Evidence-based Clinical Care: Electrolyte Imbalances and Metabolic Disorders

This Evidence-based Clinical Care electrolyte imbalance & metabolic disorders online course will review strategies to reduce clinical variation in the care of patients who receive treatment  throughout Baptist Health South Florida by engaging the care team in improved processes related to the treatment of patients presenting to respective emergency departments, direct admissions or inpatient.

Note to Physicians: Be sure to bookmark this course to access all protocols, pathways, policies and procedures at your convenience via your CME Portal account. All power plans are available in Cerner. All EBCC deliverables will be available on the EBCC website.

Target Audience

Endocrinologists, Nephrologists, Nurses and Advanced Practice Providers.

Learning Objectives

  • Explain the evidence-based data supporting the creation of a clinical pathway for electrolyte disorders and metabolic imbalances.
  • Describe the methods for standardization and implementation of evidence-based best practices.
  • Define clinical goals and specifications. 
  • Review the current standards for management and treatment of affected patients.
  • Discuss mechanisms to measure adherence to the clinical pathways.
  • Explain the value of multidisciplinary teams to facilitate transitions and optimize outcomes from the emergency department/observation, inpatient and outpatient.
  • Educate patients on community resources to maximize accessibility for patient follow-up and to ensure compliance upon discharge.
Additional information
Bibliography: 
  • Aylwin, S., Burst, V., Peri, A., Runkle, I., & Thatcher, N. (2015). 'Dos and don'ts' in the management of hyponatremia. Current Medical Research and Opinion, 31(9), 1755-1761. doi:10.1185/03007995.2015.1072706
  • Bernard, J. B., Munoz, C., Harper, J., Muriello, M., Rico, E., & Baldwin, D. (2011). Treatment of inpatient hyperglycemia beginning in the emergency department: A randomized trial using insulins aspart and detemir compared with usual care. Journal of Hospital Medicine, 6(5), 279-284. doi:10.1002/jhm.866
  • Borresen, S. W., Klose, M., Baslund, B., Rasmussen, Å K., Hilsted, L., Friis-Hansen, L., . . . Feldt-Rasmussen, U. (2017). Adrenal insufficiency is seen in more than one-third of patients during ongoing low-dose prednisolone treatment for rheumatoid arthritis. European Journal of Endocrinology, 177(4), 287-295. doi:10.1530/eje-17-0251
Resources: 

How to save power plans (EBCC order sets) to your favorites on CERNER? Click here to access video tutorial.

Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
Course opens: 
08/01/2019
Course expires: 
07/31/2023

Jorge C. Busse, M.D.
Nephrologist
Baptist, South Miami, Homestead and West Kendall Baptist Hospitals

Pascual De Santis, M.D.
Endocrinologist
Baptist Hospital and Baptist Health Medical Group
Baptist Health South Florida

Physician Champions: Antony Farias, M.D., Jorge C. Busse, M.D.,  Alberto Esquenazi, M.D., and Marcos Esquenazi, M.D.

Operational Champions: Heidi Clarke, Pharm.D., and Lois Exelbert, R.N.

Narrators
Jorge C. Busse, M.D., has indicated that he is a member of the speakers bureau with Relypsa and he will not include off-label or unapproved product usage in his presentation or discussion.

Pascual De Santis, M.D., indicated that neither he nor his spouse/partner has relevant financial relationships with commercial interest companies, and he will not include off-label or unapproved product usage in his presentation or discussion.
Physician Champions

Marcos B. Esquenazi, M.D., has indicated that he is a member of the speakers bureau with Velphoro.

Antony Adrian Farias, M.D., has indicated that he is a member of the speakers bureau with Relypsa.

Design Team

Rosemary K. Lee, ARNP, has indicated that she is an educator with Medline/Protero.

All content contributors, including all electrolyte disorders and metabolic imbalances team members, including design team, have indicated that neither they nor their spouses/partners have relevant financial relationships with commercial interest companies, and they will not include off-label or unapproved product usage in their presentations or discussions.

All other team members and those involved in the narration, planning, development and editing/review of the content have no relevant financial relationships to disclose.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
Please login or register to take this course.

Required Hardware/software

PC/Mac Users
PC/Mac Users

This site is supported on the most recent stable releases of the following browsers:

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Internet Explorer

Attention: Internet Explorer Users
This site offers limited support for Internet Explorer 11 (IE11). When using IE11, you will be prompted to download course videos instead of viewing them in the browser. After the course video downloads, the recordings will play.

Mobile Users
Mobile Users

This site is supported on the following mobile devices:

  • Apple iOS mobile devices running iOS 10 or later
  • Android mobile devices running Android 4.4 or later, with the latest release of Google Chrome or Mozilla Firefox
Technical Support
Technical Support

If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.