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 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.

Original Release Date: August 2019
Course Review Date: August 2023

Target Audience

Endocrinologists, Nephrologists, Physician Assistants/Physician Associates, 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
  • 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

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: 
Course expires: 

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

Pascual De Santis, M.D.
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.

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., has no relevant financial relationship with ineligible companies* to disclose and has indicated that the presentation or discussion will not include off-label or unapproved product usage. 

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 of the relevant financial relationships listed for these individuals have been mitigated.

All content contributors, including all electrolyte disorders and metabolic imbalances team members, including design team, have no relevant financial relationships with ineligible companies* to disclose and have indicated that the presentations or discussions will not include off-label or unapproved product usage. 

Non-faculty contributors, 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 with ineligible companies*.

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

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 for a Baptist Health CME account 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:

Click Here to Download Google Chrome
Google Chrome
Microsoft Edge
Microsoft Edge
Moxilla Firefox
Mozilla Firefox
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.