Abstract
This issue of Workplace Health & Safety contains a Continuing Nursing Education Module for 1.0 contact hour of continuing nursing education credit will be awarded by AAOHN upon successful completion of the posttest and evaluation.
A certificate will be awarded when the following requirements are met by the participant: (1) Participant logs on to the AAOHN LMS website at www.aaohn.org/education/online-learning-center and enrolls in the course ($10 members; $15 non-members); (2) The completed posttest and course evaluation are entered online at http://www.aaohn.org by May 2021; (3) A score of 75% (6 correct answers) is achieved by the participant.
Upon completion of this lesson, the occupational health nurse will be able to:
Explain the unique characteristics of chronic kidney disease of undetermined etiology (CKDu).
Discuss the importance of investigating the factors associated with CKDu.
Identify the population at risk for CKDu.
The American Association of Occupational Health Nurses, Inc. is an Approved Provider of continuing nursing education by the American Association of Occupational Health Nurses, Inc., an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. The American Association of Occupational Health Nurses, Inc. is additionally approved as a CNE provider by the California Board of Registered Nursing (#CEP9283).
Contact hours received for successful completion of the posttest and evaluation may be used for relicensure, certification, and re-certification.
More prevalent in those with a history of diabetes mellitus A complex disease process presenting with renal dysfunction Posing a higher risk for workers with hypertension Only affecting workers over 70 year of age
Evaluation of CKDu in female agricultural workers Studies published in Spanish Qualitative studies only Studies conducted in Mesoamerica
Be transmitted via soil and water contaminated by sewage Cause fever of >102° F., cough, and weight loss Increase the risk of renal stones Be a factor that increases susceptibility to CKDu
Female agricultural workers were at a higher risk for CKDu than their male counterparts A decrease in the serum creatinine (SCr) at the end of the shift That agricultural workers lived in a chronic state of dehydration That in a Florida study 53% of agricultural workers started their shift well hydrated.
Serum creatinine (SCr) >1.2mg/dL or an estimated glomerular filtration rate (eGFR) <60ml/min/1.73m2 Hyperkalemia, hypernatremia, and hypouricemia Constipation, vomiting, and orbital swelling Presence of biomarkers such as EGFR mutations
Definitive evidence that heat stress was the cause of the development of CKDu A risk for the global spread of CKDu No consistent definition or etiology of CKDu That more research is needed on CKDu in the United States and Nordic countries.
Workers born in the Eastern part of the United States Health care workers that work long shifts Agricultural workers from regions located in Central America Service industry workers from South America
Heat stress and dehydration Family history of renal disease Pregnancy Ingestion of a high protein diet