CNeph(C) Nephrology Nursing case studies
CNeph(C) Nephrology Nursing · Put your knowledge to work in context.
The CNeph(C) is a Canadian specialty certification in nephrology nursing, awarded to registered nurses who demonstrate advanced knowledge and judgment in caring for people with kidney disease across the care continuum. It is intended for nurses working in hemodialysis, peritoneal dialysis, transplant, chronic kidney disease clinics, and acute nephrology settings who want independent verification of specialty competence beyond entry-level licensure. The CNeph(C) Nephrology Nursing case studies are 5 cases and about 2,383 words.
1Managing Fluid Overload in a Hemodialysis Patient with Recurrent Intradialytic Hypotension
J, a 68-year-old man on maintenance hemodialysis for 3 years, presents with worsening dyspnea, 3+ pitting edema, and a 4-kg weight gain since his last treatment. His prescribed dry weight is 70 kg, but his pre-dialysis weight today is 74 kg.
557 words, about 3 min2Peritoneal Dialysis Patient with Peritonitis: Assessment and Management
L, a 52-year-old woman on continuous ambulatory peritoneal dialysis (CAPD) for 2 years, presents to the clinic with a 2-day history of abdominal pain, cloudy peritoneal effluent, and fever (38.5°C). She performs 4 exchanges daily with 2 L of 2.5% dextrose solution.
455 words, about 2 min3Acute Kidney Injury in a Critically Ill Patient: Fluid and Electrolyte Management
R, a 65-year-old man admitted to the ICU with sepsis secondary to pneumonia, develops acute kidney injury (AKI). His serum creatinine has risen from 1.0 to 3.2 mg/dL over 48 hours, and his urine output has decreased to 0.3 mL/kg/h for the past 6 hours.
486 words, about 2 min4Kidney Transplant Recipient with Fever and Elevated Creatinine: Differentiating Rejection and Infection
T, a 38-year-old woman who received a living-donor kidney transplant 8 months ago, presents with a 2-day history of fever (38.3°C), malaise, and decreased urine output. Her baseline serum creatinine was 1.2 mg/dL, but today it is 1.8 mg/dL.
461 words, about 2 min5CKD Patient with Hyperphosphatemia and Calciphylaxis: Nutrition and Medication Management
K, a 60-year-old man with stage 5 chronic kidney disease (CKD) on hemodialysis for 4 years, presents with painful skin lesions on his lower extremities. His serum phosphorus is 7.8 mg/dL, calcium 9.2 mg/dL, and intact PTH 800 pg/mL.
424 words, about 2 min