CNN-NP case studies
CNN-NP · Put your knowledge to work in context.
The CNN-NP (Certified Nephrology Nurse – Nurse Practitioner) is a nephrology specialty certification offered by the Nephrology Nursing Certification Commission (NNCC), a charter member of the American Board of Nursing Specialties. It is aimed at established nurse practitioners who already hold a nephrology practice base: NNCC describes the credential as being for nurse practitioners with at least 2,000 hours practicing in nephrology. The CNN-NP case studies are 5 cases and about 2,658 words.
1CKD G4 With Hyperkalemia and a Rising Creatinine: Which Kidney Medicines Continue?
R is a 63-year-old man with type 2 diabetes and CKD G4/A3 (baseline eGFR 24 mL/min/1.73 m², UACR 1,850 mg/g). His medications are lisinopril 20 mg daily, empagliflozin 10 mg daily, furosemide 40 mg daily, metformin 500 mg twice daily, and ibuprofen 400 mg as needed for knee pain.
670 words, about 3 min2Cloudy Peritoneal Effluent in a Stable CAPD Patient: Diagnose, Treat, and Decide About the Catheter
L is a 58-year-old woman receiving continuous ambulatory peritoneal dialysis for 3 years. She presents with 18 hours of diffuse abdominal pain, nausea, and a cloudy peritoneal effluent bag.
563 words, about 3 min3Recurrent Intradialytic Hypotension With Ventricular Ectopy in a Patient With Heart Failure
T is a 74-year-old man on thrice-weekly hemodialysis via a left forearm arteriovenous fistula. His dry weight is 72 kg, but he has gained 4.8 kg since the last treatment.
521 words, about 3 min4Rising Creatinine and BK Viremia After Kidney Transplant: Lower or Increase Immunosuppression?
K is a 46-year-old woman 9 months after deceased-donor kidney transplant. Her baseline creatinine was 1.3 mg/dL; today it is 1.9 mg/dL, up from 1.4 mg/dL three weeks ago.
433 words, about 2 min5New Nephrotic Syndrome With Acute DVT: Anticoagulate Now or Wait for the Kidney Biopsy?
H is a 55-year-old man with new nephrotic syndrome. He has periorbital and bilateral leg edema, weight gain of 6 kg in 3 weeks, and a serum albumin of 2.0 g/dL.
471 words, about 2 min