SAIM704-0101: Calcium & Calcitriol

INSTRUCTORS:
Dr. Larry Nagode, DVM, PhD
Dr. Dennis Chew, DVM, DACVIM

DATES:
Jan 31 - Feb 14, 2001
Interactive sessions: Wednesdays Jan 31 & Feb 7; 9:30 - 11:30 PM ET

COURSE DESCRIPTION:
First Session : Development of Renal Secondary Hyperparathyroidism - Pathophysiology and Treatment with Calcitriol and Phosphorus Control

The importance of toxic effects of excess PTH on the progression of chronic renal failure and quality/quantity of life span will be detailed. Relative or absolute deficits of calcitriol will be emphasized as the underlying mechanism in allowing the initiation and perpetuation of hyperparathyroidism. The utility of low-dosage calcitriol treatment in the prevention and reversal of hyperparathyroidism will be illustrated.

Second Session: Hypercalcemic Disorders in Dogs and Cats with Emphasis on Idiopathic Hypercalcemia of Cats

A brief review of normal calcium metabolism will be provided initially followed by a review of the toxic effects of ionized hypercalcemia. A logical approach most likely to achieve a definitive diagnosis will be developed for the analysis of patients with hypercalcemia. Pitfalls of the diagnostic approach will be noted and suggestions for the most-likely causes of the hypercalcemia will be discussed. Cats with the recently recognized syndrome of idiopathic hypercalcemia will be featured in our discussions. Treatment of hypercalcemia with fluids, diuretics, calcitonin, bisphosphonates, and steroids will be illustrated.

At the conclusion of this course, the participants will understand:

1. An updated view of calcium homeostatic mechanisms featuring the interplay between calcitriol, PTH, ionized calcium, and phosphorus in the uremic patient.

2. The importance of the toxicity of PTH to many tissues including those on progression of kidney failure.

3. Methods to safely provide calcitriol treatment for control of elevated PTH.

4. The most common causes associated with hypercalcemia

5. A diagnostic approach that will achieve a definitive diagnosis in most cases

6. Treatment options based on magnitude of elevation in serum calcium and severity of clinical signs.

MESSAGE BOARD DISCUSSIONS:
Discussions will begin on the start date of the course, and will continue for one week following the last real time session.

CE HOURS: 4

TUITION: $60

TO REGISTER:
Call 1-800-700-INFO (4636) or email CEonVIN@vin.com, listing the course title, your full name, and your preferred method of payment (credit card, check).

PLEASE NOTE
If the course starts in less than 48 hours, email CEonVIN@vin.com, or phone the VIN office directly (800-700-4636)

*** For More Information On VIN's Upcoming CE Courses, check out https://www.vin.com/CE/Catalog.htm

Note: "Course meets the requirements for 4 hours of continuing education credit in jurisdictions which recognize AAVSB's RACE approval; however participants should be aware that some boards have limitations on the number of hours accepted in certain categories and/or restrictions on certain methods of delivery of continuing education."

(Attendees are encourage to check with their licensing jurisdiction(s) for information regarding recognition by the board.)

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COURSE WITHDRAWAL AND REFUND POLICY: Withdrawal prior to the listed start date of a course entitles the registrant to a complete refund or a credit toward a future VIN CE course, whichever is preferred. Withdrawal within 1 week after the listed start date (i.e. including no more than one real-time session) entitles the registrant to a credit toward any future VIN CE course. (Does not apply to courses with only one real-time session.) After the first real-time session, a registrant may withdraw due to special circumstances and receive prorated credit towards a future VIN course. These requests will be handled on an individual basis. The amount of the prorated credit will be determined based on 65% of the time remaining in the course at the time of withdrawal. It is not possible to withdrawal retroactively. Note: To ensure rapid handling of your request for withdrawal, we recommend that you call the VIN office at 1-800-700-INFO.

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Debbie Friedler
Coordinator
Continual Education Division
Veterinary Information Network
CEonVIN@vin.com

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