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Student National Pharmaceutical Association

2008

Chronic Kidney

Disease Initiative

HandbookKEEP-SAKE

Kidney Early Evaluation Program SNPhA and Abbott Kidney

Education

By Neda M. Archie, Pharm. D. Candidate

National CKD Chair 2007-2008

U n i v e r s i t y o f I n c a r n a t e W o r d 4 3 0 1 B r o a d w a y C P O # 1 2 0 3S a n A n t o n i o , T e x a s 7 8 2 0 9


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Table of Contents

Intro/background

SNPhA Mission Abbott Mission/ Collaboration...

.1

Chronic Kidney Disease (CKD) Chair Specific Duties..

2

CKD Overview

Kidney Basic Anatomy and Physiology.3-

5

CKD Information (i.e. risk factors, causes, symptoms, test, etc)..5-14

KEEP Screening Information...

15

National Kidney Foundation Contacts By State.....

.16-20

CKD Projects

Sample Project List..

21

How to start CKD projects...21-

24

How to Get Funding for CKD Projects....

..25

Reporting CKD Project participation for Chauncey Cooper Points

Copy of Initiative Report Form...

.26

Sample Initiative Report Form.....

27

To whom do you send the Initiative Report Form?.

..28

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Current and Previous Chairs Contact Information.

...29

Abbott Medical Science Liaison Information......

...29

Useful Websites

/References.30

KEEP- SAKE Initiative background

In 2007 the Chronic Kidney Disease Initiative was started by a former SNPhA

Regional Facilitator Cornetta Levi, Pharm. D. and Abbott Medical Science Liaisons

Nana Wiafe, Pharm. D. and Janinah Barreto, Pharm. D. The purpose of the initiative

is to implement programs and projects to make people aware of the health

disparities in chronic kidney disease and to utilize all resources to educate those at

a higher risk about the prevalence, prevention, treatment, and management of the

underlying causes of CKD.

The name KEEP-SAKE stands for Kidney Early Evaluation Program SNPhA and

Abbott Kidney Education.

SNPhA Mission

SNPhA is an educational service association of pharmacy students who areconcerned about pharmacy and healthcare related issues, and the poor minorityrepresentation in pharmacy and other health-related professions.

The purpose of SNPhA is to plan, organize, coordinate and execute programs geared

toward the improvement for the health, educational, and social environment of thecommunity.

Abbott Renal Care Mission

To implement innovative strategies to improve healthcare delivery, educate,develop disease management programs, prevention and treatment for African

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Americans, Hispanics, Native Americans and other underserved populations.Establish strategic relationships with governments, diverse organizations,communities and individuals that will achieve "best practices", resulting in improvedoutcomes.

SNPhA / Abbott Collaborative Mission

The initiative allows both organizations to make a great impact on healthcare by

aiding in improving the health of CKD patients and decreasing the healthcare

disparities in minority communities, an objective that supports both organizations

separate missions.

Chronic Kidney Disease Chair Specific Duties

CKD specific duties also include:

Coordinating CKD Awareness events

Monthly communication with the Abbott Representative to set up speaker

presentations for the chapters

Monthly communicating with the CKD chapter representatives

Providing chapters with the tools/information to start a CKD community

project

Providing the chapters with contact information/support

Promoting the Train the Trainer CKD Initiative

Promoting World Kidney Day March 13th

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Providing chapters with current National Kidney Foundation information so

that they may set up a Kidney Walk/ KEEP Screening

Updating current CKD handbook as needed

Keeping records/documentation of chapter participation

Providing awards or incentives for participation

Providing quarterly and annual Officer Reports

Participating in monthly meetings/conference calls

Other duties assigned by the National President

Chronic Kidney Disease Overview

Normal Kidneys and Their Function

The kidneys are a pair of beanshaped organs that lie on either side of the spine inthe lower middle of the back. Each kidney weighs about pound and contains

approximately one million filtering units called nephrons. Each nephron is made of a

glomerulus and a tubule. The glomerulus is a miniature filtering or sieving device

while the tubule is a tiny tube like structure attached to the glomerulus.

The kidneys are connected to the urinary bladder by tubes called ureters. Urine is

stored in the urinary bladder until the bladder is emptied by urinating. The bladder

is connected to the outside of the body by another tube like structure called the

urethra.

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The kidneys also produce certain hormones that have important functions in the

body, including the following:

Activate form of vitamin D (calcitriol or 1,25 dihydroxyvitamin D), whichregulates absorption of calcium and phosphorus from foods, promoting

formation of strong bone.

Erythropoietin (EPO), which stimulates the bone marrow to produce red bloodcells.

Renin, which regulates blood volume and blood pressure.

What is the difference between kidney failure and kidney disease?

Kidney failure

Kidney failure occurs when the kidneys partly or completely lose their ability

to carry out normal functions.

This is dangerous because water, waste, and toxic substances build up thatnormally are removed from the body by the kidneys.

It also causes other problems such as anemia, high blood pressure, acidosis(excessive acidity of body fluids), disorders ofcholesterol and fatty acids, andbone disease in the body by impairing hormone production by the kidneys.

Chronic kidney disease

Chronic kidney disease is when one suffers from gradual and usually permanent

loss of kidney function over time. This happens gradually over time, usually months

to years. Chronic kidney disease is divided into five stages of increasing severity

(see Table 1 below). Stage 5 chronic kidney failure is also referred to as endstage

renal disease, wherein there is total or neartotal loss of kidney function and

patients need dialysis or transplantation to stay alive. The term "renal" refers to thekidney, so another name for kidney failure is "renal failure." Mild kidney disease is

often called renal insufficiency.

Unlike chronic kidney disease, acute kidney failure develops rapidly, over days or

weeks.

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Acute kidney failure usually develops in response to a disorder that directlyaffects the kidney, its blood supply, or urine flow from it.

Acute kidney failure usually does not cause permanent damage to thekidneys. With appropriate treatment of the underlying condition, it is oftenreversible, with complete recovery.

In some cases, though, it may progress to chronic kidney disease.

Table 1. Stages of Chronic Kidney Disease

Sta

geDescription

GFR*

mL/min/1.73

m2

1Slight kidney damage with normal or

increased filtration

More than 90

2 Mild decrease in kidney function 6089

3 Moderate decrease in kidney function 3059

4 Severe decrease in kidney function 1529

5Kidney failure requiring dialysis or

transplantationLess than 15

*GFR is glomerular filtration rate, a measurement of the kidney's function.

Chronic Kidney Disease Causes

Although chronic kidney disease sometimes results from primary diseases of the

kidneys themselves, the major causes are diabetes and high blood pressure.

Type 1 and type 2 diabetes mellitus cause a condition called diabeticnephropathy, which is the leading cause of kidney disease in the UnitedStates.

High blood pressure (hypertension), if not controlled, can damage thekidneys over time.

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Glomerulonephritis is the inflammation and damage of the filtration system ofthe kidneys and can cause kidney failure. Postinfectious conditions and lupusare among the many causes of glomerulonephritis.

Polycystic kidney disease is an example of a hereditary cause of chronickidney disease wherein both kidneys have multiple cysts.

Use of analgesics such as acetaminophen (Tylenol) and ibuprofen (Motrin,Advil) regularly over long durations of time can cause analgesic nephropathy,another cause of kidney disease. Certain other medications can also damagethe kidneys.

Clogging and hardening of the arteries (atherosclerosis) leading to thekidneys causes a condition called ischemic nephropathy, which is anothercause of progressive kidney damage.

Obstruction of the flow of urine by stones, an enlarged prostate, strictures(narrowings), or cancers may also cause kidney disease.

Other causes of chronic kidney disease include HIV infection, sickle celldisease, heroin abuse, amyloidosis, kidney stones, chronic kidney infections,and certain cancers.

If you have any of the following conditions, you are at higherthannormal risk of

developing chronic renal disease. Your kidney functions may need to be monitored

regularly.

Diabetes mellitus type 1 or 2

High blood pressure

High cholesterol

Heart disease

Liver disease

Kidney disease

Amyloidosis

Sickle cell disease

Systemic Lupus erythematosus

Vascular diseases such as arteritis, vasculitis, or fibromuscular dysplasia

Vesicoureteral reflux (a urinary tract problem in which urine travels thewrong way)

Problems of the joints or muscles that require regular use of antiinflammatory medications

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If you have a family history of kidney disease.

Chronic kidney disease is a growing health problem in the United States. Areport by the Centers for Disease Control (CDC) determined that 16.8% of alladults above the age of 20 years have chronic kidney disease. Thus, one insix individuals have kidney disease, and over 400,000 patients are on dialysis

or have received kidney transplants. About 67,000 people die each yearbecause of kidney failure.

The prevalence of chronic kidney disease has increased by 16% from theprevious decade. The increasing incidence ofdiabetes mellitus, hypertension(high blood pressure), obesity, and an aging population have led to thisincrease in kidney disease.

Chronic kidney disease is more prevalent among individuals above 60 yearsof age (39.4%).

Kidney disease is more common among Hispanic, African American, Asian or

Pacific Islander, and Native American people.

Relative risks compared to Whites:

African Americans 3.8 X

Native Americans 2.0 X

Asians 1.3 X

Chronic Kidney Disease Symptoms

The kidneys are remarkable in their ability to compensate for problems in their

function. That is why chronic kidney disease may progress without symptoms for a

long time until only very minimal kidney function is left.

Because the kidneys perform so many functions for the body, kidney disease can

affect the body in a large number of different ways. Symptoms vary greatly. Several

different body systems may be affected. Notably, most patients have no decrease in

urine output even with very advanced chronic kidney disease.

Fatigue and weakness (from anemia or accumulation of waste products in thebody)

Loss of appetite, nausea and vomiting

Need to urinate frequently, especially at night

Swelling of the legs and puffiness around the eyes (fluid retention)

Itching, easy bruising, and pale skin (from anemia)

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Headaches, numbness in the feet or hands (peripheral neuropathy), disturbedsleep, altered mental status (encephalopathy from the accumulation of wasteproducts or uremic poisons), and restless legs syndrome

High blood pressure, chest pain due to pericarditis (inflammation around theheart)

Shortness of breath from fluid in lungs

Bleeding (poor blood clotting)

Bone pain and fractures

Decreased sexual interest and erectile dysfunction

When to Seek Medical Care

Several signs and symptoms may suggest complications of chronic kidney disease.

Call your healthcare provider if you notice any of the following symptoms:

Change in energy level or strength

Increased water retention (puffiness or swelling) in the legs, around the eyesor in other parts of the body

Shortness of breath or change from normal breathing

Nausea or vomiting

Lightheadedness

Severe bone or joint pain

Easy bruisability

Itching

If you have diabetes, high blood pressure, or kidney problems, see your healthcare

provider right away if you know or suspect that you are pregnant.

See your health care provider as recommended for monitoring and treatment of

chronic conditions such as diabetes, high blood pressure, and high cholesterol.

Some signs and symptoms represent the possibility of a severe complication of

chronic kidney disease and warrant a visit to the nearest hospital emergency

department.

Change in level of consciousness extreme sleepiness or difficult to awaken

Fainting

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Chest pain

Difficulty breathing

Severe nausea and vomiting

Severe bleeding (from any source) Severe weakness

Exams and Tests

Chronic kidney disease usually causes no symptoms in its early stages. Only lab

tests can detect any developing problems. Anyone at increased risk for chronic

kidney disease should be routinely tested for development of this disease.

Urine, blood, and imaging tests (xrays) are used to detect kidney disease, aswell as to follow its progress.

All of these tests have limitations. They are often used together to develop apicture of the nature and extent of the kidney disease.

In general, this testing can be performed on an outpatient basis.

Urine tests

Urinalysis: Analysis of the urine affords enormous insight into the function of the

kidneys. The first step in urinalysis is doing a dipstick test. The dipstick has reagents

that check the urine for the presence of various normal and abnormal constituents

including protein. Then, the urine is examined under a microscope to look for redand white blood cells, and the presence of casts and crystals (solids).

Only minimal quantities of albumin (protein) are present in urine normally. A

positive result on a dipstick test for protein is abnormal. More sensitive than a

dipstick test for protein is a laboratory estimation of the urine albumin (protein) and

creatinine in the urine. The ratio of albumin (protein) and creatinine in the urine

provides a good estimate of albumin (protein) excretion per day.

Twentyfourhour urine tests: This test requires you to collect all of your urine

for 24 consecutive hours. The urine may be analyzed for protein and waste products

(urea nitrogen and creatinine). The presence of protein in the urine indicates kidney

damage. The amount of creatinine and urea excreted in the urine can be used to

calculate the level of kidney function and the glomerular filtration rate (GFR).

Glomerular filtration rate (GFR): The GFR is a standard means of expressing

overall kidney function. As kidney disease progresses, GFR falls. The normal GFR is

about 100140 mL/min in men and 85115 mL/min in women. It decreases in most

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people with age. The GFR may be calculated from the amount of waste products in

the 24hour urine or by using special markers administered intravenously. Patients

are divided into five stages of chronic kidney disease based on their GFR (see Table

1 above).

Blood tests

Creatinine and urea (BUN) in the blood: Blood urea nitrogen and serum

creatinine are the most commonly used blood tests to screen for, and monitor renal

disease. Creatinine is a breakdown product of normal muscle breakdown. Urea is

the waste product of breakdown of protein. The level of these substances rises in

the blood as kidney function worsens.

Estimated GFR (eGFR): The laboratory or your physician may calculate an

estimated GFR using the information from your blood work. It is important to be

aware of your estimated GFR and stage of chronic kidney disease. Your physician

uses your stage of kidney disease to recommend additional testing and suggestions

on management.

Electrolyte levels and acidbase balance: Kidney dysfunction causes

imbalances in electrolytes, especially potassium, phosphorus, and calcium. High

potassium (hyperkalemia) is a particular concern. The acidbase balance of the

blood is usually disrupted as well.

Decreased production of the active form of vitamin D can cause low levels of

calcium in the blood. Inability to excrete phosphorus by failing kidneys causes its

levels in the blood to rise. Testicular or ovarian hormone levels may also beabnormal.

Blood cell counts: Because kidney disease disrupts blood cell production and

shortens the survival of red cells, the red blood cell count and hemoglobin may be

low (anemia). Some patients may also have iron deficiency due to blood loss in their

gastrointestinal system. Other nutritional deficiencies may also impair the

production of red cells.

Other tests

Ultrasound: Ultrasound is often used in the diagnosis of kidney disease. An

ultrasound is a noninvasive type of test. In general, kidneys are shrunken in size in

chronic kidney disease, although they may be normal or even large in size in cases

caused by adult polycystic kidney disease, diabetic nephropathy, and amyloidosis.

Ultrasound may also be used to diagnose the presence of urinary obstruction,

kidney stones and also to assess the blood flow into the kidneys.

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Biopsy: A sample of the kidney tissue (biopsy) is sometimes required in cases in

which the cause of the kidney disease is unclear. Usually, a biopsy can be collected

with local anesthesia only by introducing a needle through the skin into the kidney.

This is usually done as an outpatient procedure, though some institutions may

require an overnight hospital stay.

Chronic Kidney Disease Treatment

SelfCare at Home

Chronic kidney disease is a disease that must be managed in close consultation

with your healthcare provider. Selftreatment is not appropriate.

There are, however, several important dietary rules you can follow to helpslow the progression of your kidney disease and decrease the likelihood ofcomplications.

This is a complex process and must be individualized, generally with the helpof your healthcare provider and a registered dietitian.

The following are general dietary guidelines:

Protein restriction: Decreasing protein intake may slow the progression ofchronic kidney disease. A dietitian can help you determine the appropriateamount of protein for you.

Salt restriction: Limit to 46 grams a day to avoid fluid retention and helpcontrol high blood pressure.

Fluid intake: Excessive water intake does not help prevent kidney disease.In fact, your doctor may recommend restriction of water intake.

Potassium restriction: This is necessary in advanced kidney diseasebecause the kidneys are unable to remove potassium. High levels ofpotassium can cause abnormal heart rhythms. Examples of foods high inpotassium include bananas, oranges, nuts, and potatoes.

Phosphorus restriction: Decreasing phosphorus intake is recommended toprotect bones. Eggs, beans, cola drinks, and dairy products are examples offoods high in phosphorus.

Other important measures that you can take include:

Carefully follow prescribed regimens to control your blood pressure and/ordiabetes.

Stop smoking

Lose excess weight

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In chronic kidney disease, several medications can be toxic to the kidneys and may

need to be avoided or given in adjusted doses. Among overthecounter

medications, the following need to be avoided or used with caution:

Certain analgesics Aspirin; non-steroidal antiinflammatory drugs (NSAIDs,

such as ibuprofen [Motrin, for example])

Fleets or phosphor-soda enemas because of their high content of phosphorus

Laxatives and antacids containing magnesium and aluminum such as Milk ofMagnesia and Mylanta

Ulcer medication H2receptor antagonists cimetidine (Tagamet), ranitidine(Zantac), (decreased dosage with kidney disease)

Decongestants like pseudoephedrine (Sudafed) especially if you have highblood pressure

Alka Seltzer, since this contains a lot of salt

Herbal medications

If you have a condition such as diabetes, high blood pressure, or high cholesterol

underlying your chronic kidney disease, take all medications as directed and see

your healthcare provider as recommended for followup and monitoring.

Medical Treatment

There is no cure for chronic kidney disease. The four goals of therapy are as follows:

1. To slow the progression of disease

2. To treat underlying causes and contributing factors

3. To treat complications of disease

4. To replace lost kidney function

Strategies for slowing progression and treating conditions underlying chronic kidney

disease include the following:

Control of blood glucose: Maintaining good control of diabetes is critical.People with diabetes who do not control their blood glucose have a muchhigher risk of all complications of diabetes, including chronic kidney disease.

Control of high blood pressure: This also slows progression of chronickidney disease. It is recommended to keep your blood pressure below 130/80mm Hg if you have kidney disease. It is often useful to monitor bloodpressure at home. Blood pressure medications known as angiotensin

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converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARB)have special benefit in protecting the kidneys.

Diet: Diet control is essential to slowing progression of chronic kidneydisease and should be done in close consultation with your health careprovider and a dietitian. For some general guidelines, see the SelfCare at

Home section of this article.

The complications of chronic kidney disease may require medical treatment.

Fluid retention can be treated with any of a number of diuretic medications,which remove excess water from the body. However, these drugs are notsuitable for all patients.

Anemia can be treated with erythropoiesis stimulating agents. Erythropoiesisstimulating agents are a group of drugs that replace the deficiency oferythropoietin, which is normally produced by healthy kidneys. Often,patients treated with such drugs require either to take iron by mouth orsometimes even intravenously.

Bone disease develops in patients due to an inability to excrete phosphorusand a failure to form activated Vitamin D. In such circumstances, yourphysician may prescribe drugs binding phosphorus in the gut, and mayprescribe active forms of vitamin D.

Acidosis may develop with kidney disease. The acidosis may causebreakdown of proteins, inflammation and bone disease. If the acidosis issignificant, your doctor may use drugs such as sodium bicarbonate (bakingsoda) to correct the problem.

Adopted from eMedicine Health - http://www.emedicinehealth.com/chronic_kidney_disease/article_em.htm

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Chronic Kidney Disease Affects Everyone

National Kidney Foundation KEEP- Screening Information

KEEP (Kidney Early Evaluation Program) is an early detection and early interventionprogram for people at increased risk of kidney disease. It is a free; one-day health

screening that involves a comprehensive process of registration, screening

questionnaire, blood pressure and weight measurements, lab testing and physician

interview. KEEP also includes a follow-up component for individuals whose test

values are outside the normal range.

Goal of KEEP

To slow or eliminate the progression of serious kidney disease

Objectives of KEEP

To identify individuals at increased risk for kidney disease due primarily to

high blood pressure and diabetes via thorough health screenings

To encourage patients to seek further evaluation from a physician and to

take measures to improve their health.

To empower individuals to take action to prevent or delay the onset of

kidney disease or kidney failure

To develop a physician referral network for individuals identified as being at

increased risk for kidney disease, high blood pressure and diabetes.

To provide appropriate follow-up for individuals who are identified as being at

increased risk.

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University of Illinois at Chicago at National Kidney Foundation World Kidney Day Event

National Kidney Foundation Contacts by State

NKF of Alabama, Inc.

Address: 5735 Carmichael Pkwy Ste 200

City: Montgomery

State: AL

Zip: 36117-2356

Phone: (334) 396-9870

Toll Free: (888) 533-1981

Fax: (334) 396-9872

E-mail:[email protected] Site:www.nkfalabama.org

NKF of N. California & N. Nevada, Inc.

Address: 131 Steuart St Ste 520

City: San Francisco

State: CA

Zip: 94105-1240

Phone: (415) 543-3303

Toll Free: N/A

Fax: (415) 543-3331

E-mail:[email protected]

Web Site:www.kidneynca.org

NKF of Southern California, Inc.

Address: 15490 Ventura Blvd Ste 210City: Sherman OaksState: CAZip: 91403-3016Phone: (818) 783-8153Toll Free: (800) 747-5527

Fax: (818) 783-8160E-mail:[email protected] Site:www.kidneysocal.org

NKF of N. California & N. Nevada, Inc.

Address: 131 Steuart St Ste 520

City: San Francisco

State: CA

Zip: 94105-1240Phone: (415) 543-3303

Toll Free: N/A

Fax: (415) 543-3331


Web Site:www.kidneynca.org

Colorado

NKF of CO, MT & WY, Inc.

Address: 3151 S Vaughn Way

Cherry Creek Place III, Ste #505

City: Aurora

State: CO

Zip: 80014-3517

Phone: (720) 748-9991

Toll Free: N/A

Fax: (720) 748-1273

Web Site:www.kidneycimw.org

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mailto:[email protected]://www.nkfalabama.org/mailto:[email protected]://www.kidneynca.org/mailto:[email protected]://www.kidneysocal.org/mailto:[email protected]://www.kidneynca.org/http://www.kidneycimw.org/mailto:[email protected]://www.nkfalabama.org/mailto:[email protected]://www.kidneynca.org/mailto:[email protected]://www.kidneysocal.org/mailto:[email protected]://www.kidneynca.org/http://www.kidneycimw.org/


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NKF of Florida, Inc.

Address: 1040 Woodcock Rd Ste 119

City: Orlando

State: FL

Zip: 32803-3510

Phone: (407) 894-7325

Toll Free: (800) 927-9659

Fax: (407) 895-0051


Web Site:www.kidneyfla.org

NKF of Georgia, Inc.

Address: 2951 Flowers Rd S Ste 211

City: Atlanta

State: GA

Zip: 30341-5533Phone: (770) 452-1539 x18

Toll Free: N/A

Fax: (770) 452-7564


Web Site:www.kidneyga.org

NKF of Illinois, Inc.

Address: 215 W Illinois St Apt 1C

City: Chicago

State: IL

Zip: 60610-4263

Phone: (312) 321-1500

Toll Free: N/A

Fax: (312) 321-1505

NKF of Indiana, Inc.

Address: 911 E 86th St Ste 100

City: Indianapolis

State: IN

Zip: 46240-1848

Phone: (317) 722-5640

Toll Free: (800) 382-9971

Fax: (317) 722-5650E-mail:[email protected]

Web Site:www.kidneyindiana.org

NKF of Iowa, Inc.

Address: PO Box 1364

City: Cedar Rapids

State: IA

Zip: 52406-1364

Phone: (319) 369-4474

Toll Free: (800) 369-3619

Fax: (319) 369-4419


Web Site:www.kidneyia.org

NKF Serving Kansas & Western Missouri

Address: 6405 Metcalf Ave Ste 204

City: Overland Park

State: KS

Zip: 66202-4086

Phone: (913) 262-1551

Toll Free: (800) 444-8113

Fax: (913) 722-4841

E-mail:[email protected] Site:www.kidneyksmo.org

NKF of Kentucky, Inc.

Address: 250 E Liberty St Ste 710

City: Louisville

State: KY

Zip: 40202-1537

Phone: (502) 585-5433

Toll Free: (800) 737-5433

Fax: (502) 585-1445E-mail:[email protected]

Web Site:www.nkfk.org

NKF of Louisiana, Inc.

Address: 8200 Hampson St Ste 425

City: New Orleans

State: LA

Zip: 70118-1063

Phone: (504) 861-4500

Toll Free: (800) 462-3694

Fax: (504) 861-1976


Web Site:www.kidneyla.org

NKF of Maryland, Inc.

Address: 1107 Kenilworth Dr Ste 202

City: Baltimore

State: MD

Zip: 21204-2136

Phone: (410) 494-8545

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mailto:[email protected]://www.kidneyfla.org/mailto:[email protected]://www.kidneyga.org/mailto:[email protected]://www.kidneyindiana.org/mailto:[email protected]://www.kidneyia.org/mailto:[email protected]://www.kidneyksmo.org/mailto:[email protected]://www.nkfk.org/mailto:[email protected]://www.kidneyla.org/mailto:[email protected]://www.kidneyfla.org/mailto:[email protected]://www.kidneyga.org/mailto:[email protected]://www.kidneyindiana.org/mailto:[email protected]://www.kidneyia.org/mailto:[email protected]://www.kidneyksmo.org/mailto:[email protected]://www.nkfk.org/mailto:[email protected]://www.kidneyla.org/


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Toll Free: (800) 671-5369

Fax: (410) 494-8549


Web Site:www.kidneymd.org

NKF of Michigan, Inc.

Address: 1169 Oak Valley Dr

City: Ann Arbor

State: MI

Zip: 48108-9674

Phone: (734) 222-9800

Toll Free: (800) 482-1455

Fax: (734) 222-9801


Web Site:www.nkfm.org

NKF Serving E. Missouri & Metro East, Inc.

Address: 10308 Olive Blvd

City: Saint Louis

State: MO

Zip: 63141

Phone: (314) 961-2828

Toll Free: (800) 489-9585

Fax: (314) 961-0888


Web Site:www.kidneyemo.org

NKF of Central New York, Inc.

Address: 731 James St Ste 200

City: Syracuse

State: NY

Zip: 13203-2040

Phone: (315) 476-0311

Toll Free: (877) 8KIDNEY

Fax: (315) 476-3707


Web Site:www.cnykidney.org

NKF of Northeast New York, Inc.

Address: 99 Troy Rd Ste 200

City: East Greenbush

State: NY

Zip: 12061-1027

Phone: (518) 458-9697

Toll Free: (800) 999-9697

Fax: (518) 458-9690


Web Site:www.nkfneny.org

NKF of Western New York, Inc.

Address: 300 Delaware Ave Ste 100

City: Buffalo

State: NY

Zip: 14202-1807

Phone: (716) 835-1323

Toll Free: N/A

Fax: (716) 835-2281


Web Site:www.nkfofwny.org

NKF Serving Greater New York

Address: 30 E 33rd St Fl 3

City: New York

State: NY

Zip: 10016-5337

Phone: (212) 889-2210

Toll Free: (800) 622-9010

Fax: (212) 779-8056


Web Site:www.kidneygny.org

NKF Serving Upstate New York, Inc.

Address: 15 Prince St

City: Rochester

State: NY

Zip: 14607-1495

Phone: (585) 697-0874

Toll Free: (800) 724-9421

Fax: (585) 697-0895


Web Site:www.kidneynyup.org North Carolina

NKF of North Carolina, Inc.

Address: 5950 Fairview Rd Ste 550

City: Charlotte

State: NC

Zip: 28210-2102

Phone: (704) 552-1351

Toll Free: (800) 356-5362

Fax: (704) 552-7870

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mailto:[email protected]://www.kidneymd.org/mailto:[email protected]://www.nkfm.org/mailto:[email protected]://www.kidneyemo.org/mailto:[email protected]://www.cnykidney.org/mailto:[email protected]://www.nkfneny.org/mailto:[email protected]://www.nkfofwny.org/mailto:[email protected]://www.kidneygny.org/mailto:[email protected]://www.kidneynyup.org/mailto:[email protected]://www.kidneymd.org/mailto:[email protected]://www.nkfm.org/mailto:[email protected]://www.kidneyemo.org/mailto:[email protected]://www.cnykidney.org/mailto:[email protected]://www.nkfneny.org/mailto:[email protected]://www.nkfofwny.org/mailto:[email protected]://www.kidneygny.org/mailto:[email protected]://www.kidneynyup.org/


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Web Site:www.kidneync.org

NKF of Ohio, Inc.

Address: 1373 Grandview Ave Ste 200

City: Columbus

State: OHZip: 43212-2804

Phone: (614) 481-4030

Toll Free: N/A

Fax: (614) 481-4038


Web Site:www.nkfofohio.org

NKF Serving the Alleghenies, Inc.

Address: 700 5th Ave Fl 4

City: Pittsburgh

State: PA

Zip: 15219-3017Phone: (412) 261-4115

Toll Free: (800) 261-4115

Fax: (412) 261-1405


Web Site:www.kidneyall.org

NKF Serving the Delaware Valley, Inc

Address: 111 S Independence Mall E Ste 411City: Philadelphia

State: PA

Zip: 19106-2521

Phone: 215-923-8611

Toll Free: 800-697-7007

Fax: 215-923-2199


Web Site:www.nkfdv.org

NKF of South Carolina, Inc.

Address: 500 Taylor St Ste 101

City: Columbia

State: SC

Zip: 29201-3000

Phone: (803) 799-3870

Toll Free: (888) 848-5277

Fax: (803) 799-3871


Web Site:www.kidneysc.org

NKF of Middle Tennessee, Inc.

Address: 2120 Crestmoor Rd

City: Nashville

State: TN

Zip: 37215-2613

Phone: (615) 383-3887Toll Free: N/A

Fax: (615) 383-2647


Web Site:www.nkfmdtn.org

NKF of West Tennessee, Inc.

Address: 857 Mount Moriah Rd Ste 201

City: Memphis

State: TN

Zip: 38117-5704

Phone: (901) 683-6185

Toll Free: (800) 273-3869

Fax: (901) 683-6189


Web Site:www.nkfwtn.org

NKF Serving East Tennessee, Inc.

Address: 4450 Walker Blvd Ste 2

City: Knoxville

State: TN

Zip: 37917-1547

Phone: (865) 688-5481

Toll Free: N/A

Fax: (865) 688-5495


Web Site:www.kidneyetn.org

NKF of Southeast Texas, Inc.

Address: 2400 Augusta Dr Ste 252

City: Houston

State: TX

Zip: 77057-4989Phone: (713) 952-5499

Toll Free: (800) 961-5683

Fax: (713) 952-5497


Web Site:www.nkfset.org

NKF Serving North Texas, Inc.

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mailto:[email protected]://www.kidneync.org/mailto:[email protected]://www.nkfofohio.org/mailto:[email protected]://www.kidneyall.org/mailto:[email protected]://www.nkfdv.org/mailto:[email protected]://www.kidneysc.org/mailto:[email protected]://www.nkfmdtn.org/mailto:[email protected]://www.nkfwtn.org/mailto:[email protected]://www.kidneyetn.org/mailto:[email protected]://www.nkfset.org/mailto:[email protected]://www.kidneync.org/mailto:[email protected]://www.nkfofohio.org/mailto:[email protected]://www.kidneyall.org/mailto:[email protected]://www.nkfdv.org/mailto:[email protected]://www.kidneysc.org/mailto:[email protected]://www.nkfmdtn.org/mailto:[email protected]://www.nkfwtn.org/mailto:[email protected]://www.kidneyetn.org/mailto:[email protected]://www.nkfset.org/


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Address: 5429 Lyndon B Johnson Fwy Ste 250

City: Dallas

State: TX

Zip: 75240-2617

Phone: (214) 351-2393

Toll Free: (877) 543-6397Fax: (214) 351-3797


Web Site:www.nkft.org

NKF Serving South & Central Texas

Address: 1919 Oakwell Farms Pkwy Ste 135

City: San Antonio

State: TX

Zip: 78218-1725

Phone: (210) 829-1299

Toll Free: N/A

Fax: (210) 829-1248


Web Site:www.kidneytx.org

NKF Serving West Texas, Inc.

Address: 4601 50th St Ste 101

City: Lubbock

State: TX

Zip: 79414-3514

Phone: (806) 799-7753

Toll Free: N/A

Fax: (806) 799-0277


Web Site:www.nkfwt.org

NKF of the Virginias, Inc.

Address: 2601 Willard Rd Ste 103

City: Richmond

State: VA

Zip: 23294-3638

Phone: (804) 288-8342

Toll Free: (888) 543-6398

Fax: (804) 282-7835


Web Site:www.kidneyva.org

NKF of the National Capital Area, Inc.

Address: 5335 Wisconsin Ave NW Ste 300

City: Washington

State: DC

Zip: 20015-2078

Phone: (202) 244-7900

Toll Free: N/AFax: (202) 244-7405


Web Site:www.kidneywdc.org

22
mailto:[email protected]://www.nkft.org/mailto:[email protected]://www.kidneytx.org/mailto:[email protected]://www.nkfwt.org/mailto:[email protected]://www.kidneyva.org/mailto:[email protected]://www.kidneywdc.org/mailto:[email protected]://www.nkft.org/mailto:[email protected]://www.kidneytx.org/mailto:[email protected]://www.nkfwt.org/mailto:[email protected]://www.kidneyva.org/mailto:[email protected]://www.kidneywdc.org/


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KEEP-SAKE Project List

1. KEEP - Screening

2. Kidney Walk

3. Train the Trainer

4. CKD Education/Presentation

5. Health Fair

6. Student Pledge

7. World Kidney Day

How to get started? (Always start early.)

1. KEEP- Screening participation

Check the local NKF website for screening dates

Contact your local NKF (list on pages 15-19)

Inform the NKF that you want to volunteer for the screening

Inform NKF you are a pharmacy student organization and your purpose

Inquire about the number of volunteers needed

Ask what is expected (Most students are involved in end of screening

counseling).

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Notify your school of your participation in the event

THIS IS AN ALL DAY EVENT

2. Kidney-Walk

What is the National Kidney Foundation's Kidney Walk?

The National Kidney Foundation's Kidney Walk is a non-competitive walk focusingon education and prevention of kidney and urinary tract diseases, and awareness ofthe need for organ donation. The Kidney Walk presents an occasion for dialysispatients, organ transplant recipients, donor families, living donors, the medical andbusiness communities, and the general public to celebrate life and create lastingcommunity advocacy and long-term support for the Foundation's mission.

Why Walk the Kidney Walk?

Chronic kidney disease is a public health problem affecting 26 millionAmericans

Risk factors include diabetes, high blood pressure and family history

One in nine American adults have kidney disease and most dont know it

92,000 people are waiting for organ transplants

17 people die each day waiting for an organ transplant

While raising funds for the National Kidney Foundation's programs and services, theKidney Walk provides an opportunity for family, friends and colleagues toparticipate in an inspiring, community-based event.

To participate in the NKF Kidney walk contact your local NKF.

Want to start your own Kidney walk?

Set up a walk path/notify your school if the Walk is on campus (Walk shouldbe at least 3 miles)

Fill out the proper paperwork for authorization for an event on your campus

Pass out flyers or send email notices for the event (at 60, 30, 15, 7 days and1 day before the event)

Ask for donations starting at $5.00 (Begin taking donations after the first

event notification) To accept donations inquire about setting up a table in your Student Union or

Pharmacy School Hall

Have people sign their name and the donation given

Have people sign up in teams

Supply free or $0.50 water for the event

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Get all organizations involved

Have prizes or drawings available for participants

2. Train the Trainer

What is Train the Trainer?

It is part of the SNPhA and Abbott collaboration to educate practitioners andprofessional students about CKD so that they may go out and train and educateothers.

The training consists of 3 presentations given by an Abbott Medical Science Liaisonon the prevalence, prevention, treatment, and management of underlying causes ofCKD.

Call your present Abbott Representative if interested

Inform him/her about the dates and time your interested in , number ofpeople, and type population

Set up a room at your university to accommodate the number of trainers

There must be 3 specific dates or time intervals given

At least 30 day notification is required

4. CKD Presentation

Contact your Abbott Representative

Inform him/her of your interest, dates, time, number of people and type ofpopulation

This doesnt have to be at your school it can be set up at a local healthclinic or church to reach the target populations.

30 day notification is required

5. Health Fair

Preparation for a health fair should start as early as possible. The best health fairsinvolve collaboration with other professional organizations such as the StudentNurses Association or the Student Medical Association. This helps there to be avariety of information at the fair.

If there is already a health fair set up by another organization ask if you may get

involved and set up an informational booth about CKD.

Get the word out as soon as possible

Put up flyers

Ask your professors to announce it in class for mass student participation

Contact your local radio and TV stations to provide a public announcement

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Get informational brochures by contacting your Abbott Representative (60days in advance) or kidney initiative websites (Brochures may be downloadedor ordered for free. See useful websites on page 30).

6. Make a Pledge

Ask students in your school to make a pledge for better health

Students can sign a form saying they pledge to exercise 30 minutes daily forat least 30 days or more, cut down on their soda and caffeine intake, drinkmore water and natural fruit juices, and many other things to KEEP theirkidneys healthy.

7. World Kidney Day

World kidney day is March 13th

Kidney Awareness Month is in March

Print out information about CKD and put it student mail boxes

Volunteer at a local NKF

Make someone aware of the impact that chronic kidney disease has made onhealth care and most important peoples lives.

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HOW TO GET ABBOTT FUNDING FOR A LOCAL, REGIONAL or NATIONAL

KEEP-SAKE EVENT

27


28/33

Providing lunch for participants and providing informational brochures are the mainthings that are funded by Abbott. More funding may be provided for Regional andNational events. Most funding is associated with an Abbott Medical Science Liaisonpresentation about CKD.

Local

Contact the Abbott Representative

Inform him/her what kind of support or funding is needed

Write out and send a request with the date and time requested, the numberof people expecting, and the type of audience.

If the group is too large there may be only partial funding.

Regional

See Above.

National

For national support or grants Abbott Renal Care must be contacted directly. TheMedical Science Liaison has no access to grant information. This funding may beused beyond the food and brochure funding.

A grant must be filled out at least 60 days in advance by the National ExecutiveDirector or Representative online at https://abbottpharmaceuticalgrants.com/home/.

28
https://abbottpharmaceuticalgrants.com/home/https://abbottpharmaceuticalgrants.com/home/


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Initiative Participation Report Form

Chapter Name Date of Activity

Title of Project:

(Please check the applicable initiative below)

KEEP SAKE

HIV/AIDS Stroke/Smoking Cessation Chronic Kidney Disease Legislation/Voting/Immigration

Operation Immunization Community Project Other ____________________________

Please provide a brief description of activity below (i.e. setting, materials used, time).

Number of Participants Number of People Affected Photo documentation included?

List collaborating schools/organizations:

Submitted by: Date Submitted:

SNPhA National Headquarters

University of Incarnate Word

4301 Broadway CPO # 1203

San Antonio, TX 78209
http://www.strokeassociation.org/presenter.jhtml?identifier=3044639


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Initiative Participation Report Form

Chapter Name: SNPhA Chapter University Date of Activity: March 13, 2008

Title of Project: Kidney Education/ Presentation (World Kidney Day)

(Please check the applicable initiative below)

KEEP SAKE

HIV/AIDS Stroke/Smoking Cessation x Chronic Kidney Disease Legislation/Voting/Immigration

Operation Immunization Community Project Other ____________________________

Please provide a brief description of activity below (i.e. setting, materials used, time).

Dr. Andrew Ko, Medical Science Liaison for Abbott Laboratories, came and gave a presentation on

Chronic Kidney disease, provided lunch, and went over opportunities in industry pharmacy. On th

subject of chronic kidney, he reviewed signs, symptoms, health disparities, treatment, diagnosis,

and supporting studies. He also provided lunch which was nice. We collaborated with ASP to

enhance the turnout for our speaker.

Number of Participants

10

Number of People Affected

50

Photo documentation included?

yes

List collaborating schools/organizations:

ASP

Submitted by: Local CKD Chair or Representative Date Submitted: March 25, 2008

To whom do you send the Initiative Report form?

SNPhA National Headquarters

University of Incarnate Word

4301 Broadway CPO # 1203

San Antonio, TX 78209
http://www.strokeassociation.org/presenter.jhtml?identifier=3044639


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Yr: 2008-2009

Name:

Email:

Phone:

Yr: 2009-2010

Name:

Email:

Phone:

Yr: 2010-2011

Name:

Email:

Phone:

Yr: 2011-2012

Name:

Email:

Phone:

Yr: 2012-2013

Name:

Email:

Phone:

Yr: 2013-2014

Name:

Email:

Phone:

Yr: 2014-2015

Name:

Email:

Phone:

Abbott Medical Science Liaison information

The main role of the Abbott Medical Science Liaison for KEEP-SAKE is to provide CKDeducation by implementing training sessions to enable present Pharm. D. studentsand/or practitioners to educate people about the prevalence, prevention, treatment,and management of CKD on their own. They also provide informational andcontinuing education presentations.

Abbott Contact

Nana Wiafe, Pharm. D.

Abbott Medical ScienceLiaison

Cell 817-300-4272Office 713-283-9225Fax [email protected]
mailto:[email protected]:[email protected]:[email protected]:[email protected]


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Useful Websites

Student National Pharmaceutical Association

www.SNPhA.org

National Kidney Disease Education Program

http://www.nkdep.nih.gov/professionals/chronic_kidney_disease.htm

National Kidney Foundation

www.kidney.org

American Kidney Fund

http://www.kidneyfund.org

American Association of Kidney Patients

www.aakp.org

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

www.niddk.nih.gov

Centers for Disease Control and Prevention (CDC)http://www.cdc.gov/diabetes

Abbott

www.Abbott.com

Indian Health Service (IHS)

http://www.ihs.gov/medicalprograms/diabetes/index.asp

Office of Minority Health Resource Center (OMH-RC)

http://www.omhrc.gov

American Diabetes Association

http://www.diabetes.org/home.jsp

Free Brochures

National Kidney Foundation Brochures

http://www.googlesyndicatedsearch.com/u/kidney?q=brochures

American Association of Kidney Patients

http://www.aakp.org/brochures/Brochure-Order-Form/

American Kidney Fund brochures

http://www.kidneyfund.org/search.jsp?query=brochures

American Diabetes Association

http://google.diabetes.org/?qsearch=brochures&ie=

References

www.kidney.org

www.kidneyfund.org

www.emedicine.com

iddk ih
http://www.snpha.org/http://www.nkdep.nih.gov/professionals/chronic_kidney_disease.htmhttp://www.kidney.org/http://www.kidneyfund.org/http://www.aakp.org/http://www.niddk.nih.gov/http://www.cdc.gov/diabeteshttp://www.cdc.gov/diabeteshttp://www.abbott.com/http://www.abbott.com/http://www.ihs.gov/medicalprograms/diabetes/index.asphttp://www.omhrc.gov/http://www.diabetes.org/home.jsphttp://www.googlesyndicatedsearch.com/u/kidney?q=brochureshttp://www.aakp.org/brochures/Brochure-Order-Form/http://www.kidneyfund.org/search.jsp?query=brochureshttp://google.diabetes.org/?qsearch=brochures&ie=http://www.kidney.org/http://www.kidneyfund.org/http://www.emedicine.com/http://www.emedicine.com/http://www.niddk.nih.gov/http://www.niddk.nih.gov/http://www.snpha.org/http://www.nkdep.nih.gov/professionals/chronic_kidney_disease.htmhttp://www.kidney.org/http://www.kidneyfund.org/http://www.aakp.org/http://www.niddk.nih.gov/http://www.cdc.gov/diabeteshttp://www.abbott.com/http://www.ihs.gov/medicalprograms/diabetes/index.asphttp://www.omhrc.gov/http://www.diabetes.org/home.jsphttp://www.googlesyndicatedsearch.com/u/kidney?q=brochureshttp://www.aakp.org/brochures/Brochure-Order-Form/http://www.kidneyfund.org/search.jsp?query=brochureshttp://google.diabetes.org/?qsearch=brochures&ie=http://www.kidney.org/http://www.kidneyfund.org/http://www.emedicine.com/http://www.niddk.nih.gov/

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