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5 Written questions

5 Matching questions

  1. End stage Renal Dz (ESRD)
  2. Uremic syndrome
  3. Continuous Ambulatory Peritoneal Dialysis (CAPD)
  4. Renal Diet
  5. CKD: stage 5
  1. a Dialysis-HD and PD
  2. b Monitor Na, K, pro, fluid, Phos
  3. c -Kidneys unable to excrete waste, maintain fluid balance, maintain e-lyte balance and produce hormones.
    -Causes uremia due to high levels of nitrogenous waste products
    -Dx: BUN>100 mg/dl, Cr 10-12mg/dl
  4. d -does not use machine
    -exchanges made using gravity
    -dialysate remains in peritoneum
    -exchanges occur 4-5x day
    -allows for more normal lifestyle
    -increased risk of infection
  5. e -CKD complication
    -Develops during final stages
    -Contributes to Protein-energy malnutrition (anorexia)
    -subtle mental dysfunctions
    -Neuromuscular changes
    -impaired erythropoietin synthesis (anemia)
    -Defects in platelate functions

5 Multiple choice questions

  1. -Acid/Base balance
    -Normal arterial blood pH is 7.4
    -H+ + HCO3- play major roles in acid/base balance
  2. -accumulation of the bodys nitrogen-containing waste products. (blood urea nitrogen (BUN), creatine, and uric acid)
    -catabolic state produces additional nitrogenous wastes
  3. No dialysis
  4. -Excretory
    -Metabolic
    -Endocrine
  5. -utilizes peritoneum to serve as filter
    -catheter placed in abdomen into peritoneal cavity
    -Dialysate used in high dextrose solution
    -less effficient than hemodialysis
    -tx takes place 3x/wk for 10-12 hrs
    -uses a machine

5 True/False questions

  1. MNT: CKD stages 1-4-low pro: 0.6-0.75 gm/kg 50% HBV
    -energy: 30-35 kcal/kg
    -Na: 2000 mg/day
    -K: unrestricted
    -P: 10-12 mg/kg/day
    -ca: 1200 mg/day
    -fluid: no restiction

          

  2. Nutrition goals: ESRD-retard progression of renal failure
    -maintain optimal nutritional status
    -minimize toxicity and metabolic derangements

          

  3. Etiology: CKDMaintain homeostatic balance of fluids, e-lytes, and organic solutes

          

  4. Acute Renal Failure (ARF)-sudden reduction in glomerular filtration rate (GFR)
    -Alteration in the ability for the kidney to remove biological wastes. Unable to regulate levels of e-lytes, acid, and nitrogenous wastes in blood.
    -Usually occurs when body is under severe stress, ex trauma, burns form drug toxicity
    -Urine may be diminished in quantity or absent

          

  5. HemodialysisMaintain homeostatic balance of fluids, e-lytes, and organic solutes

          

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