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5 Written Questions

5 Matching Questions

  1. Renal Function: Metabolic
  2. Alterations in PD
  3. MNT: CKD stage 5
  4. Acute Renal Failure (ARF)
  5. CKD: stage 5
  1. a -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
  2. b -Acid/Base balance
    -Normal arterial blood pH is 7.4
    -H+ + HCO3- play major roles in acid/base balance
  3. c Dialysis-HD and PD
  4. d -more liberal fluid, Na, and K allowances
    -monitor kcal needs, as the dialysate contains 600-800 kcal of which is absorbed
  5. e -high pro: 1.2gm/kg 50% HBV
    -high Energy: 35 kcal/kg<60 yrs, 30-35 kcal/kg>60 yrs
    -Na: 2g/day
    -K:2-3 g/day
    -P: 800-1000mg/day
    -ca: less than or equal to 2000mg
    Fluid: output + 1000ml

5 Multiple Choice Questions

  1. -filtration:blood filtered through glomerulus
    -reabsorption: selective process
    -secretion: H ions, K secreted into tuble
  2. -Conditions that affect the kidney w/potential to cause either progressive loss of kidney function or complications resulting from decreased kidney function. Presence of kidney damage or decreased level of kidney function for 3 months or more.
  3. BUN, Cr, Na, Cl, K, Ca, PO4, ALb, pre alb, microalb, urinary sediment, H/H
  4. Monitor Na, K, pro, fluid, Phos
  5. -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 True/False Questions

  1. Continuous Cyclic Peritoneal Dialysys (CCPD)-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

          

  2. Renal Function: Endocrine-renin angiotensin mechanism (also controls bp and h2o absortion)
    -Erythpoietin production
    -Ca-phos homeostasis via production of Vit D
    -Vasopressin (also controls bp and h2o absortion)

          

  3. MNT: CKD stages 5 PD-high pro: 1.2-1.3 gm/kg 50% HBV
    -Energy: 35 kcal/kg<60 yrs, 30-35 kcal/kg>60 yrs
    -Na: 2g/day
    -K: 3-4 gm/day
    -P: 800-1000 mg/day
    -Ca: less than or equal too 2000mg
    -fluid: monitored: 1500-2000 mk

          

  4. Nutrition goal: CKD stages 1-4-maintain or obtain nutritional status
    -control edema and e-lyte imbalance by controlling Na, k, and fluid intake
    -prevent or slow development of renal osteodystrophy by controling ca, po4, and vit D intake
    -Enable pt to eat palateble diet that fits his/her life style

          

  5. Uremic syndrome-accumulation of the bodys nitrogen-containing waste products. (blood urea nitrogen (BUN), creatine, and uric acid)
    -catabolic state produces additional nitrogenous wastes

          

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