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5 Written questions

5 Matching questions

  1. Uremic syndrome
  2. Hemodialysis
  3. Nutrition goals: ESRD
  4. Kidneys
  5. CKD: stages 1-4
  1. a -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
  2. b Maintain homeostatic balance of fluids, e-lytes, and organic solutes
  3. c -Usually 3x week for 3-5 hrs
    -used in ESRD and ARF
    -uses artificial kidney (machine) to filter waste out of blood via diffusion into a filter
    -requires permanent access via a surgically created fistula into an artery or vein
    -dialysis causes osmotic pressure that removes waste
  4. d -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. e No dialysis

5 Multiple choice questions

  1. -Excretory
    -Metabolic
    -Endocrine
  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. -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. -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)
  5. BUN, Cr, Na, Cl, K, Ca, PO4, ALb, pre alb, microalb, urinary sediment, H/H

5 True/False questions

  1. Acute Renal Failure (ARF)-accumulation of the bodys nitrogen-containing waste products. (blood urea nitrogen (BUN), creatine, and uric acid)
    -catabolic state produces additional nitrogenous wastes

          

  2. Etiology: CKD-DM is #1 cause of CKD
    -Followed by HTN
    -CKD leads to CVD and other co morbid complications

          

  3. Renal Function: Metabolic-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)

          

  4. Vasopressin (ADH)-when fluid levels are high and osmolality is low=Vasopressin stopped
    -When fluid is low and osmolality high=vasopressin fucntioning

          

  5. MNT:ARFMaintain homeostatic balance of fluids, e-lytes, and organic solutes

          

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