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5 Written questions

5 Matching questions

  1. Renal Function
  2. CKD: stage 5
  3. Uremic syndrome
  4. Continuous Ambulatory Peritoneal Dialysis (CAPD)
  5. Alterations in PD
  1. a -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. b -more liberal fluid, Na, and K allowances
    -monitor kcal needs, as the dialysate contains 600-800 kcal of which is absorbed
  3. c -Excretory
  4. d -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. e Dialysis-HD and PD

5 Multiple choice questions

  1. Maintain homeostatic balance of fluids, e-lytes, and organic solutes
  2. -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
  3. -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
  4. -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
  5. - Decrease Pro: 0.6-0.8 gm/kg
    -Increase Energy: 35-50 kcal/kg
    -Na: 1-2 g/day
    -K: 2 g/day
    -P: maintain serum value WNL
    -Ca: adj for low alb, maintain WNL
    -Fluid: output + 500 ml
    -vit/min: DRI

5 True/False questions

  1. 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


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


  3. 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


  4. End stage Renal Dz (ESRD)-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. Labs associated w/kidney dz-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


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