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5 Written questions

5 Matching questions

  1. Nutrition goal: CKD stages 1-4
  2. MNT: CKD stage 5
  3. Vasopressin (ADH)
  4. Hemodialysis
  5. Renal Function: Metabolic
  1. a -when fluid levels are high and osmolality is low=Vasopressin stopped
    -When fluid is low and osmolality high=vasopressin fucntioning
  2. b -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
  3. c -Acid/Base balance
    -Normal arterial blood pH is 7.4
    -H+ + HCO3- play major roles in acid/base balance
  4. d -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. e -retard progression of renal failure
    -maintain optimal nutritional status
    -minimize toxicity and metabolic derangements

5 Multiple choice questions

  1. -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.
  2. Maintain homeostatic balance of fluids, e-lytes, and organic solutes
  3. -Phos and Ca need to be monitored
    -Cannot be 2 low or 2 high, phos controls Ca uptake from bones.
  4. No dialysis
  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. Uremic syndrome-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. End stage Renal Dz (ESRD)-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

          

  3. MNT:ARF- 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

          

  4. Continuous Ambulatory Peritoneal Dialysis (CAPD)-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. Renal Diet-Excretory
    -Metabolic
    -Endocrine

          

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