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5 Written questions

5 Matching questions

  1. MNT: CKD stage 5
  2. Uremic syndrome
  3. Uremia (ARF)
  4. Continuous Cyclic Peritoneal Dialysys (CCPD)
  5. Etiology: CKD
  1. a -accumulation of the bodys nitrogen-containing waste products. (blood urea nitrogen (BUN), creatine, and uric acid)
    -catabolic state produces additional nitrogenous wastes
  2. b -DM is #1 cause of CKD
    -Followed by HTN
    -CKD leads to CVD and other co morbid complications
  3. c -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
  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 -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. Dialysis-HD and PD
  3. -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
  4. -when fluid levels are high and osmolality is low=Vasopressin stopped
    -When fluid is low and osmolality high=vasopressin fucntioning
  5. -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 True/False questions

  1. Chronic Kidney Dz (CKD)-when fluid levels are high and osmolality is low=Vasopressin stopped
    -When fluid is low and osmolality high=vasopressin fucntioning

          

  2. 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

          

  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. Renal Function: Endocrine-Acid/Base balance
    -Normal arterial blood pH is 7.4
    -H+ + HCO3- play major roles in acid/base balance

          

  5. 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

          

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