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5 Written questions

5 Matching questions

  1. Renal Diet
  2. MNT: CKD stages 1-4
  3. End stage Renal Dz (ESRD)
  4. Labs associated w/kidney dz
  5. Renal Function: Metabolic
  1. a Monitor Na, K, pro, fluid, Phos
  2. b -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
  3. c BUN, Cr, Na, Cl, K, Ca, PO4, ALb, pre alb, microalb, urinary sediment, H/H
  4. d -Acid/Base balance
    -Normal arterial blood pH is 7.4
    -H+ + HCO3- play major roles in acid/base balance
  5. e -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

5 Multiple choice questions

  1. -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. Dialysis-HD and PD
  3. -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
  4. -more liberal fluid, Na, and K allowances
    -monitor kcal needs, as the dialysate contains 600-800 kcal of which is absorbed
  5. -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.

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

          

  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. Renal Function: Excretory-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. Nutrition goals: ESRD-retard progression of renal failure
    -maintain optimal nutritional status
    -minimize toxicity and metabolic derangements