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5 Written questions

5 Matching questions

  1. Nutrition goal: CKD stages 1-4
  2. Etiology: CKD
  3. Renal Function: Excretory
  4. Renal Function: Endocrine
  5. CKD: stages 1-4
  1. a -retard progression of renal failure
    -maintain optimal nutritional status
    -minimize toxicity and metabolic derangements
  2. b No dialysis
  3. c -filtration:blood filtered through glomerulus
    -reabsorption: selective process
    -secretion: H ions, K secreted into tuble
  4. d -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. e -DM is #1 cause of CKD
    -Followed by HTN
    -CKD leads to CVD and other co morbid complications

5 Multiple choice questions

  1. -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. -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. - 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. -Excretory
    -Metabolic
    -Endocrine
  5. -Acid/Base balance
    -Normal arterial blood pH is 7.4
    -H+ + HCO3- play major roles in acid/base balance

5 True/False questions

  1. MNT: CKD stages 1-4-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. Renal DietMonitor Na, K, pro, fluid, Phos

          

  3. Alterations in PD-DM is #1 cause of CKD
    -Followed by HTN
    -CKD leads to CVD and other co morbid complications

          

  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. Ca-Phos Homeostasis-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