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5 Written questions

5 Matching questions

  1. Etiology: CKD
  2. Acute Renal Failure (ARF)
  3. Alterations in PD
  4. Ca-Phos Homeostasis
  5. Vasopressin (ADH)
  1. a -DM is #1 cause of CKD
    -Followed by HTN
    -CKD leads to CVD and other co morbid complications
  2. b -Phos and Ca need to be monitored
    -Cannot be 2 low or 2 high, phos controls Ca uptake from bones.
  3. c -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. d -when fluid levels are high and osmolality is low=Vasopressin stopped
    -When fluid is low and osmolality high=vasopressin fucntioning
  5. e -more liberal fluid, Na, and K allowances
    -monitor kcal needs, as the dialysate contains 600-800 kcal of which is absorbed

5 Multiple choice questions

  1. -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
  2. -accumulation of the bodys nitrogen-containing waste products. (blood urea nitrogen (BUN), creatine, and uric acid)
    -catabolic state produces additional nitrogenous wastes
  3. -retard progression of renal failure
    -maintain optimal nutritional status
    -minimize toxicity and metabolic derangements
  4. - 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. No dialysis

5 True/False questions

  1. HemodialysisMonitor Na, K, pro, fluid, Phos

          

  2. 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)

          

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

          

  4. Renal Function: Endocrine-filtration:blood filtered through glomerulus
    -reabsorption: selective process
    -secretion: H ions, K secreted into tuble

          

  5. Continuous Cyclic Peritoneal Dialysys (CCPD)-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