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5 Written questions

5 Matching questions

  1. MNT: CKD stages 5 PD
  2. Vasopressin (ADH)
  3. Renal Function: Endocrine
  4. Alterations in PD
  5. Hemodialysis
  1. a -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)
  2. b -when fluid levels are high and osmolality is low=Vasopressin stopped
    -When fluid is low and osmolality high=vasopressin fucntioning
  3. c -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
  4. d -more liberal fluid, Na, and K allowances
    -monitor kcal needs, as the dialysate contains 600-800 kcal of which is absorbed
  5. e -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 Multiple choice questions

  1. -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
  2. -Excretory
    -Metabolic
    -Endocrine
  3. No dialysis
  4. -accumulation of the bodys nitrogen-containing waste products. (blood urea nitrogen (BUN), creatine, and uric acid)
    -catabolic state produces additional nitrogenous wastes
  5. -Phos and Ca need to be monitored
    -Cannot be 2 low or 2 high, phos controls Ca uptake from bones.

5 True/False questions

  1. MNT: CKD stages 1-4-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

          

  2. Nutrition goal: CKD stages 1-4-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. MNT: CKD stage 5-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

          

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

          

  5. Nutrition goals: 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