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5 Written questions

5 Matching questions

  1. Continuous Ambulatory Peritoneal Dialysis (CAPD)
  2. Uremic syndrome
  3. MNT:ARF
  4. Renal Diet
  5. Renal Function: Metabolic
  1. a - 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
  2. b -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
  3. c -Acid/Base balance
    -Normal arterial blood pH is 7.4
    -H+ + HCO3- play major roles in acid/base balance
  4. d -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
  5. e Monitor Na, K, pro, fluid, Phos

5 Multiple choice questions

  1. -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.
  2. No dialysis
  3. -DM is #1 cause of CKD
    -Followed by HTN
    -CKD leads to CVD and other co morbid complications
  4. -filtration:blood filtered through glomerulus
    -reabsorption: selective process
    -secretion: H ions, K secreted into tuble
  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. End stage Renal Dz (ESRD)-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. Labs associated w/kidney dz-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

          

  3. Renal FunctionMonitor Na, K, pro, fluid, Phos

          

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

          

  5. 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

          

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