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5 Written questions

5 Matching questions

  1. Renal Diet
  2. MNT:ARF
  3. Continuous Cyclic Peritoneal Dialysys (CCPD)
  4. Renal Function: Endocrine
  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 -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. c -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
  4. d Monitor Na, K, pro, fluid, Phos
  5. e - 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 Multiple choice questions

  1. -accumulation of the bodys nitrogen-containing waste products. (blood urea nitrogen (BUN), creatine, and uric acid)
    -catabolic state produces additional nitrogenous wastes
  2. -Excretory
    -Metabolic
    -Endocrine
  3. BUN, Cr, Na, Cl, K, Ca, PO4, ALb, pre alb, microalb, urinary sediment, H/H
  4. -DM is #1 cause of CKD
    -Followed by HTN
    -CKD leads to CVD and other co morbid complications
  5. -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

5 True/False questions

  1. 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

          

  2. Chronic Kidney Dz (CKD)-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.

          

  3. Nutrition goal: CKD stages 1-4-retard progression of renal failure
    -maintain optimal nutritional status
    -minimize toxicity and metabolic derangements

          

  4. Vasopressin (ADH)-when fluid levels are high and osmolality is low=Vasopressin stopped
    -When fluid is low and osmolality high=vasopressin fucntioning

          

  5. CKD: stage 5No dialysis