CSR certified specialist in renal nutrition exam
Questions with complete solutions
nephrotic syndrome ?, caused by? leads to? correct answer: glomerular damage (from lupus, autoimmune dx, DM, toxins, collagen vascular dx) leads to proteinuria
proteinuria #, s/s correct answer: (>3g/day SHOULD BE less than 150mg)
fatigued
ineffective healing
lose muscle mass
3rd spacing (ascites, edema)
nephrotic syndrome tx: sodium, fluid, protein, calories, cholesterol correct answer: 2g sodium restriction
fluid restriction ONLY if RF
DONT PUT ON HIGH PROTEIN-only 24hr urine collection loss+RDA
calories for healing
if chronic hyper-cholesterol could be an issue
RDA protein requirement g/kg correct answer: 0.8g/kg body wt
CKD (stage 4) protein requirement g/kg correct answer: 0.8; avoid high protein intake >1.3
Hemodialysis (HD) protein req. g/kg;
Nocturnal HD protein req. g/kg; Short Daily HD g/kg correct answer: 1.2 stable,
1.2-1.3 acutely ill or PEW (protein energy wasting)
Peritoneal Dialysis protein req. g/kg correct answer: 1.2-1.3 g/kg
CKD (stage 4) Energy Kcal/kg correct answer: 23-35 Kcal/kg
Peritoneal Dialysis Energy Kcal/kg correct answer: 30-35 Kcal/kg >60 yrs; 35 <60yrs including dialysate
Hemodialysis (HD) Energy Kcal/kg;
Nocturnal HD Kcal/kg;
Short Daily HD Kcal/kg correct answer: 30-35 Kcal/kg >60 yrs;
35 <60yrs
Hemodialysis Sodium mg/day correct answer: 750-2000mg
CKD, PD, Nocturnal, Short-Daily HD Sodium mg/day correct answer: <2000mg
Hemodialysis Potassium mEq/day correct answer: Up to 70-80 mEq/day; adjust to serum levels (2730-3120mg/day)
CKD (stage 4) Potassium mEq/day correct answer: unrestricted unless serum level is elevated
PD Potassium mEq/day correct answer: 3-4 g/day; adjust to serum levels
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