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Jean Inman domain 2_ CKD_renal failure_diabetes - - Questions with Explanations of Answers

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Jean Inman domain 2_ CKD_renal failure_diabetes - - Questions with Explanations of Answers

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  • June 16, 2024
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  • 2023/2024
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  • jean inman domain 2 ckd renal failurediabetes

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Jean Inman domain 2: CKD/renal
failure/diabetes
chronic kidney disease (CKD) - ✅✅-symptoms: anorexia, weight loss, nausea,
vomiting

chronic kidney diseases - ✅✅-anemia is commonly seen d/t lack of erythropoietin
(EPO)

25-35kcal/kg or BEEx activity factor - ✅✅-calorie requirement for CKD
<2400mg - ✅✅-sodium for CKD
0.8-1.4g/kg - ✅✅-protein for stage 1 and stage 2 CKD

0.6-0.8g/kg - ✅✅-protein for stage 3 and stage 4 CKD

>90 - ✅✅-GFR stage 1

60-89 - ✅✅-GFR stage 2

30-59 - ✅✅-GFR stage 3

15-29 - ✅✅-GFR stage 4

800-1000mg/day - ✅✅-phosphorus for CKD

high calorie, specialized protein, phosphorus limit, sodium restriction - ✅✅-CKD
diet includes

ESRD - ✅✅-few functioning nephrons remain in this disorder
ESRD - ✅✅-associated with BUN >100 and Cr 10-12mg/dl

protein intake - ✅✅-d/t the retention of nitrogen metabolites in ESRD, the diet
needs a very specific what

20g/day (HBV) - ✅✅-protein intake for ESRD
control edema, prevent nutrient deficiencies - ✅✅-goals of ESRD

liberalized - ✅✅-with dialysis, diet can be what

, ✅✅-protein needs for hemodialysis
1.2g/kg -

<60 35cal/kg, >60 or obese 30-35cal/kg - ✅✅-calorie needs for hemodialysis

25-35% calories from fat, <7% from sat fat, and <200mg cholesterol - ✅✅-fat
restriction for hemodialysis

2-4g Na + 2L fluid - ✅✅-fluid/Na restriction for hemodialysis if output is >1 liter
2g Na + 1-1.5 L fluid - ✅✅-fluid/Na restriction for hemodialysis if output is <1 liter

2g Na + 1 L fluid - ✅✅-fluid/Na restriction for hemodialysis if anuria (no urine from
kidneys)

40mg/kg or 2-3g - ✅✅-Potassium restriction for hemodialysis
2g - ✅✅-calcium restriction for hemodialysis
800-1000mg - ✅✅-phosphorus restriction for hemodialysis

vitamin b6, b12, folate, c - ✅✅-supplements for hemodialysis

1.2-1.3g/kg - ✅✅-protein requirement for peritoneal dialysis

<60 35cal/kg >60 30-35cal/kg - ✅✅-calories for peritoneal dialysis

2-3g - ✅✅-Sodium restriction for peritoneal dialysis

<2g - ✅✅-calcium restriction for peritoneal dialysis

800mg-1000mg - ✅✅-phosphorus restriction for peritoneal dialysis

1-3 L depending on cardiac status - ✅✅-fluid restriction for peritoneal dialysis

4-5 times - ✅✅-CAPD for peritoneal dialysis how many times per day

type 1 diabetes - ✅✅-insulin deficient diabetes, depend on exogenous insulin

type 2 diabetes - ✅✅-insulin resistance with relative insulin deficiency (may need
insulin)

normal blood glucose - ✅✅-70-100mg/dl is

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