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777-Renal Nutrition Exam Questions and Answers
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777-Renal Nutrition Exam Questions and Answers
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777-Renal Nutrition Exam Questions andAnswers
Functions iiof iinormal iikidney ii- iiAnswers ii-o iiFilter iiwaste iiproducts
o iiMaintain iifluid iibalance
o iiRegulate iielectrolyte iistatus
o iiRole iiin iiblood iipressure iiregulation
o iiStimulation iiof iired iiblood iicell iiproduction
o iiMaintain iibone iihealth, iiregulation iiof iicalcium iiand iiphosphorus iimetabolism iiby
iiactivation iiof iiVitamin iiD iiand iiexcretion iiof iiexcess iiphosphorus
Characterized iiby iidecrease iiin iiremoval iiof iiwaste iiproducts. iiAs iidisease iiprogresses,
iirises iiin iiurea iiblood iilevel iican iicause iinausea, iifatigue, iiloss iiof iiappetite. iiUrine iioutput
iimay iibegin iito iidecline. ii- iiAnswers ii-Renal iiInsufficiency iior iiCKD iiStages ii1-4
Deterioration iiof iirenal iifunction iito iia iilevel iiat iiwhich iiuremia iican iicause iideath iiunless
iitreatment iiis iiinitiated iito iireplace iirenal iifunction. ii- iiAnswers ii-End iiStage iiRenal
iiDisease iior iiCKD iiStage ii5
at iirisk iiof iiCKD ii- iiAnswers ii-DM, iiHTN, iifamily iihx, iiage, iiethnicity ii
GFR: ii>90
stage ii1 ii- iiAnswers ii-Kidney iidamage ii(protein iiin iiurine)
GFR ii>90
stage ii2 ii- iiAnswers ii-Kidney iidamage ii+ iidecrease iiin iiGFR
GFR ii60-89
stage ii3 ii- iiAnswers ii-Moderate iidecrease iiin iiGFR
GFR ii30-59
stage ii4 ii- iiAnswers ii-Severe iidecrease iiin iiGFR
GFR ii15-29
stage ii5 ii- iiAnswers ii-Kidney iifailure ii(dialysis iior iitx iineeded)
GFR ii<15
, Medical iiNutrition iiTherapy iiGoals iiin iiKidney iiDisease ii- iiAnswers ii-•
iiPrevention/treatment iiof iimalnutrition, iiweight iimaintenance, iidecreased iimorbidity iiand
iimortality ii
• iiControl iiand iicorrect iian iioverload iiof iiproducts iiof iiprotein iimetabolism
• iiMaintain iiresistance iito iiinfection, iicontrol iitissue iicatabolism
• iiMaintain iielectrolyte iibalance
• iiMaintain iifluid iibalance
• iiPrevent/control iirenal iibone iidisease iiby iimaintaining iicalcium iiand iiphosphorus
iibalance.
Despite iiadvances iiin iidialysis iitechniques, iithe iimortality iirate iifor iithose iion
iimaintenance iidialysis iiremains ii____ iiper iiyear. ii- iiAnswers ii-~ ii20%
Epidemiological iistudies iirepeatedly iiand iiconsistently iishow iia iistrong iiassociation iib/t
iiwhat? ii- iiAnswers ii-clinical iioutcome iiand iimeasures iiof iimalnutrition iiand iiinflammation
Reported iiprevalence iiof iiPEW ii(protein iienergy iiwasting) iivaries iigreatly iib/t ii_______
iiin iidialysis iipatients iiaccording iito iitype iiof iidialysis, iinutritional iiassessment iitools, iiand
iiorigin iiof iipt iipopulation. ii- iiAnswers ii-45%-75%
2/3 iiof iiall iimaintenance iidialysis iipts iiin iithe iiUS iiexhibit ii______ ii- iiAnswers ii-
hypoaluminemia
causes iiof iimalnutrition iiin iikidney iidisease ii- iiAnswers ii-o iiDecreased iinutrient iiintake
o iiAbnormal iirenal iimetabolism
o iiAbnormal iimineral iimetabolism
o iiLosses iiof iinutrients iiinto iidialysate
o iiMetabolic iiacidosis
o iiHypercatabolism iidue iito iidialysis
o iiFrequent iiconcurrent iiillnesses
The iiNational iiKidney iiFoundation iihas iideveloped iiclinical iiguidelines ii... iiwhat iiare
iithose iicalled ii- iiAnswers ii-NKF-KDOQI iiGuidelines
steps iiof iiKDOQI iiguidelines ii- iiAnswers ii-1. iiEvaluation iiof iiprotein-energy iinutritional
iistatus
2. iiManagement iiof iiprotein iiand iienergy iiintake ii(very iiindividualized)
3. iiIntensive iinutritional iicounseling iiof iiindividuals iiwith iiCKD.
a iivalid iiand iiclinically iiuseful iimeasure iiof iiprotein-energy iinutritional iistatus iiin
iimaintenance iidialysis iipatients ii- iiAnswers ii--serum iipre-albumin
-Serum iiAlbumin
-serum iicholesterol
-serum iicreatinine iiand iithe iicreatinine iiindex
goal iiof iiserum iipre-albumin ii- iiAnswers ii->30mg/dL
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