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CSR certified specialist in renal nutrition exam questions and answers
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CSR certified specialist in renal nutritionexam questions and answers
Nephrotic iiSyndrome? iiCaused iiby? iiLeads iito? ii- iiAnswers ii-Glomerular iidamage ii(from
iilupus, iiautoimmune iidx, iiDM, iitoxins, iicollagen iivascular iidx) ii
Leads iito iiproteinuria
Proteinuria iig/day, iis/s ii- iiAnswers ii-(>3g/day iiSHOULD iiBE iiless iithan ii150mg)
fatigued
ineffective iihealing
lose iimuscle iimass
3rd iispacing ii(ascites, iiedema)
Nephrotic iiSyndrome iiTx: iisodium, iifluid, iiprotein, iicalories, iiDeficiency iirepletion ii-
iiAnswers ii-*Sodium: ii2g iirestriction
*Fluid iirestriction iiONLY iiif iiRF
*Protein: iiDONT iiPUT iiON iiHIGH iiPROTEIN-only ii24hr iiurine iicollection iiloss+RDA ii(
ii0.7-0.8 iig iiprotein/kg)
*Calories iifor iihealing
*Replete iiVit iiD, iiCa, iibicarb, iiiron iideficiencies
Protein iirequirement iig/kg iiRDA ii- iiAnswers ii-0.8 iig/kg
Protein iirequirement iig/kg iiCKD ii(stages ii3-5) ii- iiAnswers ii-Non-DM ii0.55-0.6 iig/kg
DM ii0.6-0.8 iig/kg
Protein iirequirement iig/kg iiCKD ii(stage ii5D: iiHD/PD) ii- iiAnswers ii-Non-DM iior iiDM ii1.0-
1.2 iig/kg
CKD ii(all iistages ii& iidialysis) iiEnergy iiKcal/kg ii- iiAnswers ii-25-35 iiKcal/kg
Phosphorus iimg/day iiCKD ii(all iistages) ii- iiAnswers ii--Adjust iidietary iiPhos iiintake iito
iimaintain iiserum iiP iilevels
-Consider iibioavailability iiof iiPhos iisources
-Posttransplant iior iiLow iiPhos, iiRx iihigh iiphos iidiet iiand/or iisuppl
Potassium iimEq/d iiCKD ii(all iistages iiand iipost iitransplant) ii- iiAnswers ii-Maintain iinormal
iiserum iirange iiwith iidiet iiand iisuppl iiprn
Sodium iimg/day iiCKD ii(all iistages iiand iipost iitransplant) ii- iiAnswers ii-*<2300 iimg/d iifor
iiBP iiand iivolume iicontrol
, *CKD ii3-5 iiw/ iiproteinuria, iilimit iiNa+ iito ii<2300mg/d iiwith iiuse iiof iidiuretics/etc.
Fiber iig/day iiCKD ii(all iistages) ii- iiAnswers ii-20-30 iig/day
Fluids iiml/day iiHemodialysis ii- iiAnswers ii-750-1500
Unstable iipatient iicriteria ii- iiAnswers ii--extended iior iifreq iihospitalizations
-marked iideterioration iiof iihealth iistatus
-psychosocial iichange iior iipoor iinutritional iistatus
-unmanaged iianemia
-inadequate iidialysis
Nutrition iiCare iiProcess ii(NCP) iiadvantages ii- iiAnswers ii-improves iiconsistency ii&
iiquality iiof iiindividualized iicare;
provides iimodel ii& iistandard iilanguage;
adoption iiof iicore iinutrition iimeasures
ADIME ii- iiAnswers ii-Assessment, iiDiagnosis, iiIntervention, iiMonitoring/Evaluation
NCP iiDiagnosis ii3 iidomains ii- iiAnswers ii-Identify iinutr iiproblem/diagnosis:
-Clinical
-Intake
-Behavioral/environmental
Motivational iiInterviewing ii(MI): iiStages iiof iichange ii- iiAnswers ii-Pre-contemplative,
iiContemplation, iiPreparation, iiAction, iiMaintenance
Motivational iiInterviewing: iiPre-contemplation ii- iiAnswers ii-not iiready iito iiconsider
iichange
Motivational iiInterviewing: iiContemplation ii- iiAnswers ii-ready iito iiconsider iichange,
iimixed iifeelings; iimay iisee iibenefits iiand iidrawbacks
Motivational iiInterviewing: iiPreparation ii- iiAnswers ii-ready iito iimake iichanges; iiplanning
iiactions iiand iichanges
Motivational iiInterviewing: iiAction ii- iiAnswers ii-enacting iiplans iiand iigoals; iiestablishing
iinew iihabits
Motivational iiInterviewing: iiMaintenance ii- iiAnswers ii-dealing iiwith iirelapses; iireinforcing
Motivational iiInterviewing iitechniques ii- iiAnswers ii--focus iion iipatient iiconcerns
-partnership
-matches iiintervention iito iipatient
-strengthens iireasons iito iichange
-ambivalence iiis iinormal
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