Nutrition Final Exam - Chapter 21: Renal
Questions and Answers
Nephrotic iisyndrome; iiWhat iiis iiit iiand iiwhat iiare iisymptoms? ii- iiAnswers ii-Symptoms
iiresulting iifrom iidamage iito iithe iicapillary iiwalls iiof iithe iiglomerulus; iiSymptoms iiinclude
iiproteinuria, iihyperlipidemia, iiand iiedema
What iican iicause iinephrotic iisyndrome? ii- iiAnswers ii-glomerulonephritis, iiamyloidosis,
iidiabetes iimellitus, iitoxins, iimedications, iiand iidrug iiabuse
What iicomplications iican iiarise iifrom iinephrotic iisyndrome? ii- iiAnswers ii-The iisyndrome
iican iiprogress iito iichronic iirenal iifailure ii(CRF) iiand iiurinary iiloss iiof iiprotein iileads iito
iiedema iiand iiurinary iiloss iiof iivitamin iiD iibinding iiprotein iican iicause iicalcium
iimalabsorption iiand iithe iidevelopment iiof iimetabolic iibone iidisease
Nutrition iitherapy iigoals iifor iinephrotic iisyndrome ii- iiAnswers ii-control iiHTN, iiminimize
iiedema iiby iirestricting iisodium iiand iifluids, iiincrease iiprotein iito iicounter iiurinary
iialbumin iilosses iiand iiprevent iiprotein iimalnutrition iiand iimuscle iicatabolism, iislow
iiprogression iiof iirenal iidisease
Acute iiRenal iiFailure ii(ARF); iiWhat iiit iiis iiand iisymptoms ii- iiAnswers ii-characterized iiby
iiabrupt/rapid iiloss iiof iirenal iifunction; iiSymptoms iiinclude: iiincreased iiBUN iiand
iicreatinine iilevels, iioliguria/anuria, iirapid iiheart iirate, iiexcessive iithirst iiand iidry iimouth,
iipain iiin iithe iiback, iiabove iithe iiwaist iior iiunder iithe iiribcage, iidizziness iiupon iistanding,
iiloss iiof iiappetite, iinausea/vomiting
What iiis iithe iimost iicommon iicause iiof iiacute iirenal iifailure ii(ARF)? ii- iiAnswers ii-acute
iitubular iinecrosis ii(ATN)
What iishould iithe iinurse iitake iiinto iispecial iiconsideration iiwith iia iipatient iiwith iiacute
iirenal iifailure ii(ARF)? ii- iiAnswers ii-monitor iiintake iiand iioutput iiclosely, iitake iiand iirecord
iibody iiweight iidaily, iimonitor iiBUN iiand iicreatinine iilevels
What iiis iiBUN iiand iiwhat iidoes iiit iitell iius? ii- iiAnswers ii-Blood iiUrea iiNitrogen; iimeasures
iithe iiamount iiof iiurea iiin iithe iiblood; iiDirectly iirelated iito iithe iimetabolic iifunction iiof iithe
iiliver ii(since iiliver iiis iisupposed iito iimetabolize iiprotein iiinto iiurea) iiand iithe iiexcretory
iifunction iiof iithe iikidney ii(since iikidneys iiare iisupposed iito iiexcrete iiurea)
What iiis iiCreatinine iiand iiwhat iidoes iiit iitell iius? ii- iiAnswers ii-Creatinine iiis iia iisubstance
iiformed iifrom iithe iimetabolism iif iicreatine iiwhich iiis iicommonly iifound iiin iiblood, iiurine,
iiand iimuscle iitissue; iiIndicator iiof iikidney iifunction
, What iikind iiof iiconsequences ii(issues) iican iiresult iifrom iiafter iia iirenal iitransplantation ii-
iiAnswers ii-weight iigain, iihyperlipidemia, iihyperglycemia, iiHTN, iialtered iibone iihealth
What iiis iiseen iiin iithe iioliguric/anuric iiphaseof iiARF? ii- iiAnswers ii-Great iireduction iiin
iiGFR ii--> iiless iipee iiis iibeing iimade iiand iinot iienough iithings iiare iigetting iifiltered iiout ii--
> iiaccumulate iiin iithe iibody; iiIncreased iiBUN iiand iiCreatinine; iiElectrolyte iiabnormalities
ii(hyperkalemia, iihyperphosphatemia, iiazotemia); iiHTN, iiacidosis, iianorexia
What iiis iiazotemia? ii- iiAnswers ii-elevated iiblood iiurea iinitrogen ii(BUN) ii= iiabnormally
iihigh iilevels iiof iinitrogen-containing iicompounds, iisuch iias iiurea, iicreatinine, iiand
iivarious iibody iiwaste iicompounds
Nutritional iiTherapy iifor iiafter iia iirenal iitransplantation ii- iiAnswers ii-High iikcal iibecause
iiof iistress iiof iisurgery iiand iiimmunosuppressive iidrugs iiand iirestriction iiof iiglucose iiif
iidrugs iiare iicausing iiincreased iiblood iiglucose iilevels
What iiis iiusually iiseen iiin iipatients iiin iithe iidiuretic iiphase iiof iiARF? ii- iiAnswers ii-An
iiincrease iiin iiGFR ii--> iihigh iiurine iioutput; iiBUT iirenal iicells iicannot iiconcentrate iiurine
ii(they're iiworking iibut iinot iivery iiefficiently) iiso iibody iiis iilosing iilots iiof iifluid ii--> iiwatch
iielectrolytes iiand iidehydration/maybe iiIV
Amyloidosis ii- iiAnswers ii-Amyloids iiare iifibrous iiproteins iithat iiaccumulates iiin iivarious
iiorgans; iiUsually iiproduced iiby iicells iiin iithe iibone iimarrow iiand iican iibe iideposited iiin
iiany iitissue
- iiCan iibe iithe iicause iiof iinephrotic iisyndrome
What iiis iiseen iiduring iithe iirecovery iiphase iiof iiARF? ii- iiAnswers ii-Kidney iifunction
iigradually iiimproves, iiedema iidecreases, iirenal iitubules iibegin iito iifunction iiadequately,
iifluid iiand iielectrolyte iibalance iiare iirestored, iiGFR iihas iiusually iireturned iito iialmost
iinormal; iiMay iibe iisome iiresidual iipermanent iidamage, iiBUN/Creatinine iimay iinever
iireturn iito iinormal iilevels
Nutrition iiTherapy iigoals iifor iioliguric/anuric iiphase iiof iiAcute iiRenal iiFailure ii(ARF) ii-
iiAnswers ii-sodium, iifluid, iipotassium, iirestriction iiif iiclient iiis iiretaining iithese; iiLimit
iiprotein iito iiminimize iiazotemia iiif iiclient iiis iiretaining iinitrogen
Nutritional iitherapy iigoals iifor iidiuretic iiphase iiof iiARF iior iiif iipatient iiis iion iidialysis iiwith
iiARF ii- iiAnswers ii-Since iisodium iiand iipotassium iimay iibe iilost, iithese iilosses iishould
iibe iireplaced iias iineeded iidepending iion iiurinary iivolume, iiserum iilevels, iiand iifrequency
iiof iidialysis; iiLarge iiamounts iiof iifluid iimay iibe iineeded iito iireplace iilosses
Chronic iiRenal iiFailure ii(CRF); iiWhat iiit iiis ii- iiAnswers ii-slow, iisteady iidecline iiin iirenal
iifunction iievaluated iiby iithe iiGFR; iiresult iiis iiprogressive iiirreversible iiloss iiof iikidney
iifunction iiprogressing iito iiChronic iiKidney iiDisease ii(CKD)