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CSR Certified pecialist in Renal Nutrition Exam Questions And 100% Correct Answers
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CSR Certified pecialist in Renal Nutrition Exam QuestionsAnd 100% Correct Answers
Nephrotic Syndrome? Caused by? Leads to? - Answer Glomerular damage (from lupus,
autoimmune dx, DM, toxins, collagen vascular dx)
Results in proteiSnuria
Proteinuria g/day, s/s - 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, Deficiency repletion - Answer
*Sodium: 2g restriction
*Fluid restriction ONLY if RF
*Protein: DONT PUT ON HIGH PROTEIN-only 24hr urine collection loss+RDA ( 0.7-0.8 g
protein/kg)
*Healing calories
Replete Vit D, Ca, bicarb, iron deficiencies
Protein requirement g/kg RDA - Answer 0.8 g/kg
Protein requirement g/kg CKD (stages 3-5) - Answer Non-DM 0.55-0.6 g/kg
DM 0.6-0.8 g/kg
Protein requirement g/kg CKD (stage 5D: HD/PD) - Answer Non-DM or DM 1.0-1.2 g/kg
, CKD (all stages & dialysis) Energy Kcal/kg - Answer 25-35 Kcal/kg
Phosphorus mg/day CKD (all stages) - Answer -Adjust dietary Phos intake to maintain
serum P levels
-Consider bioavailability of Phos sources
-Posttransplant or Low Phos, Rx high phos diet and/or suppl
Potassium mEq/d CKD (all stages and post transplant) - Answer Maintain normal serum
range with diet and suppl prn
Sodium mg/day CKD (all stages and post transplant) - Answer *<2300 mg/d for BP and
volume control
*CKD 3-5 w/ proteinuria, limit Na+ to <2300mg/d with use of diuretics/etc.
Fiber g/day CKD (all stages) - Answer 20-30 g/day
Fluids ml/day Hemodialysis - Answer 750-1500
Unstable patient criteria - Answer -extended or freq hospitalizations
-marked deterioration of health status
-psychosocial change or poor nutritional status
-unmanaged anemia
-inadequate dialysis
Nutrition Care Process (NCP) advantages - Answer improves consistency & quality of
individualized care;
provides model & standard language;
adoption of core nutrition measures
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