Exam (elaborations)
CSR - Certified Specialist in Renal Nutrition exam 2023
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CSR - Certified Specialist in Renal Nutrition exam 2023...
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CSR certified specialist in renal nutrition exam 2023nephrotic syndrome ?, caused by? leads to? - Answers glomerular damage (from lupus,
autoimmune dx, DM, toxins, collagen vascular dx)
leads to proteinuria
proteinuria #, s/s - Answers (>3g/day SHOULD BE less than 150mg)
fatigued
ineffective healing
lose muscle mass
3rd spacing (ascites, edema)
nephrotic syndrome tx: sodium, fluid, protein, calories, cholesterol - Answers 2g sodium
restriction
fluid restriction ONLY if RF
DONT PUT ON HIGH PROTEIN-only 24hr urine collection loss+RDA
calories for healing
if chronic hyper-cholesterol could be an issue
RDA protein requirement g/kg - Answers 0.8g/kg body wt
CKD (stage 4) protein requirement g/kg - Answers 0.8; avoid high protein intake >1.3
Hemodialysis (HD) protein req. g/kg;
Nocturnal HD protein req. g/kg;
Short Daily HD g/kg - Answers 1.2 stable,
1.2-1.3 acutely ill or PEW (protein energy wasting)
Peritoneal Dialysis protein req. g/kg - Answers 1.2-1.3 g/kg
CKD (stage 4) Energy Kcal/kg - Answers 23-35 Kcal/kg
Peritoneal Dialysis Energy Kcal/kg - Answers 30-35 Kcal/kg >60 yrs;
35 <60yrs including dialysate
Hemodialysis (HD) Energy Kcal/kg;
, Nocturnal HD Kcal/kg;
Short Daily HD Kcal/kg - Answers 30-35 Kcal/kg >60 yrs;
35 <60yrs
Hemodialysis Sodium mg/day - Answers 750-2000mg
CKD, PD, Nocturnal, Short-Daily HD Sodium mg/day - Answers <2000mg
Hemodialysis Potassium mEq/day - Answers Up to 70-80 mEq/day; adjust to serum
levels (2730-3120mg/day)
CKD (stage 4) Potassium mEq/day - Answers unrestricted unless serum level is elevated
PD Potassium mEq/day - Answers 3-4 g/day; adjust to serum levels
Fiber g/day HD, PD, Nocturnal, Short-Daily - Answers 20-25g/day
Fiber g/day CKD (stage 4) - Answers 20-30g/day
Fluids cc/day Hemodialysis - Answers 750-1500
Phosphorus mg/day CKD (stage 4) - Answers 800-1000
maintain P/PTH WNL
Phosphorus mg/day Hemodialysis - Answers 10-17mg/kg/day
Phos mg/day PD - Answers 800mg/day
Phos mg/day Short-daily HD - Answers 800-1000,
10-17mg/day,
adjust to meet protein needs
Unstable patient criteria - Answers -extended or freq hospitalizations
-marked deterioration of health status
-psychosocial change or poor nutritional status
-unmanaged anemia
-inadequate dialysis
Nutrition Care Process (NCP) advantages - Answers improves consistency & quality of
individualized care;
provides model & standard language;
adoption of core nutrition measures
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