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Exam -1 Renal Nutrition Questions and Answers
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Exam -1 Renal Nutrition Questions and Answers
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Exam #1: Renal Nutrition Questions andAnswers
Acute iiKidney iiInjury ii(AKI) ii- iiAnswers ii---Nephrons iisuddenly iilose iifunction, iiand iithe
iikidneys iiare iiunable iito iimaintain iihomeostasis
--Reversible iior iimay iiprogress iito iichronic iirenal iifailure
--Temporary iidialysis iimay iibe iineeded
Nutritional iiConsequences iiof iiAKI ii- iiAnswers ii---Uremia ii
--Marked iiprotein iidegradation iipossible
--Altered iiblood iielectrolytes ii
--Severe iiedema ii
--Diuretic iiphase iiat iirisk iifor iidehydration iiand iidangerously iilow iilevels iiof iielectrolytes
Goals iiof iiNutrition iiManagement iifor iiAKI ii- iiAnswers ii---Prevent iinutritional iideficiencies
--Preserve iilean iibody iimass ii(muscle)
--Correct iifor iimetabolic iiabnormalities
--Preserve/restore iirenal iifunction
Medical iiNutrition iiTherapy iifor iiAKI:
1) iiEnergy
2) iiProtein
3) iiFluid
4) iiElectrolytes
5) iiRenal iiDiet ii- iiAnswers ii-1) ii*Energy*: iiProvide iiadequate iinon-protein iicalories iito
iispare iinitrogen
2) ii*Protein*: iiGoal iiis iito iiachieve iipositive iinitrogen iibalance
3) ii*Fluid:* iiVarying iineeds, iibalance iiinput iiand iioutput ii
4) ii*Electrolytes*: iiPotassium, iisodium, iiphosphorus
5) ii*"Renal iiDiet"* iican iibe iiindividualized iito iieach iipt. iiRenal iispecific iioral iisupplements
iiand iitube iifeedings iiare iiavailable.
Chronic iiKidney iiDisease ii(CKD) ii- iiAnswers ii---GRADUAL iideterioration iiof iithe
iiglomerular iifiltration iirate ii(GFR) iiand iiIRREVERSIBLY iialtered iirenal iifunction
--Derangement iiof iirenal iiexcretory iiand iiregulatory iifunctions
--Characterized iiby ii90% iiloss iiof iithe iinephrons
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