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Renal nutrition exam questions and answers
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Renal nutrition exam questions and answers
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Renal nutrition exam questions andanswers
Nutrition iifor iiUTI's ii- iiAnswers ii--Treatment iiis iipharmalogical, iino iinutrition iitherapy
-Some iievidence iishows iithat iicranberry iijuice iican iiPREVENT iibut iinot iitreat iiUTI's
-Probiotics iiaren't iieffective
Nephrotic iisyndrome
What iiit iiis
SS ii- iiAnswers ii--Losing ii>3g iiof iiprotein iiin iithe iiurine/day iiis iithe iibig iisymptoms iiof
iinephrotic iisyndrome ii
-caused iiby iidamage iito iithe iiglomerulus
- iicauses iia iiloss iiof iioncotic iipressure iiwhere iiyou iiwill iisee iiedema, iiproteinuria,
iihyperlipidemia
Nutrition iitherapy iifor iinephrotic iisyndrome ii- iiAnswers ii-1.) iiProvision iiof iiadequate
iicalories iiand iiprotein iito iiprevent iimalnutrition iid/t iiproteinuria ii(in iithe iiabsence iiof
iiadequate iicalories, iiprotein iiwill iibe iiused iifor iienergy iiwhich iiwill iifurther iithe iiprotein
iideficit)
Encourage: iiMODERATE iiprotein iirestriction iisupported iiwith iiadequate iicalorie iiintake
iito iireduce iiproteinuria ii(high iiprotein iiintake iiactually iiincreases iiproteinuria) ii
*Give ii.8gm/kg/day ii+ ii1gm iifor iievery iigram iiof iiprotein iilost iiin iiurine ii(give iiwhat iiis
iirecommended iiplus iiwhat iiis iilost)
2.) iiRestriction iiin iisaturated iifat iiand iicholesterol iialong iiwith iilipid iilowering iimedications
ii
3.) iiSodium iiand iiwater iirestrictions iiare iiindividualized iibased iion iiextent iiof iiedema
acute iirenal iifailure ii- iiAnswers ii--Rapid iidecline iiin iikidney iifunction iiidentified iiby iian
iiincreased iiin iiBUN iiand iicreatinine
Goals iiof iinutrition iisupport iiin iiARF ii- iiAnswers ii-1.) iiMaintain iinutritional iistatus
2.) iiDecrease iiprotein iicatabolism iiwith iimuscle iiwasting
3.) iiAddress iimetabolic iicomplications
Chronic iikidney iidisease ii- iiAnswers ii--Slow iiand iisteady iidecline iiin iirenal iifunction ii
-Evaluated iiwith iiGFR
Uremia ii- iiAnswers ii--Accumulation iiof iinitrogenous iiwaste iiproducts iiin iithe iiblood
6 iiSteps iifor iidealing iiwith iiacute iiand iichronic iirenal iifailure ii- iiAnswers ii-1.) iiTreat
iisymptoms iiof iiuremia iiand iidelay iiprogression iiof iirenal iifailure ii(symptoms iiof iiuremia:
iinausea, iino iiappetite, iiitching)
, 2.) iiReduce iirisk iiof iielectrolyte iiabnormalities iipaying iispecial iiattention iito iiNa iiand iiK
3.) iiManage iifluid iistatus
4.) iiReduce iirisk iiof iimicronutrient iiabnormalities: iipatients iiare iiat iirisk iifor iimetabolic
iibone iidisease.
-Kidney iiis iithe iilast iipalce iithat iivitamin iiD iigets iiactivated** iiin iia iipatient iiwith iirenal
iifailure, iithat iiactivation iiis iinot iihappening. ii
-Kidneys iimake iiEPO iiso iifailure iican iicause iianemia
5.) iiTreat iiunderlying iicause iiof iirenal iifailure: iicardiovascular iidisease, iidiabetes
6.) iiMaintain iiof iiimprove iioverall iinutritional iistatus: iiif iipatients iihave iihad iirenal iifailure
iifor iiawhile, iithey iiare iiat iirisk iifor iimalnourishment
Protein iifor iiacute/chronic iirenal iifailure iiif iiNO iidialysis ii- iiAnswers ii-0.6 ii- ii0.8 iigm/kg/day
Protein iifor iiacute/chronic iirenal iifailure iiif iihemodialysis ii- iiAnswers ii-1.2 iigm/kg/day
Protein iifor iiacute/chronic iirenal iifailure iiif iiperitoneal iidialysis ii- iiAnswers ii-1.2-1.4
iigm/kg/day
Sodium iifor iiacute/chronic iirenal iifailure iiif iino iidialysis ii- iiAnswers ii-1-3 iigm/day
Sodium iifor iiacute/chronic iirenal iifailure iiif iihemodialysis ii- iiAnswers ii-1-3 iigm/day
Sodium iifor iiacute/chronic iirenal iifailure iiif iiperitoneal iidialysis ii- iiAnswers ii-2-4 iigm/day
K iifor iiacute/chronic iirenal iifailure iiif iino iidialysis ii- iiAnswers ii-based iion iiserum ii(2-3)
iigm/day
K iifor iiacute/chronic iirenal iifailure iiif iihemodialysis ii- iiAnswers ii-2-3 iigm/day
K iifor iiacute/chronic iirenal iifailure iiif iiperitoneal iidialysis ii- iiAnswers ii-3-4 iigm/day
Peritoneal iidialysis iiand iidiet ii- iiAnswers ii--allows iifor iia iimore iiliberal iidiet iibecause iiit
iidoes iia iibetter iijob iiof iiclearing ii
- iiAmino iiacid iilosses iiare iigreater iiwith iiPD iithan iiwith iihemodialysis iiwhich iicause
iiprotein iirequirements iito iibe iigreater
Hemodialysis iiand iidiet ii- iiAnswers ii-- iiNeed iito iimodify iiprotein iiand iielectrolyte iiintake
Teaching iipatients iiabout iipotassium iiintake iifor iirenal iifailure
Which iifoods iito iilimit? ii- iiAnswers ii--Spread iiit iithroughout iithe iiday: iiavoid iilarge
iiamounts iiin iia iisingle iimeal ii
-Avoid iiKCL iior iisalt iisubstitutes
- iiLimit iihigh iiK+ iifluids, iifruits ii& iivegetables: iicitrus iifruit, iimelon, iitomato, iibanana, iiroot
iivegetables- ii(ex: iipotato, iicarrot, iibeets), iidried iifruit, iiwhole iigrains, iigreen iileafies,
iiwinter iisquash, iibrewed iicoffee
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