The four indicators of optimal nutrition status - ANSWER 1. Albumin greater than or equal to 4
2. Stable target weight
3. Adequate fat stores
4. Appropriate appetite and intake
Importance of protein - ANSWER - maintains health
- helps fight infection
- prevents anemia
- builds/maintains mu...
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The four indicators of optimal nutrition status - ANSWER 1. Albumin greater than or
equal to 4
2. Stable target weight
3. Adequate fat stores
4. Appropriate appetite and intake
Importance of protein - ANSWER - maintains health
- helps fight infection
- prevents anemia
- builds/maintains muscle
- heals wounds
Importance of sodium and negative effects of sodium loading - ANSWER -Sodium helps
regulate body fluid and maintains balance
-Negative:
1. excessive thirst
2. fluid retention
3. increased BP
4. increased UFR
5. more hypotension
Signs and symptoms of fluid excess - ANSWER -shortness of breath
-fatigue
-edema
-headaches
-hypertension
Importance of limiting potassium - ANSWER Prevents:
1. Sudden death
2. Bradycardia (HIGH K+) or palpitations or irregular HR
3. Muscle weakness (If patient eats on the machine it will NOT dialyze out)
Importance of limiting phosphorus-when to take binders - ANSWER Take binders with
food/meal to prevent itching, bone damage, & soft tissue calcification
Importance of keeping calcium within normal levels - ANSWER 1. increased rick of
heart disease, increased risk of calcification of soft tissue
2. Confusion (high CA+), muscle spasms, numbness, seizure (low Ca+)
, Importance of vitamins - ANSWER because some are removed by dialysis and kidney
diet is restricted in some nutrients (should also take after treatment- since some could
be removed with dialysis)
Role of nurse and PCT:
Nurse - ANSWER -Communicates order/ order changes
-Ensures proper lab draws
-Reviews meds
-Maintains med list
Role of nurse and PCT:
PCT - ANSWER -communicates issues like poor appetite, nausea, vomiting, diarrhea,
constipation to nurse
-reinforce education/ share infromation
Role of a Social Worker - ANSWER 1. counselor
2. educator
3. advocate
4. coach
The 5 stages of grief. What are they? - ANSWER 1. denial
2. anger
3. bargaining
4. depression
5. acceptance
Is there an order to work through the stages of grief? - ANSWER no right or wrong way,
some people get stuck
Can someone experience them more than once? - ANSWER yes
The Psychosocial assessment by the social worker: - ANSWER initially and annually
KDQOL 36: What is it? - ANSWER 36 items questionnaire (CMS requirement to be
administered annually to all dialysis patients)
KDQOL 36: What is it used for? - ANSWER 1. It measures physical health, mental
health, burden of kidney disease, symptoms/problems, and effects of kidney disease on
daily life
2. Social workers compile results and develop plans/interventions with the patient
And what nurses and PCTs can do to assist? - ANSWER 1. Actively listen
2. Acknowledge feelings
3. Inform Social Worker
What does the acronym DARN stand for? - ANSWER D: desire
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