NSHA CDRE TEST BANK SOLUTION MANUAL LATEST UPDATE (GRADED A+)
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Course
NSHA CDRE
Institution
NSHA CDRE
NSHA CDRE TEST BANK SOLUTION MANUAL LATEST UPDATE (GRADED A+)
No restriction on Pro, Na, P, K, Dairy, or Fluids - Answers Restrictions for acute renal failure
Restrict P
Restrict K
Restrict Dairy (480 ml per day)
Restrict fluids (1 L per day)
DONT Restrict protein - Answers Restrictions for ...
grains, legumes and lentils, chocolate, cola drinks, beer) - Answers advice to restrict P
(High potassium foods- Potato and squash, tomato based products, oranges,
avocado, melon, dried fruits, banana, spinach) - Answers advice to restrict K
(Require 1.2-1.3g/kg of protein on dialysis) - Answers what is the protein req on dialysis
Restrict P
Restrict Dairy
DONT restrict K or fluids
DONT restrict protein - Answers restrictions for peritoneal dialysis
Restrict P
Restrict Dairy
CONTROL protein (0.8- 1 g/kg)
Dont restrict K or fluids - Answers restrictions for chronic kidney disease
A. Hyperkalemia
B. Cardiovascular dx (atherosclerosis, dyslipidemia, diabetes common)
C. Hypotension (short-term in hemo pts) & hypertension (long-term)
D. Hyperphosphatemia (causing osteodystrophy long term)
a. Treated with phosphate binders- monitor for hypercalcemia
, E. Anemia
F. Hypocalcemia as a result of impaired renal production of vitamin D - Answers what are the effects of
renal failure and dialysis on the body
proximal fistula - Answers In cases of proximal fistulae, feeding may be infused into the fistula using a NJ
tube if
there is sufficient distal small bowel length (4-5 ft) and no distal occlusion. Helps prevent loss of
electrolytes, trace minerals, and proteins.
Distal fistulas - Answers Discontinuation of oral intake is recommended because oral intake further
stimulates
loss of fluids, electrolytes and protein via the fistula. TPN recommended
For long standing small bowel fistulae, supplemental copper, folic acid, and vit b12 may be
necessary
- Often require twice the recommended allowance of vitamins and trace minerals and up to 10 times
the recommended daily allowance for vitamin C and zinc unless on TPN
- Minimum intake of 1500cal/day must be consumed before TPN can be discontinued
- If the fistula is proximal to the site where feedings enter the bowel, a fibre-containing formula can
be given - Answers what is the nutrition therapy for a fistula
1. starvation
2. catabolism
3. wt loss
4. water, vit, mineral depletion
5. refereding with glucose
6. release of insulin
7. anabolism (increased glucose uptake)
8. Intracellular movement of P, K, Mg, which leads to rapid fall in blood levels of these ions.
9. Thiamine deficiency from increased utilization
10. symptoms of referring - Answers what are the steps of referring syndrome
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