Renal Nutrition Questions and
Answers 100% Solved
what do kidneys do? ️️regulate what's in the blood (removes waste, steady electrolytes and
regulates water)
each kidney has approximately ️️1 million nephrons
each nephron ️️filters the blood, reabsorbs important substances back i...
Renal Nutrition Questions And Answers 100% Solved Nutrition for UTI's ✔️✔️-Treatment is pharmalogical, no nutrition therapy -Some evidence shows that cranberry juice can PREVENT but not treat UTI's -Probiotics aren't effective Nephrotic syndrome What it is SS ✔️✔️-Losing >3g of protein in the urine/day is the big symptoms of nephrotic syndrome -caused by damage to the glomerulus - causes a loss of oncotic pressure where you will see edema, proteinuria, hyperlipidemia Nutrition therapy for nephrotic syndrome ✔️✔️1.) Provision of adequate calories and protein to prevent malnutrition d/t proteinuria (in the absence of adequate calories, protein will be used for energy which will further the protein deficit) Encourage: MODERATE protein restriction supported with adequate calorie intake to reduce proteinuria (high protein intake actually increases proteinuria) *Give .8gm/kg/day + 1gm for every gram of protein lost in urine (give what is recommended plus what is lost) 2.) Restriction in saturated fat and cholesterol along with lipid lowering medications 3.) Sodium and water restrictions are individualized based on extent of edema acute renal failure ✔️✔️-Rapid decline in kidney function identified by an increased in BUN and creatinine Goals of nutrition support in ARF ✔️✔️1.) Maintain nutritional status 2.) Decrease protein catabolism with muscle wasting 3.) Address metabolic complications Chronic kidney disease ✔️✔️-Slow and steady decline in renal function -Evaluated with GFR Uremia ✔️✔️-Accumulation of nitrogenous waste products in the blood 6 Steps for dealing with acute and chronic renal failure ✔️✔️1.) Treat symptoms of uremia and delay progression of renal failure (symptoms of uremia: nausea, no appetite, itching) 2.) Reduce risk of electrolyte abnormalities paying special attention to Na and K 3.) Manage fluid status 4.) Reduce risk of micronutrient abnormalities: patients are at risk for metabolic bone disease. -Kidney is the last palce that vitamin D gets activated** in a patient with renal failure, that activation is not happening. -Kidneys make EPO so failure can cause anemia 5.) Treat underlying cause of renal failure: cardiovascular disease, diabetes 6.) Maintain of improve overall nutritional status: if patients have had renal failure for awhile, they are at risk for malnourishment Protein for acute/chronic renal failure if NO dialysis ✔️✔️0.6 - 0.8 gm/kg/day Protein for acute/chronic renal failure if hemodialysis ✔️✔️1.2 gm/kg/day Protein for acute/chronic renal failure if peritoneal dialysis ✔️✔️1.2-1.4 gm/kg/day Sodium for acute/chronic renal failure if no dialysis ✔️✔️1-3 gm/day Sodium for acute/chronic renal failure if hemodialysis ✔️✔️1-3 gm/day
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