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Medical Nutrition Therapy in Renal Disease Exam Questions and Answers
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Medical Nutrition Therapy in Renal Disease Exam Questions and Answers
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Medical Nutrition Therapy in RenalDisease Exam Questions and Answers
in acute kidney injury (and with a patient not on dialysis and who is not catabolic), what
kind of protein needs? - Answers -normal protein needs (0.8 g/kg/d)
in acute kidney injury (and with a patient on dialysis or CRRT), what kind of protein
need? - Answers -1.2-1.5 g/kg/d
patients on dialysis vs. normal patients' protein needs? - Answers -much higher protein
need for patients on dialysis
if a patient has acute kidney injury and is catabolic due to severe trauma, sepsis, what
kind of protein needs does the patient have? - Answers -1.2-1.5 g/kg/d
majority of proteins administered to patients with acute kidney injury should be what
type? - Answers -high biological value proteins (eggs, meat, poultry, fish, cheese soy)
what kind of calorie needs in acute kidney injury? - Answers -20-35 kcals/kg/d
avoiding overfeeding will prevent the production of what? - Answers -CO2
what kind of fluid needs with acute kidney injury? - Answers -500 cc + output
does protein restriction slow the progression of diabetic nephropathy? - Answers -lower
protein intake retards progression of advanced renal disease
what is a good range for protein intake for patients with diabetic kidney disease (pre-
dialysis)? - Answers -0.6-0.8 g/kg/d
carbohydrates in patients with CKD: - Answers -should be cautious with the usage of
carbs in these patients
what kind of lipids should be used in CKD? - Answers -monounsaturated fats and
polyunsaturated fats; lipid lowering medications are also generally needed
for a patient with CKD in pre-dialysis stages 3-4, what kind of protein, energy, carbs,
and lipids? - Answers -protein restriction (0.6-0.8), meet caloric needs (30-35
kcals/kg/d), carbs (use A1c) to meet caloric needs and maintain optimal glucose, lipids
(use monounsaturated and polyunsaturated)
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