Exam (elaborations)
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
Nephrotic iiSyndrome ii- iiAnswer ii-The iiresult iiof iidamage iito iicapillary iiwalls iiof iithe
iiglomerulus.
May iilead iito iichronic iirenal iifailure
Symptoms iiof iinephrotic iisyndrome ii- iiAnswer ii-- iiProteinuria
- iiHyperlipidemia
- iiEdema
Causes iiof iinephrotic iisyndrome ii- iiAnswer ii-- iiGlomerulonephritis
- iiAmyloidosis
- iiDiabetes
- iiToxins/drugs
- iiMedications
How iido iithe iiglomeruli iimalfunction iiin iinephrotic iisyndrome? ii- iiAnswer ii-- iiThey iiallow
iiprotein iiloss iiduring iifiltration
- iiLeads iito iidiminished iiplasma iiand iiedema
- iiUrinary iiloss iiof iivitamin-D iibinding iiprotein iican iicause iicalcium iimalabsorption ii&
iimetabolic iibone iidisease
Medical iitreatment iiof iinephrotic iisyndrome ii- iiAnswer ii-- iiManagement iiof iithe iidisease
iithat iicaused iithe iisyndrome
Nutrition iitherapy: iinephrotic iisyndrome ii(protein ii& iikcal) ii- iiAnswer ii-- iiControl iiHTN
iiand iiminimize iiedema iiby iilimiting iisodium
- iiDecrease iialbumin iiloss iiand iiprevent iiprotein iimalnutrition iiwith iiincrease iiprotein ii1
iig/kg/day
- ii35 iikcal/kg/day
- iiSlow iiprogression iiof iithe iidisease
Acute iirenal iifailure ii- iiAnswer ii-- iiAbrupt iiand iirapid iiloss iiof iirenal iifunction. ii
- iiMost iicommon iiin iielderly, iidiabetics, iiHTN, iiheart iiconditions, iiweight iiissues
Symptoms iiof iiacute iirenal iifailure ii- iiAnswer ii-- iiIncrease iiBUN ii& iicreatinine
- iiRestlessness
- iiN/V
- iiAnorexia
, - iiEdema iiof iilegs/feet
- iiOliguria ii& iianuria
- iiBack iipain
- iiExcessive iithirst/dry iimouth
- iiTachycardia
Oliguric/anuric iiphase ii- iiAnswer ii-- iiHours-days iiafter iiinjury iilasting ii1-3 iiweeks
- iiGreat iireduction iiin iiGFR
- iiIncreased iiBUN/CR
- iiElectrolyte iiabnormalities ii(hyperkalemia, iihyperphosphatemia)
- iiAcidosis, iiHTN, iianorexia, iiazotemia
As iiGFR iiand iiblood iivolume iidecrease, iiBUN ii__________ ii- iiAnswer ii-Increases.
Azotemia ii- iiAnswer ii-High iilevels iiof iinitrogen iicontaining iicompounds iiin iithe iiblood.
Oliguria ii- iiAnswer ii-<500 iiml/day iiurine iioutput
Anuria ii- iiAnswer ii-<100 iiml/day iiurine iioutput
Diuretic iiphase ii- iiAnswer ii-- iiLasts ii2-3 iiweeks
- iiUrine iioutput iigradually iiincreases iialong iiwith iiGFR
- iiUrine iioutput iiof ii2-4 iiL/day
- iiRenal iicells iicannot iiconcentrate iiurine
- iiPassive iiloss iiof iielectrolytes iir/t iiincreased iiGFR
Recovery iiphase ii- iiAnswer ii-- ii3-12+ iimonths
- iiKidney iifunction iigradually iiimproves, iibut iimay iibe iisome iipermanent iidamage
- iiDecreasing iiedema
- iiRenal iitubules iibegin iito iifunction iiand iifluid/electrolyte iibalance iirestored
- iiGFR iireturns iito ii70-80% iinormal iifunction
Primary iinutritional iigoals iiwith iiARF ii- iiAnswer ii-Client iiretains iisodium, iiK, iiH2O,
iinitrogen iiso:
- iiRestrict iisodium ii
- iiMonitor iiK+ iito iiprevent iicardiac iiissues
- ii500-750 iiml/day iifluid iiinput/output
- iiLimit iiprotein iito iiminimize iiazotemia
Oliguric iistage iiand iielectrolyte iineeds ii- iiAnswer ii-- iiSodium ii1000-2000 iimg/day
- iiPotassium ii1000 iimg/day
Diuretic iiphase ii& iielectrolytes ii- iiAnswer ii-- iiSodium/potassium iimay iibe iilost
- iiReplace iidepending iion iiurine iioutput, iiserum iilevels iiand iidialysis
- iiLarge iiamounts iiof iifluid iimay iibe iinecessary
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