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Exam (elaborations)

777-Renal Nutrition Questions With Complete Solutions

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  • Renal Nutrition
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  • Renal Nutrition

777-Renal Nutrition Questions With Complete Solutions Characterized by decrease in removal of waste products. As disease progresses, rises in urea blood level can cause nausea, fatigue, loss of appetite. Urine output may begin to decline. Renal Insufficiency or CKD Stages 1-4 Deterioration...

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  • October 26, 2024
  • 28
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Renal Nutrition
  • Renal Nutrition
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UpperClass
777-Renal Nutrition Questions With
Complete Solutions

Characterized by decrease in removal of waste products. As disease progresses, rises in urea

blood level can cause nausea, fatigue, loss of appetite. Urine output may begin to decline.

Renal Insufficiency or CKD Stages 1-4




Deterioration of renal function to a level at which uremia can cause death unless treatment is

initiated to replace renal function. End Stage Renal Disease or CKD Stage 5




at risk of CKD DM, HTN, family hx, age, ethnicity


GFR: >90




stage 1 Kidney damage (protein in urine)




GFR >90




stage 2 Kidney damage + decrease in GFR




GFR 60-89

, 777-Renal Nutrition Questions With
Complete Solutions

stage 3 Moderate decrease in GFR




GFR 30-59




stage 4 Severe decrease in GFR




GFR 15-29




stage 5 Kidney failure (dialysis or tx needed)




GFR <15




Medical Nutrition Therapy Goals in Kidney Disease • Prevention/treatment of

malnutrition, weight maintenance, decreased morbidity and mortality

• Control and correct an overload of products of protein metabolism

• Maintain resistance to infection, control tissue catabolism

• Maintain electrolyte balance

, 777-Renal Nutrition Questions With
Complete Solutions
• Maintain fluid balance

• Prevent/control renal bone disease by maintaining calcium and phosphorus balance.




Despite advances in dialysis techniques, the mortality rate for those on maintenance dialysis

remains ____ per year. ~ 20%




Epidemiological studies repeatedly and consistently show a strong association b/t what?

clinical outcome and measures of malnutrition and inflammation




Reported prevalence of PEW (protein energy wasting) varies greatly b/t _______ in dialysis

patients according to type of dialysis, nutritional assessment tools, and origin of pt population.

45%-75%




2/3 of all maintenance dialysis pts in the US exhibit ______ hypoaluminemia




causes of malnutrition in kidney disease o Decreased nutrient intake


o Abnormal renal metabolism

o Abnormal mineral metabolism

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