Assessment

Question 1

Malnutrition in CKD/ESRD is called

Answer 1

protein-energy wasting (PEW)

Question 2

Criteria to classify a patient as having PEW

Answer 2

• low body mass (body weight, BMI, and/or body fat)
• low muscle mass
• serum chemistry (low albumin, pre-albumin, or cholesterol)
• diminished food intake

Question 3

Sarcopenia is…

Answer 3

• progressive muscle wasting
• may be age related

Question 4

Primary sarcopenia

Answer 4

• age related causes of muscle wasting

Question 5

Secondary sarcopenia

Answer 5

• muscle wasting due to disease, activity, and/or nutrition

Question 6

PEW Serum Chemistry Albumin

Answer 6

< 38 g/L

Question 7

PEW Serum Chemistry Pre-albumin

Answer 7

<30 mg/dL

Question 8

PEW Serum Chemistry Cholesterol

Answer 8

< 100 mg/dL

Question 9

PEW Body Mass BMI

Answer 9

< 23

Question 10

PEW Body Mass Weight Loss

Answer 10

> 5% in 3 months
10% in 6 months

Question 11

PEW Body Mass Body Fat

Answer 11

< 10%

Question 12

PEW Muscle Mass Wasting

Answer 12

> 5% in 3 months
10% in 6 months

Question 13

PEW Muscle Mass

Answer 13

Creatinine appearance

Question 14

PEW Dietary Intake Protein intake

Answer 14

Dialysis: < 0.8 g/kg
Non-dialysis <0.6 g/kg

Question 15

PEW Dietary Intake Energy Intake

Answer 15

<25 kcal/kg

Question 16

Body composition assessments should be performed ______ to prevent errors due to fluid retention

Answer 16

• HD: after dialysis treatment
• PD: on empty cavity