Final: Renal Disease

Question 1

Complications of CKD

Answer 1

-Malnutrition
-Abnormal bone mineralization * Anemia
-Coronary artery disease – leading cause of death in patients with ESRD

Question 2

Types of Renal Replacement Therapy

Answer 2

-Hemodialysis
-Peritoneal dialysis
-Continuous Renal Replacement Therapy (CRRT)

Question 3

Hemodialysis (HD)
Requires ____ fistula or _____ for long-term treatment
Is given how long/often

Answer 3

-Most common form
-A-V or graft
-3-5 hours 3/week

Question 4

Peritoneal Dialysis (PD)
____-____ ______ of _____ acts as the filter/dialyzer
How long/often
Waste ____ ____ _____, ____ _____ and discarded

Answer 4

-Semi permeable membrane of peritoneum acts as filter/dialyzer
-Left 4-8 hrs, three times/week
-Waste diffuses into dialysate, then withdrawn and discarded.

Question 5

Continuous Renal Replacement Therapy (CRRT)
____ clearance rate than standard HD
Why/when to use it

Answer 5

-Lower clearance rate than standard HD
-Better clearance of fluids, nitrogenous waste and metabolic by-products
-Improved hemodynamic stability
-Only used in critically ill patients

Question 6

Pre-dialysis Nutrient Needs
Calories
Protein
Fluid
Sodium
Potassium
Phosphorus

Answer 6

Calories: 30-35 kcal/kg IBW
Protein: .6-1 g/kg IBW
Fluid: Ad lib
Sodium: 2-3 g/day
Potassium: Variable
Phosphorus: .8-1.2 g/day

Question 7

Hemodialysis Nutrient Needs
Calories
Protein
Fluid
Sodium
Potassium
Phosphorus

Answer 7

Calories 35 kcal/kg IBW
Protein 1.2 g/kg IBW
Fluid 750- 1000 ml/day + UOP
Sodium 2-3 g/day
Potassium 2-3 g/day
Phosphorus 0.8-1.2 g/day or <17 mg/kg

Question 8

Peritoneal Dialysis Nutrient Needs