intake & number Flashcards
Protein needs :
Hemodialysis
Peritoneal Dialysis
Hemodialysis: 1.2 g/kg/ibw (0,8-1 g/kg/d)
Peritoneal Dialysis: 1.2–1.5 g/kg/
calories required :
hemodialysis + peritoneal dialysis (PD) + chronic kidney disease + CRRT
hemodialysis + peritoneal dialysis (PD) need 30–35 kcal/kg/
Chronic kidney disease calories required 35kcal/kg/d
CRRT= 30-35
Protein needs :
Kidney Transplant, immediately and 4-6 weeks after op:
Kidney transplant 6 weeks or longer after op:
CRRT :
❛ Kidney Transplant, immediately and 4-6 weeks after op: 1.3-2 g/kg IBW
Kidney transplant 6 weeks or longer after op: 1 g/kg IBW
❛ CRRT: 2-2.5
elderly protein requirements
❛ 1-1.2g/kg
Burn protein requirements
1.5-2g/kg adult,
2.4-4 g/ kg for children
Protein requirements Malnutrition in Liver Diseases
❛1-1.5 g/kg/day (depends on encephalopathy)
preterm infan protein
3.5-4.5g/kg/d
ENERGY NEED
Lactation
Lactation (0-6 months) +330 kcal //// (after 6 months) +400 kcal
ENERGY NEEDS
Pregnancy
❛ 1tr: +290 /// 2tr +360 /// 3tr +410kcal
ENERGY NEEDS
Infant (2 months):
Children (4-6 years):
108 kcal for infants
90 kcal for children
What is the recommended protein intake for critical and burn patients?
1.5-2.0 g/kg
Which statement best describes protein requirements in liver disease?
uncomplicated hepatitis or cirrhosis with or without encephalopathy, protein requirements range
from 1-1.5g/kg of ideal weight per day
To promote nitrogen accumulation or positive balance, at least …………is need
1.2-1.3g/kg/d
In situations of stress such as alcoholic hepatitis or (sepsis, infection, gastrointestinal bleeding, or severe ascites) at leas ……… protein should be provided
1.5g/kg/day
to achieve nitrogen balance in stable cirrhosis without encephalopathy, protein requirements range from?
0.8 g/kg dry weight/day
in liver cirrhosis without encephalopathy but with GIT bleeding, protein intake should be?
❛ 1.5g/kg body weight of high biological value
What is the recommended daily protein intake for an individual with cirrhosis?
1.5 grams per kilogram of body weight
Cirrhosis no complication protein req?
❛ In stable cirrhosis 0.8g/d
1-1.5g/d to maintain or improve nitrogen balance
For a patient requiring positive nitrogen balance, what is the recommended range of protein intake based on ideal body weight per day?
1.3 to 1.5 g/kg
The amount of energy requirement for Cirrhosis patient is?
30 - 35
About ______ of an infant’s body weight is water?
70% - 75%
Depending on the type of stress, the amount of protein a stressed person who weighs 150 pounds needs can range from about _____ grams of protein per day? 150 pound is 68kg
70 to 100 (1-1.5g/kg)
In the management of ascites, what is the recommended fluid restriction?
1-1.5 liters per day (for ascites and edema)
Moderate ascites may present with fluid excess of _______ ?
2-6 kg
Management of ascites usually requires a ___________sodium ?
Sodium restriction 2g
Ascites patient with hyponatremia? Na& fluid
NA 2-3 g (LOW SODIUM)
Fluid 1-1.5 L only, to prevent hyponatremia and also with exercise
For a patient with ascites, what is the typical recommended daily sodium intake to help manage fluid buildup?
1,000 to 2,000 milligrams per day (mg/d) – 2 g/d
What is the appropriate protein intake for a child with protein-energy malnutrition?
1.5–2.0 g/kg
What percentage of urea reduction ratio (URR) is typically targeted for a person undergoing hemodialysis?
70-80%
(more than 65%)
What is the recommended daily calcium intake for a 12-year-old patient undergoing dialysis?
1,300 mg
What is the recommended amount of magnesium for a kidney patient?
100 mg / d
The health care team estimates fluid requirements for clients with acute renal failure by adding ______ ml to the amount of urine output?
500
Fluid requirement for an oliguric patient is estimated by adding about _____ ml to the volume for urine output?
500ml
What is the estimated daily caloric requirement for a 43-year-old renal patien
25-30 kcal/kg body weigh
The correct nutritional management for a chronic kidney disease (CKD) patient receiving hemodialysis is
Minimum 30 to 35 kcal/kg, 1.2 g/kg of protein; 2 to 4 g sodium; 2 to 3 g potassium; restrict
phosphorus by limiting dairy to one 8 oz. serving or the equivalent per day; fluid intake of 1,000
ml plus the amount of daily urinary output.
For an elderly man receiving hemodialysis, the recommended protein intake ?
generally 1.2 to 1.3 (g/kg/d).
What is the target ferritin level for patients with End-Stage Renal Disease (ESRD) who are receiving erythropoietin (EPO) therapy?
300-800 mcg/L
Which of the following calorie requirements should be used for individuals with acute renal injury?
20 - 35 kcal / kg per da
Blood plasma pH is maintained by the kidney at a neutral pH of ?
7.4 or 7.35
Urinary volume of less than 500ml/d is called ?
Oliguria
Anuria =0-100 ml/d , Polyuria= >2L/d
What is the average recommended protein intake for elderly patients undergoing dialysis, expressed in grams per kilogram per day (g/kg/d)?
1.2 to 1.4 grams of protein per kilogram of body weight per day (g/kg/d)
The recommended protein intake for patients with acute renal failure is?
0.5g to 0.8g/kg body weight for non-dialysis patients and 1.0 to 2.0g/kg body weight for dialyzed patients
recommended daily sodium intake for individuals undergoing peritoneal dialysis
2-3 grams in the range (1500-4000 mg)
What is the recommended sodium intake for individuals with hypertension?
<2300 mg/day
The recommended sodium intake for patients with liver disease is?
2 grams per day
What is the recommended sodium intake for a patient with stage 4 kidney disease?
< 1,500 mg per day
What is the calorie need for a 7-year-old child?
70 kcal/kg
0-0.5 =108
0.5-1 =98
1-3 = 102
4-6 = 90
7-10 years = 70 kcal
11-14 y =55 boys / 47 girls
What is the recommended daily protein intake for a 7-year-old child?
1.0 g/kg/d
0-0.5 = 2.2
0.5-1= 1.6
1-3 =1.2
4-6=1.1
7-14= 1.0
The calorie equivalent of one pound of body fat is?
3500 kcal
Patient with normal gastric function generally tolerates how much from bolus feeding?
250 - 500 ml or more
What is the typical calcium intake recommendation for patients with chronic kidney disease (CKD) who are not on dialysis?
1,000-1,200 mg per day
Milk provides approximately ____ of lactose per cup ?
11 g
