MNT LAB (RENAL)

Question 1

FORMULA OF %UBW

Question 2

FORMULA of AdjBW using IBW and EFBW

Question 4

Hamwi

Question 6

Tannhauser

Question 7

KDOQI

Answer 7

Kidney Disease Outcomes Quality Initiatives

Question 9

HIGH BUN

Answer 9

H - with excessive protein intake; GI bleeding, dehydration, hypercatabolism, CHF (a ↓
in cardiac output causes a ↓ GFR), transplant rejection, inadequate dialysis

Question 10

LOW BUN

Answer 10

hepatic failure, overhydration, acute low protein intake, malabsorption, ↑ secretion
of anabolic hormones

Question 11

HIGH Creatinine

Answer 11

muscle damage, catabolism, MI, muscular dystrophy, AKI/CKD, use of
cephalothin/cimetidine, excess protein intake, inadequate dialysis, transplant
rejection.

Question 12

LOW Creatinine

Answer 12

in chronic dialysis ,10 may indicate PEM/wasting of muscle

Question 13

• It is when you have albumin in your urine

Answer 13

• Albuminuria (proteinuria)

Question 14

. If your kidneys are damaged, albumin can
“leak” through their filters and into your urine.

Answer 14

Albuminuria

Question 15

H Sodium

Answer 15

• H - dehydration, diabetes insipidus, often masked by water retention

Question 16

L Sodium

Answer 16

L - overhydration, inappropriate ADH, diuretic use, burns, starvation, adrenal
insufficiency, nephritis, hyperglycemia, diabetic acidosis, hyperproteinemia

Question 17

H Potassium

Answer 17

CKD, tissue destruction, shock, acidosis, dehydration, hyperglycemia, aldosterone
antagonistic overuse, diuretics, false ↑ with tourniquet, excessive oral intake,
inadequate dialysis, inappropriate dialysate K1, compression/fist clenching prior to
sample

Question 18

L Potassium

Answer 18

diuretic therapy, ETOH abuse, diarrhea/vomiting/laxative or enema abuse,
malabsorption, correction of diabetic acidosis

Question 19

H Glucose

Answer 19

DM, chronic hepatic disease, hyperthyroidism, malignancy, acute/emotional stress,
burns, diabetic acidosis, pancreatic insufficiency, glucose intolerance

Question 20

L Glucose

Answer 20

hyperinsulinemia, ETOH abuse, pancreatic tumors, liver failure, pituitary dysfunction,
malnutrition, extreme exercise

Question 21

people with CKD are more likely to die from ________ complications than to
progress to CKD stage ___.

Answer 21

cardiovascular ; 4

Question 22

Adjustments to the weight status should be Nutrition-Focused Physical
Examination and assessment in Chronic Kidney Disease made for suspected influence:

Answer 22

edema, ascites, and/or polycystic organs.

Question 23

Fluid Status (dehydration): eyes may appear (???); reduced skin
(???)

Answer 23

to be sunken or hollow ; turgor or elasticity;

Question 24

Skin, Hair, and Nails: Skin pallor for advanced CKD; Yellow skin for _____ pts.;
scratch marks indication for pruritus; hair loss/changes can be associated with (with nutrients); pallor of palmar crease

Answer 24

uremic; protein deficiency, Vit. C, iron, or zinc

Question 25

In adults with CKD ____, we suggest the use of a __________, conducted during
both ______ & _____ treatment days (when applicable), as a preferred method to
assess dietary intake (2C).

Answer 25

3-5D; 3- day food record; dialysis and nondialysis

Question 26

In adults with CKD ____ (OPINION) or CKD _____, what alternative methods may be considered as alternative methods of assessing dietary
energy and protein intake (2D

Answer 26

3-5 or 5D (2D); 24-hour food recalls, food frequency
questionnaires, and nPCR

Question 27

________ among adults diagnosed with CKD stages 1-5D should occur
to allow for identification and treatment of nutritional concerns related to nutrient intake

Answer 27

Routine dietary assessment

Question 28

Dietary assessment should be conducted at the ____ ____ and completed whenever
there is a change in health status or as per institutional or regulatory policies.

Answer 28

initial visit

Question 29

When NOT to use ABW?

Answer 29

If there is EDEMA

Question 30

When to use DBW/IBW?

Answer 30

If there is EDEMA

Question 31

The priority weight is??

Answer 31

Dry/Edema-free

Question 32

Dry weight will be obtained after??

Answer 32

Dialysis

Question 33

BMI is NOT A PRIORITY in RENAL Case

Question 34

What weight is the priority in renal case?

Answer 34

DBW

Question 35

Pruritus is maybe due to?

Answer 35

dehydration

Question 36

Are CKD pts Metabolically stable?

Answer 36

No. Most cases, they are not

Question 37

is CKD reversible?

Answer 37

NO. it is irreversible. It cannot be treated unless there is a transplantation

Question 38

Ca recomm

Answer 38

1200 to <2000 mg

Question 39

P recomm

Answer 39

<1000 to <800 mg

Question 40

What minerals can be leached in food?

Answer 40

K and P