Nutrition and Kidney Health Flashcards
The four indicators of optimal nutritionstatus
- Albumin greater than or equal to 4 g/dL
- Stable target weight
- Adequate fat stores
- Appropriate appetite and intake
Importance of protein
Maintains health
* Builds/maintains muscle
* Helps fight infection
* Heals wounds
* Prevents anemia
Importance of sodium and negative effects of sodium loading
Sodium helps regulate body fluid and maintains balance
* Negative: 1) excessive thirst 2) fluid retention 3) increased BP 4) increased UFR 5) more
hypotension
Signs and symptoms of fluid excess
Shortness of breath
* Fatigue
* Edema
* Headaches
* Hypertension
Importance of limiting potassium
Prevents
o Cardiac arrest and/or sudden death
o Bradycardia (high K+) or palpitations or irregular heart rate, possible dysrhythmia
o Muscle weakness (If patient eats on the machine, it will NOT dialyze out)
o Numbness/tingling in the extremities
Importance of limiting phosphorus - when to take binders
Take binders with food/meal to prevent itching, bone damage, & soft tissue calcification
Importance of keeping calcium within normal levels
Increased risk of heart disease, increased risk of calcification of soft tissue
* Confusion (high Ca+), muscle spasms, numbness, seizure (low Ca+)
Commonly prescribed medications used for treating individuals with Chronic Kidney Disease Mineral
Bone Disorder?
Phosphate binders, Vit D (Hectorol), and Cinacalcet
Importance of vitamins
- Because some are removed by dialysis and kidney diet is restricted in some nutrients
(should also take after treatment- since some could be removed with dialysis)
Role of nurse:
o Communicates order/order changes
o Ensures proper lab draws
o Reviews meds
o Maintains med list
Role of PCT:
Communicates issues like poor appetite, nausea, vomiting, diarrhea, constipation to nurse
o Reinforce education/share information
