Renal disorders Flashcards
What should be monitored for all pts with renal disease?
Protein intake
What do fluid restrictions predispose a client to?
Constipation
What are goals for pre-end stage renal disease?
Control glucose levels and hypertension
Preserve remaining renal function by limiting intake of protein and phosphorus
What does restricting phosphorus intake do for pre-ESRD?
Slow progression of disease
Why is protein restriction essential for pre-ESRD pts?
Slows progression of disease
What is the recommended daily protein intake for pts with pre-ESRD?
0.6 to 1.0 g/kg of ideal body weight
How much should dairy products be limited for clients with pre-ESRD?
1/2 cup per day
What are high phosphorus foods?
Peanut butter Dried peas and beans Bran Cola Chocolate Beer Some whole grains
What kind of diet is recommended for ESRD?
High-protein Low-phosphorus Low-potassium Low-sodium (2-4 g/day) Fluid-restricted Nutrients of concern are Vitamin D and calcium
When do protein needs increase in ESRD?
Once dialysis has begun
What must be taken with all meals and snacks in ESRD?
Phosphate binders
What deficiency occurs with ESRD?
Vitamin D deficiency so calcium supplements will likely be required
What can acute renal failure cause?
Hyponatremia
Hyperkalemia
Hypocalcemia
Hyperphosphatemia
Dietary recommendations for nephrotic syndrome?
Sufficient protein
Low-sodium intake
What may increase the risk of kidney stone formation?
Excessive intake of protein, sodium, calcium, and oxalates (rhubarb, spinach, beets)
