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CSR CERTIFIED SPECIALIST IN RENAL
NUTRITION EXAM
ACTUAL EXAM WITH CORRECT
SOLUTIONS.
Nephrotic Syndrome? Caused by? Leads to? - correct answer- Glomerular damage (from lupus, autoimmune dx, DM, toxins, collagen vascular dx) Leads to proteinuria
Proteinuria g/day, s/s - correct answer- (>3g/day SHOULD BE less than 150mg) fatigued ineffective healing lose muscle mass 3rd spacing (ascites, edema)
Nephrotic Syndrome Tx: sodium, fluid, protein, calories,
Deficiency repletion - correct answer- *Sodium: 2g restriction
*Fluid restriction ONLY if RF
*Protein: DONT PUT ON HIGH PROTEIN-only 24hr urine
collection loss+RDA ( 0.7-0.8 g protein/kg) *Calories for healing *Replete Vit D, Ca, bicarb, iron deficiencies 1 / 3
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Protein requirement g/kg RDA - correct answer- 0.8 g/kg
Protein requirement g/kg CKD (stages 3-5) - correct answer- Non-DM 0.55-0.6 g/kg DM 0.6-0.8 g/kg
Protein requirement g/kg CKD (stage 5D: HD/PD) - correct
answer- Non-DM or DM 1.0-1.2 g/kg
CKD (all stages & dialysis) Energy Kcal/kg - correct answer- 25-35 Kcal/kg
Phosphorus mg/day CKD (all stages) - correct answer- -Adjust dietary Phos intake to maintain serum P levels -Consider bioavailability of Phos sources -Posttransplant or Low Phos, Rx high phos diet and/or suppl
Potassium mEq/d CKD (all stages and post transplant) - correct answer- Maintain normal serum range with diet and suppl prn 2 / 3
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Sodium mg/day CKD (all stages and post transplant) - correct answer- *<2300 mg/d for BP and volume control *CKD 3-5 w/ proteinuria, limit Na+ to <2300mg/d with use of diuretics/etc.
Fiber g/day CKD (all stages) - correct answer- 20-30 g/day
Fluids ml/day Hemodialysis - correct answer- 750-1500
Unstable patient criteria - correct answer- -extended or freq hospitalizations -marked deterioration of health status -psychosocial change or poor nutritional status -unmanaged anemia -inadequate dialysis
Nutrition Care Process (NCP) advantages - correct answer- improves consistency & quality of individualized care; provides model & standard language; adoption of core nutrition measures
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