CSR certified specialist in renal nutrition
exam Questions with complete solutions
Nephrotic Syndrome? Caused by? Leads to? - ANSWER-Glomerular damage (from
lupus, autoimmune dx, DM, toxins, collagen vascular dx)
Leads to proteinuria
Proteinuria g/day, s/s - 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 -
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
Protein requirement g/kg RDA - ANSWER-0.8 g/kg
, Protein requirement g/kg CKD (stages 3-5) - 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) - ANSWER-Non-DM or DM 1.0-
1.2 g/kg
CKD (all stages & dialysis) Energy Kcal/kg - ANSWER-25-35 Kcal/kg
Phosphorus mg/day CKD (all stages) - 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) - ANSWER-Maintain normal
serum range with diet and suppl prn
Sodium mg/day CKD (all stages and post transplant) - 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) - ANSWER-20-30 g/day
Fluids ml/day Hemodialysis - ANSWER-750-1500
exam Questions with complete solutions
Nephrotic Syndrome? Caused by? Leads to? - ANSWER-Glomerular damage (from
lupus, autoimmune dx, DM, toxins, collagen vascular dx)
Leads to proteinuria
Proteinuria g/day, s/s - 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 -
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
Protein requirement g/kg RDA - ANSWER-0.8 g/kg
, Protein requirement g/kg CKD (stages 3-5) - 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) - ANSWER-Non-DM or DM 1.0-
1.2 g/kg
CKD (all stages & dialysis) Energy Kcal/kg - ANSWER-25-35 Kcal/kg
Phosphorus mg/day CKD (all stages) - 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) - ANSWER-Maintain normal
serum range with diet and suppl prn
Sodium mg/day CKD (all stages and post transplant) - 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) - ANSWER-20-30 g/day
Fluids ml/day Hemodialysis - ANSWER-750-1500
