electroytes/minerals
Which electrolyte is likely to read a false low due to fluid overload?
Sodium
What is the recommendation for protein intake for a stable hemodialysis patient?
1.2 grams per kg body weight
Stage 5 Kidney Disease is measured by a Glomerular Filtration rate of 15ml/min
True
IDPN (Intradialytic Parenteral Nutrition) is a recommendation of the ________________ guidelines.
KDOQI added IDPN and IPN as a recommendation for patients who cannot meet nutritional needs through dietary intake and oral supplementation in 2020.
Which popular Christmas beverage is also called "milk punch"
Eggnog
What is the KDOQI recommendation for phosphorus level in a stable hemodialysis patient?
2.5 go 4.5 mg/dl
(This is lower than the serum phosphorus goal used by many dialysis centers, which is 3.0-5.5 mg/dl.)
Which amino acid is known for healing of tissues/wounds by helping build body proteins.
L-Arginine
(Arginine converts to nitric oxide with causes blood vessels to open wider for improved blood flow)
Fluid overload can be worsened by adding IDPN during treatment.
False.
(The RN should add the free fluid to the ultrafiltration goal so fluid from IDPN does not contribute to fluid gain. Multiply volume X 80% for 2:1 and X 75% for 3:1 formulas.)
Pentec Health has been providing IDPN and IPN longer than any other company in the nation for approximately _____ years.
40 years!!
Pentec has the only patented formula under the brand name PROPLETE which has been revised to best meet patients protein needs through experience and assessment.
What did the other reindeer not let Rudolph doe because of his shiny nose?
Join in any reindeer games.
Boiling meats before eating can reduce __________ content by about 50%
Phosphorus
How many grams of protein on average does a hemodialysis patient lose during one treatment?
12 grams protein per treatment which is 36 grams per week!
Pulling too much fluid off a patient may cause patients to have nausea and vomiting
TRUE
Symptoms also include cramping, dizziness, low blood pressure and fatigue.
IDPN is less invasive than the alternative _________.
Tube feeding/ Peg tube/ G-tube
The Times Square Ball is ___ feet in diameter
12
ACE inhibitors used to manage blood pressure can cause abnormally high levels of __________ in the blood.
Potassium
How much protein does 8 ounces of Nepro contain?
19.1 grams
Calcium intake does NOT contribute to calcification of the arteries and heart disease in dialysis patients.
False
50-100 grams protein per treatment (compared to 15-20 grams with an oral supplement)
.Protein can also be lower or higher... up to 150 grams protein per treatment if appropriate for patient's body weight.
Where was Saint Nicholas born?
Turkey
KDOQI guidelines recommend a serum calcium level of ____-_____.
8.4 to 9.5 mg/dl and no higher than 10.2 mg/dl.
What level may increase to above desired range if a patient ingests too much protein?
Blood Urea Nitrogen (BUN)
Normal level 7 to 20 mg/dl
Dialysis normal is 88 +/-34 mg/dl
Centers for Dialysis Care's vison is to be the provider of choice as the most trusted community partner for high quality, patient-centered kidney healthcare.
TRUE
When a patient is not responding to IDPN therapy which of the following should be done.
A. stop IDPN
B. Contact Pentec for an adjustment to formula
C. Tell the patient it's not working
B. Let Pentec know the patient is not responding and may need an increase in their formula.
How many candy canes doe we produce in the U.S. every year?
A. 500,000
B. 1.2 Million
C. 1.76 Billion
D. 2.5 Billion
C. 1.76 Billion