Chapter 1, Problem 6CR

FEB DaVita Dietitian Reference Manual Module 1 - Introduction REVIEW QUESTIONS 1. 2. 3. 4 5. 9 6. 7. 8. 9. 6 10. True False DaVita's Mission is to be the provider, partner and employer of choice. Stage 5 CKD (GFR< 15 cc/minute) is classified as kidney failure. Two of the leading causes of CKD are diabetes and hypertension. Peritoneal dialysis therapy can be done independently at home. Healthy kidneys function to maintain acid/base balance, remove wastes and fluid, produce erythropoietin and to activate vitamin D. The diet for hemodialysis is more liberal than the diet for peritoneal dialysis. A typical hemodialysis treatment schedule is 5 times per week for 2 hours per treatment. The dietitian does not have to wear PPE since he/she does not initiate or terminate the dialysis treatment. Nutrition report cards are discussed with the patients on a quarterly basis. FUN is a DaVita Core Value 2013 DaVita HealthCare Partners Inc. All rights reserved. Origination Date: November 2002 4 tv d…

PEB 4 DaVita Dietitian Reference Manual Module Introduction Commonly Used Abbreviations and Terms In Dialysis Below is a list of commonly used abbreviations and terms used in dialysis. Complete this worksheet throughout the training use in order to become familiar with these terms and abbreviations. Discuss with Preceptor. ABBREVIATION / TERM Module 1 - Introduction CKD BASIC DEFINITION HD ICHD GFR KDOQI NKF CMS Module 2- Resources CRN Module 3 - Nutrition Assessment RRT Target Weight NPCR/nPNA SGA IDWG IDT POC MIS Module 5-Nutrition Support IDPN IPN ONS ©2013 DaVita HealthCare Partners Inc. All rights reserved. Origination Date: November 2002 Page 20 of 22 Revised: October 2013 tv S A W

REVIEW QUESTIONS True False 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. The Initial Nutrition Assessment/Plan of Care must be completed within 30 days of admission or 13 treatments, whichever is later. At a minimum, the DaVita Dietitian is required to document on the nutrition progress of each hemodialysis and peritoneal dialysis patient quarterly. DaVita's optimal goal for albumin is 4.0 or higher A low albumin is associated with increased morbidity and mortality in dialysis patients. Interdisciplinary patient assessments and plans of care must be completed monthly for unstable patients. The DaVita minimum goal for nPCR is 1.5. A low albumin is always due to poor protein intake in patients on hemodialysis Dialysis patients are at an increased risk for protein/kcal malnutrition. The most serious side effects of chronic hyperphosphatemia are bone disease and itching. When a patient exhibits hypokalemia and hypophosphatemia, the DaVita Dietitian should evaluate adequacy of dietary…