CSR CSR Dialysis Nutrition & Renal Replacement Therapy

Question 1

What is the recommended daily protein intake for a stable adult hemodialysis patient per KDOQI guidelines?

Accepted Answer

1.2–1.4 g/kg/day

Answer

Hemodialysis patients require 1.2–1.4 g/kg/day of protein to compensate for dialysis-related catabolism and amino acid losses.

Question 2

Which dialysis modality results in greater continuous protein and amino acid losses due to membrane permeability?

Accepted Answer

Peritoneal dialysis

Answer

Peritoneal dialysis results in significant ongoing protein and amino acid losses through the peritoneal membrane with each exchange.

Question 3

Intradialytic parenteral nutrition (IDPN) is clinically indicated for hemodialysis patients who have which condition?

Accepted Answer

Inadequate oral/enteral intake despite dietary counseling

Answer

IDPN supplements nutrition delivered during hemodialysis sessions when oral and enteral intake are insufficient.

Question 4

What is the typical recommended dietary phosphorus range for dialysis patients to prevent hyperphosphatemia?

Accepted Answer

800–1000 mg/day

Answer

Dialysis patients are generally advised to restrict phosphorus to 800–1000 mg/day to control serum phosphorus levels.

Question 5

Which hemodialysis frequency allows the greatest dietary fluid liberalization due to more frequent fluid removal?

Accepted Answer

Daily hemodialysis (6×/week)

Answer

Daily hemodialysis allows more fluid removal sessions per week, enabling a more liberal daily fluid intake allowance.

(CSR) Board Certified Specialist in Renal Nutrition Practice Test