Clinical Guide to Nutrition Care in Kidney Disease

Level 1, 2, 3 CPE

CPE Type: 741 Enduring

Upon completion of this course, users will be able to:

1. Identify and describe the four major functions of the kidneys and name two leading causes of chronic kidney disease (CKD).

2. Describe three characteristics of chronic kidney disease and describe the major symptoms as it progressively gets worse and progresses through the four stages of CKD.

3. Once a patient is on dialysis, explain the significance of the following: phosphorus, potassium, vitamin K, magnesium, calcium and fluid intake.

4. Discuss three functions of protein and how the kidney handles protein in the diet; identify how this changes when a person develops CKD and then has to go on dialysis.

5. Describe two dietary differences between a person living on tri-weekly hemodialysis and daily peritoneal dialysis.

6. After kidney replacement, describe three MNT changes in the patient’s diet.

7. Describe the purpose of phosphate binders and two precautions in their use.

8. Discuss two ways insulin resistance is related to CKD.

9. Describe three ways increased weight and increased serum glucose affect kidney function.

10. Explain two ways MNT changes for CKD when a patient has diabetic kidney disease (DKD).

11. Identify three MNT changes needed when a woman HD patient becomes pregnant.

12. Discuss three MNT changes needed when a CKD patient is an infant or pediatric patient.

13. Discuss how kidney stones are formed and two dietary ways to modify or reduce the risk of developing them.

14. Identify three MNT considerations for CKD patients receiving long term enteral or parenteral nutrition.

15. Discuss which two vitamin supplements are not routinely to patients receiving dialysis.

16. Identify and describe the interaction of four herbal supplements that should be used cautiously with CKD and dialysis patients.

17. Describe two benefits of using a plant-based diet with CKD patients and one benefit from following a low protein diet with keto analogs.