Nephrotic syndrome ?, caused by? leads to? - answerglomerular damage (from lupus, autoimmune dx, DM, toxins, collagen vascular dx) leads to proteinuria proteinuria #, 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, cholesterol - answer2g sodium restriction fluid restriction ONLY if RF DONT PUT ON HIGH PROTEIN-only 24hr urine collection loss+RDA calories for healing if chronic hyper-cholesterol could be an issue RDA protein requirement g/kg - answer0.8g/kg body wt CKD (stage 4) protein requirement g/kg - answer0.8; avoid high protein intake >1.3 Hemodialysis (HD) protein req. g/kg; Nocturnal HD protein req. g/kg; Short Daily HD g/kg - answer1.2 stable, 1.2-1.3 acutely ill or PEW (protein energy wasting) Peritoneal Dialysis protein req. g/kg - answer1.2-1.3 g/kg CKD (stage 4) Energy Kcal/kg - answer23-35 Kcal/kg Peritoneal Dialysis Energy Kcal/kg - answer30-35 Kcal/kg >60 yrs; 35 <60yrs>60 yrs; 35 <60yrs>