List factors that you would monitor to assess Mrs. Caldwell's ...

[KWilfred]

List factors that you would monitor to assess Mrs. Caldwell's nutritional status when she returns to the PD clinic.
 
  What will be an ideal response?

Question 2

What causes essential hypertension? What is the etiology?
 
  What will be an ideal response?

[laurnthompson]

Answer to Question 1

Serum albumin Monthly
nPNA Every 4 months
 Usual dry weight (post dialysis or post-drain) Monthly
 Standard body weight Every 4 months
Subjective global assessment Biannually
Diet interview/diary Biannually
Anthropometrics, DEXA, prealbumin, creatinine index, creatinine, urea
nitrogen, cholesterol, RBC/Hct/Hgb, serum electrolytes (Ca, P, K, Na) As needed
Additional evaluations:
--knowledge and adherence to her prescribed diet
-- progress towards behavioral/lifestyle/clinical goals/changes

Adapted from: NKF KDOQI Clinical Practice Guidelines for Nutrition in Chronic Renal Failure. Am J Kidney Dis. 2000;35(6)suppl 2:S1-S140.

Answer to Question 2

 Essential or primary hypertension has no known cause but there are multiple risk factors.
 Risk factors include excessive sodium intake, low potassium intake, alcohol intake, lack of exercise, smoking, stress, and obesity
 Generally, increased heart rate, increased stroke volume, and increased total peripheral resistance are each compensated for by decreasing values of the other two.
 If compensation does not occur, hypertension can occur.