Certified Clinical Hemodialysis Technician (CCHT) Practice Exam

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What dietary restrictions should patients undergoing hemodialysis typically follow?

High protein and low carb intake

Limit potassium, phosphate, and sodium intake

Patients undergoing hemodialysis need to adhere to specific dietary restrictions to manage their condition effectively and maintain overall health. Limiting potassium, phosphate, and sodium intake is vital because these nutrients can accumulate in the body when kidney function is impaired.

Potassium control is essential because high potassium levels can lead to dangerous heart rhythms. Foods high in potassium, such as bananas, oranges, and tomatoes, may need to be restricted to prevent hyperkalemia.

Phosphate restriction is also crucial due to the risk of bone and heart disease stemming from elevated phosphate levels. Foods rich in phosphate include dairy products, nuts, and certain meats. Managing phosphate levels often requires dietary changes along with the possibility of phosphate binder medications.

Sodium intake should be limited to help control blood pressure and prevent fluid retention, as patients may already be at risk for fluid overload due to the inadequacy of kidney function. Excess sodium can lead to increased thirst and additional fluid intake, which can complicate their treatment by worsening hypertension and edema.

By focusing on these particular dietary restrictions, patients can better manage their symptoms, adhere to their hemodialysis regimen, and optimize their health outcomes.

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Unlimited fluid and low sodium intake

High fiber and low cholesterol

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