Dialysis Technician Practice Exam

What is an important lifestyle change for patients with metabolic acidosis?

1. Increasing potassium intake

2. Limiting protein consumption

3. Reducing fluid intake

4. Maintaining high sodium levels

The correct answer is: Limiting protein consumption

Limiting protein consumption is an important lifestyle change for patients with metabolic acidosis because high protein intake can lead to an increase in the production of metabolic acids, including urea and sulfuric acid, as protein is broken down in the body. In cases of metabolic acidosis, the body is already struggling to maintain a normal pH level due to an excess of acids or a loss of bicarbonate, which serves as a buffer. By reducing protein consumption, patients can help minimize the metabolic load on their kidneys, allowing them to manage acid-base balance more effectively. Additionally, many patients with metabolic acidosis may also have underlying kidney issues. The kidneys play a crucial role in excreting acids and reabsorbing bicarbonate; hence, easing the burden on them by moderating protein intake can assist in overall management of acidosis. In contrast, increasing potassium intake could be dangerous since many patients with metabolic acidosis, particularly those on dialysis, already face risks of hyperkalemia. Reducing fluid intake may be important for managing fluid overload, but it's not directly related to addressing the acidosis itself. Maintaining high sodium levels could exacerbate hypertension and cardiovascular issues, which can be particularly harmful in patients already facing the challenges associated with metabolic acidosis. Each