Potassium at [5.6] ranks first and protein comes down gradually in this NS490 Unit 2 renal case analysis, which follows a composite patient's plant-heavy diabetes diet into stage G4 kidney disease. Searches like "ns 490 unit 2 assignment example", "ns490 unit 2 sample" and "ns490 unit 2 example" land here.
What a finished NS490 Unit 2 renal case analysis looks like
Seven pages with a data section, an analysis section and a plan. Case data run as a compact table: eGFR [22] mL/min/1.73 m2, potassium [5.6] mEq/L, phosphorus [5.1] mg/dL, bicarbonate [19] mEq/L, A1C [7.4] percent, weight [82] kg, an ACE inhibitor on the medication list, and a three-day record averaging [95] g protein and roughly [4,300] mg potassium. The analysis section names every contributor to the potassium before blaming food, then isolates the four foods supplying most of it. A targets table follows: protein 0.6 to 0.8 g/kg, or 49 to 66 g, energy 25 to 35 kcal/kg, sodium under 2.3 g, and potassium and phosphorus adjusted to keep serum values in range. The plan swaps foods rather than deleting food groups.
How a NS490 Unit 2 example is structured
Staging comes first and is attributed precisely, since the eGFR categories belong to KDIGO and the nutrition targets to the 2020 KDOQI guideline, and the analysis keeps the two sources apart. The potassium section opens on non-dietary contributors, the ACE inhibitor and the low bicarbonate, and marks both for the nephrologist before turning to the plate. Only then does it rank: potassium first as the nearer danger, protein second as the longer project, glucose third because his A1C sits near goal. The conflict paragraph is the core of the paper. Cutting protein by replacing meat with legumes raises potassium; cutting potassium by removing plants pushes protein back toward animal sources. The resolution keeps legumes in measured portions, removes orange juice, swaps potatoes and tomato sauce, and brings protein down over several weeks rather than at once.
Two sources, kept apart
KDIGO supplies the G4 category from the eGFR; the 2020 KDOQI nutrition guideline supplies the protein, energy and electrolyte statements. The analysis cites each for what it actually covers, a distinction weaker papers blur.
Potassium before the plate
The ACE inhibitor and a bicarbonate of [19] both raise serum potassium. The analysis flags them for the nephrologist first, so the diet is not asked to fix what a medication or acidosis is driving.
Four foods, most of the load
Orange juice, baked potatoes, tomato sauce and bananas account for about [2,900] mg of his estimated potassium. Targeting them changes the number without dismantling a plan he chose and follows.
Where the targets collide
Legumes lower animal protein and raise potassium in the same serving. Measured portions keep them in the plan, citing the guideline's openness to plant-based patterns, and shows the arithmetic for one day.
Protein lowered in steps
Moving from [95] g toward the 49 to 66 g range happens over weeks, with energy held at 25 to 35 kcal/kg so that less protein does not become less food.
Where marks go in NS490 Unit 2
Lab interpretation, correct use of staging and guidelines, resolution of the conflicting targets and the plan's practicality typically make up a renal analysis rubric. Checking medication and acid-base causes before dietary ones is what secures the interpretation marks. Guideline marks follow from naming KDIGO and KDOQI for their separate jobs and quoting targets as the guideline frames them, including the potassium statement that sets no fixed number. Resolution marks come from the conflict paragraph, which picks an order and shows its cost. Practicality shows in swaps built from his own food record. Renal analyses tend to slip by imposing a fixed potassium limit the guideline does not give, by cutting protein without protecting energy, by missing the ACE inhibitor, or by removing every fruit and vegetable at once.
Get a NS490 Unit 2 example written to your instructions
Renal cases in NS490 Unit 2 might put a patient on dialysis, add a second organ problem or supply fewer labs than this one. Forward the case with all its values, whichever guideline edition your course uses, and the rubric. Expect non-dietary causes sorted first, targets cited narrowly and the conflict resolved on paper. The first custom sample is free and takes 24-48h.
NS490 Unit 2 questions, answered
Should the analysis use the 2020 KDOQI targets or older ones?
Use the edition your course names, and if it names none, the current one. The 2020 update, produced with the Academy of Nutrition and Dietetics, revised several statements, including protein ranges for people with diabetes and the approach to potassium. Quoting an older fixed limit when the current guideline frames the target differently is a common deduction.
How low should protein go in stage 4 kidney disease?
The guideline gives ranges that depend on diabetes status and on whether keto acid analogs are used, and it attaches the condition of close dietitian supervision. For a course paper, quote the range that fits the case, show the calculation on the case weight, and say that the prescription in practice belongs to a dietitian working with the nephrology team.
Is a plant-based diet safe with high potassium?
It can be part of the plan, which is why the question is worth a whole unit. Plant foods differ widely in potassium, and recent reviews suggest potassium from whole plant foods may be absorbed less completely than potassium additives in processed foods. A strong paper keeps plant protein where it can, swaps the highest-potassium items, and addresses non-dietary causes, rather than banning a food group.