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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
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% Most of the following are not required for the majority
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% Document Info
\author{doramarin}
\pdfinfo{
  /Title (hjukrun-nyrnasjukdoma.pdf)
  /Creator (Cheatography)
  /Author (doramarin)
  /Subject (Hjúkrun nýrnasjúkdóma Cheat Sheet)
}

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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Hjúkrun nýrnasjúkdóma Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{doramarin} via \textcolor{DarkBackground}{\uline{cheatography.com/162386/cs/34079/}}}
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\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}doramarin \\
  \uline{cheatography.com/doramarin} \\
  \end{tabulary}
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\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 15th July, 2023.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
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\begin{tabulary}{5.8cm}{L}
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




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% Set font size to small. Switch to any value
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% Row 0
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% Row Count 1 (+ 1)
% Row 1
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% Row Count 2 (+ 1)
% Row 2
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\mymulticolumn{2}{x{5.377cm}}{BÞ og breytingar við st{\"o}ðubreytingar} \tn 
% Row Count 3 (+ 1)
% Row 3
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\mymulticolumn{2}{x{5.377cm}}{V{\"o}kvajafnvægi} \tn 
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% Row 4
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% Row Count 5 (+ 1)
% Row 5
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% Row Count 6 (+ 1)
% Row 6
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\mymulticolumn{2}{x{5.377cm}}{Húðspenna} \tn 
% Row Count 7 (+ 1)
% Row 7
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\mymulticolumn{2}{x{5.377cm}}{Þan á bláæð á hálsi} \tn 
% Row Count 8 (+ 1)
% Row 8
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\mymulticolumn{2}{x{5.377cm}}{Andremma (halitosis)} \tn 
% Row Count 9 (+ 1)
% Row 9
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% Row Count 10 (+ 1)
% Row 10
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\mymulticolumn{2}{x{5.377cm}}{Breytingar á geðslagi} \tn 
% Row Count 11 (+ 1)
% Row 11
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% Row Count 12 (+ 1)
% Row 12
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% Row Count 13 (+ 1)
% Row 13
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% Row 14
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\seqsplit{Breytingar} á: & Þyngd, geðslagi \tn 
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% Row 15
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\mymulticolumn{2}{x{5.377cm}}{Ógleði og uppk{\"o}st} \tn 
% Row Count 17 (+ 1)
% Row 16
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\mymulticolumn{2}{x{5.377cm}}{Meta einkenni} \tn 
% Row Count 18 (+ 1)
% Row 17
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\mymulticolumn{2}{x{5.377cm}}{Svefntruflanir} \tn 
% Row Count 19 (+ 1)
% Row 18
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Saga um & Fj{\"o}lskyldu-nýrnasjúkdómar, aðrir nýrnasjúkdómar, nýleg aðgerð, svæfing, áverki \tn 
% Row Count 23 (+ 4)
% Row 19
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\mymulticolumn{2}{x{5.377cm}}{Lyfjanotkun} \tn 
% Row Count 24 (+ 1)
% Row 20
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\mymulticolumn{2}{x{5.377cm}}{Hvernig tekist á við veikindi sín  (fylgni við meðferð, streita og  aðl{\"o}gun)} \tn 
% Row Count 26 (+ 2)
% Row 21
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\mymulticolumn{2}{x{5.377cm}}{Þekking} \tn 
% Row Count 27 (+ 1)
% Row 22
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% Row Count 28 (+ 1)
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% Row 0
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\mymulticolumn{2}{x{5.377cm}}{{\bf{\{\{ac\}\} V{\"o}kvajafnvægi}}} \tn 
% Row Count 1 (+ 1)
% Row 1
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{\bf{V{\"o}kvas{\"o}fnun}} & Einkenni v{\"o}kvas{\"o}fnunnar \tn 
% Row Count 3 (+ 2)
% Row 2
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\mymulticolumn{2}{x{5.377cm}}{Þyngdaraukning, bjúgur, mæði, hækkaður BÞ,aukin húðspenna, þandar hálsbláæðar, brakhljóð, erfitt að sofa útafliggjandi} \tn 
% Row Count 6 (+ 3)
% Row 3
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{\bf{V{\"o}kvaskortur}} & Einkenni v{\"o}kvaskorts \tn 
% Row Count 7 (+ 1)
% Row 4
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\mymulticolumn{2}{x{5.377cm}}{Þyngdartap, þurr húð, slímhúðir, lækkaður BÞ, orthostatismi, erfitt að finna púls, minnkuð húðspenna, svimi, þorsti} \tn 
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% Row 5
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\mymulticolumn{2}{x{5.377cm}}{{\emph{Meta reglulega v{\"o}kvajafnvægið og einkenni s{\"o}fnunar / skorts. Fræða um einkenni v{\"o}kvas{\"o}fnunnar/skorts, þrosti, skjólstæðing og fj{\"o}lskyldu um ástæður v{\"o}kvatakm{\"o}rkun. Hvetja til munnhirðu.}}} \tn 
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% Row 8
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Meta húð og slímhúðir & m.t.t. bjúgs, þurrks, húðspennu \tn 
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% Row 9
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Meta BÞ og púls & Mæla bþ, liggjandi og standandi og púls, hraða og takt \tn 
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% Row 10
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% Row 11
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% Row 12
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Hækkun kalíums & \seqsplit{Hjartsláttartruflanir} \tn 
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% Row 13
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Hækkun fosfats & Stoð- og taugakerfi \tn 
% Row Count 28 (+ 1)
% Row 14
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Lækkun kalsíums & Stoð- og taugakerfi \tn 
% Row Count 29 (+ 1)
% Row 15
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{\bf{Hyperkalemía. }} & Eðlilegt gildi = 3,5-4,8. \tn 
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% Row 16
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\mymulticolumn{2}{x{5.377cm}}{Fylgjast með einkennum og gefa kalíum lækkandi. Fylgjast vel með {\"o}llu sem veldur auknu niðurbroti hjá  sjúklingi, t.d. sárum, einkennum sýkingar og blæðingu} \tn 
% Row Count 4 (+ 4)
% Row 17
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% Row 18
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\mymulticolumn{2}{x{5.377cm}}{{\emph{Hættur sem fylgja hyperkalemíu og ors{\"o}kum hennar. Hvernig hægt er að forðast hyperkalemíu með því að takmarka  neyslu kalíumríkrar fæðu. Fá ráðgj{\"o}f næringarráðgjafa}}} \tn 
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% Row 19
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\mymulticolumn{2}{x{5.377cm}}{{\emph{ Fylgjast reglulega með se - fosfat og se - kalsíum. Fræða sjúkling og fj{\"o}lskyldu um samspil kalsíum og fosfats og áhrif þess á beinin og hjarta- og  æðakerfið. Mikilvægi þess að takmarka neyslu á fosfatríkum mat, taka kalk og fosfatbindara með mat}}} \tn 
% Row Count 16 (+ 6)
% Row 21
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% Row 22
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% Row 23
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% Row 24
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\mymulticolumn{2}{x{5.377cm}}{{\emph{Albúmín og pre-albúmín}}} \tn 
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% Row 25
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% Row 26
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\mymulticolumn{2}{x{5.377cm}}{{\emph{Rétt fæða, rétt magn, hvað má borða, aðlaga fæði af hvað vanur að borða}}} \tn 
% Row Count 23 (+ 2)
% Row 27
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\mymulticolumn{2}{x{5.377cm}}{{\emph{Góð munnhirða, tryggja nægar hitaeiningar, oft en lítið í einu, hvíld fyrir og eftir mat}}} \tn 
% Row Count 25 (+ 2)
% Row 28
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% Row Count 27 (+ 2)
% Row 29
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\mymulticolumn{2}{x{5.377cm}}{{\bf{Næringarprógram}}} \tn 
% Row Count 28 (+ 1)
% Row 30
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\mymulticolumn{2}{x{5.377cm}}{{\emph{Nota næringarráðgjafa}}} \tn 
% Row Count 29 (+ 1)
% Row 31
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{\emph{Takmarka þarf innt{\"o}ku á:}} & Kalíum, fosfat, salt, prótein \tn 
% Row Count 31 (+ 2)
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% Row 32
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{\emph{Sérstakir næringardrykkir }} & mega ekki fá venjulega \tn 
% Row Count 2 (+ 2)
% Row 33
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\mymulticolumn{2}{x{5.377cm}}{{\emph{Muna að því flóknari sem fæðismeðferðin er því minni líkur eru á að  sjúklingurinn fylgi henni}}} \tn 
% Row Count 5 (+ 3)
% Row 34
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\mymulticolumn{2}{x{5.377cm}}{{\bf{\{\{ac\}\} Sýkingarhætta}}} \tn 
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% Row 35
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\mymulticolumn{2}{x{5.377cm}}{Gæta hreinslætis í um{\"o}nnun þessara sjúkl} \tn 
% Row Count 7 (+ 1)
% Row 36
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Fylgjast með \seqsplit{húð/aðskotahlutir} & Sýkingareinkenni \tn 
% Row Count 9 (+ 2)
% Row 37
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Athuga sérstaklega & Fistlar, graftar, blóð–og kviðskilunarleggir \tn 
% Row Count 12 (+ 3)
% Row 38
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Tryggja {\"o}ndun & Hagræðing, lungaástand, hlustun og {\"o}ndunaræfingar \tn 
% Row Count 15 (+ 3)
% Row 39
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\mymulticolumn{2}{x{5.377cm}}{{\bf{\{\{ac\}\}Öryggi sjúklinga}}} \tn 
% Row Count 16 (+ 1)
% Row 40
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\mymulticolumn{2}{x{5.377cm}}{Meta áttun} \tn 
% Row Count 17 (+ 1)
% Row 41
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\mymulticolumn{2}{x{5.377cm}}{Fjarlægja slysagildrur} \tn 
% Row Count 18 (+ 1)
% Row 42
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Fræða sjúkling og fj{\"o}lskyldu & Minnka blæðingalíkur, nota mjúka tannbursta, varast odhvassa hluti og byltuvarnir \tn 
% Row Count 23 (+ 5)
% Row 43
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\mymulticolumn{2}{x{5.377cm}}{{\bf{Skert hreyfigeta}}} \tn 
% Row Count 24 (+ 1)
% Row 44
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Orsakir & Blóðleysi Slappleiki tengdur langvinnum veikindum \tn 
% Row Count 27 (+ 3)
% Row 45
\SetRowColor{white}
{\bf{Útskilnaður}} & {\emph{Útskilnaður – þvag – hægðir }} \tn 
% Row Count 29 (+ 2)
% Row 46
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Ath. innhald hægðalosandi lyfja} \tn 
% Row Count 30 (+ 1)
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Hjúkrun sjúklinga m nýrnaskerðingu (cont)}}  \tn
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\mymulticolumn{2}{x{5.377cm}}{{\bf{Fræðsla}}} \tn 
% Row Count 1 (+ 1)
% Row 48
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\mymulticolumn{2}{x{5.377cm}}{Að lifa með langvinnan lífsógnandi sjúkdóm} \tn 
% Row Count 2 (+ 1)
% Row 49
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\mymulticolumn{2}{x{5.377cm}}{Fæðu og v{\"o}kva takmarkanir} \tn 
% Row Count 3 (+ 1)
% Row 50
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\mymulticolumn{2}{x{5.377cm}}{Fyrir fyrirmælum- meðferðarheldni} \tn 
% Row Count 4 (+ 1)
% Row 51
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\mymulticolumn{2}{x{5.377cm}}{Fá að vera þátttakandi í meðferðinni} \tn 
% Row Count 5 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\mymulticolumn{2}{x{5.377cm}}{**\{\{ac\}\}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Einkenni langvinnrar/lokastigs nýrnabilunar}}  \tn
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\mymulticolumn{2}{x{5.377cm}}{Algengast: Vaxandi óeðlileg þreyta} \tn 
% Row Count 1 (+ 1)
% Row 1
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\mymulticolumn{2}{x{5.377cm}}{Húðþurrkur og kláði} \tn 
% Row Count 2 (+ 1)
% Row 2
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\mymulticolumn{2}{x{5.377cm}}{Lystarleysi, ógleði og m{\"o}gulega breytt bragðskyn} \tn 
% Row Count 4 (+ 2)
% Row 3
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\mymulticolumn{2}{x{5.377cm}}{Verkir} \tn 
% Row Count 5 (+ 1)
% Row 4
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\mymulticolumn{2}{x{5.377cm}}{Svefntruflanir, erfitt að sofna, vakna oft og dagsyfja} \tn 
% Row Count 7 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Kvíði og þunglyndi} \tn 
% Row Count 8 (+ 1)
% Row 6
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\mymulticolumn{2}{x{5.377cm}}{Mæði og bjúgur} \tn 
% Row Count 9 (+ 1)
% Row 7
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\mymulticolumn{2}{x{5.377cm}}{Fótapirringur} \tn 
% Row Count 10 (+ 1)
% Row 8
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\seqsplit{Sinadráttur} & Leiðrétta elektrólýtaójafnvægi \tn 
% Row Count 12 (+ 2)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Einbeitingarerfiðleikar} \tn 
% Row Count 13 (+ 1)
% Row 10
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\mymulticolumn{2}{x{5.377cm}}{{\bf{Streituvaldar og aðl{\"o}gunarleiðir}}} \tn 
% Row Count 14 (+ 1)
% Row 11
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\seqsplit{Streituvaldar} & Algengast; þreyta. Svefntruflanir, utlægur taugakvilli \tn 
% Row Count 17 (+ 3)
% Row 12
\SetRowColor{LightBackground}
Aðl{\"o}gunarleiðir & Bjartsýni. Horfast í augu við sjúkdóm og stuðningur \tn 
% Row Count 20 (+ 3)
% Row 13
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{**\{\{ac\}\}Einkennameðferð} \tn 
% Row Count 21 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.34379 cm} x{3.63321 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Mat og meðferð lokastigs nýrnabilunar}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Einkennamat} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
ESAS-r & Einkennamælitæki krabbameinssjúklinga aðlagað að lokastigs nýrnasjúklingum. \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
ESAS-r Renal & Mælitæki sem er eins og ESAS-r plús einkennin: kláði og fótapirringur \tn 
% Row Count 7 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{\{\{ac\}\}{\bf{Meðferð}}} \tn 
% Row Count 8 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Blóðskilun} \tn 
% Row Count 9 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Kviðskilun} \tn 
% Row Count 10 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Aðgengi – blóðskilun}}} \tn 
% Row Count 11 (+ 1)
% Row 7
\SetRowColor{white}
\seqsplit{Æðaaðgengi} & Til að framkvæma blóðskilun þarf meira blóðstreymi en yfirborðsæðar  eru færar um. \tn 
% Row Count 15 (+ 4)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Æðaaðgengi getur verið þrenns konar:} \tn 
% Row Count 16 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{1.Fistill} \tn 
% Row Count 17 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{2.Graftur} \tn 
% Row Count 18 (+ 1)
% Row 11
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{3.Blóðskilunarleggur} \tn 
% Row Count 19 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Áhættuþættir}}} \tn 
% Row Count 20 (+ 1)
% Row 13
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Stíflast og lokun} \tn 
% Row Count 21 (+ 1)
% Row 14
\SetRowColor{LightBackground}
\seqsplit{Sýkingarhætta} & meiri við leggi en fistla og grafta \tn 
% Row Count 23 (+ 2)
% Row 15
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Ráðleggingar}}} \tn 
% Row Count 24 (+ 1)
% Row 16
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Mikilvægt að sjúklingar hlífi aðgengishandlegg Ekki stinga í, eða setja nálar eða mæla bþ á fistil/graft handlegg Hjá sjúklingum með fistil er mikilvægt að hlusta eftir þrilli reglulega og þreyfa fistil.} \tn 
% Row Count 29 (+ 5)
% Row 17
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Kviðskilunarleggur }}} \tn 
% Row Count 30 (+ 1)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{5.377cm}{x{1.34379 cm} x{3.63321 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Mat og meðferð lokastigs nýrnabilunar (cont)}}  \tn
% Row 18
\SetRowColor{LightBackground}
\seqsplit{Sýkingarhætta} & Handþvottur \tn 
% Row Count 2 (+ 2)
% Row 19
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Passa að ekki komi tog eða brot á legginn} \tn 
% Row Count 3 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.89126 cm} x{3.08574 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Nýrnastarfsemi}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Mat á nýrnastarfsemi}}\{\{ac\}\}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{1. Starfsemi gaukla} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{a. Gæði og skemmdir í gauklum} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{b. Magn: GFR} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{2. Starfsemi pípla} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Starfsemi nýrna}}\{\{ac\}\}} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{1. Efna- og v{\"o}kvajafnvægi} \tn 
% Row Count 7 (+ 1)
% Row 7
\SetRowColor{white}
a. V{\"o}kvajafnvægi & {\emph{of mikill eða lítill, blóðþrýstingur}} \tn 
% Row Count 9 (+ 2)
% Row 8
\SetRowColor{LightBackground}
b. Úrgangsefni & {\emph{  einkenni v. upphleðslu eiturefna}} \tn 
% Row Count 11 (+ 2)
% Row 9
\SetRowColor{white}
c. Steinefni & {\emph{ Na, K, Ca/PO4}} \tn 
% Row Count 12 (+ 1)
% Row 10
\SetRowColor{LightBackground}
d. Sýru-basa jafnvægi - & {\emph{ HCO3, blóðg{\"o}s, {\"o}ndunartíðni}} \tn 
% Row Count 14 (+ 2)
% Row 11
\SetRowColor{white}
e. \seqsplit{Hormónastarfsemi} & {\emph{Erythropoietin -\textgreater{} blóðleysi}} \tn 
% Row Count 16 (+ 2)
% Row 12
\SetRowColor{LightBackground}
f. 1,25-(OH)2-Vitamín D & {\emph{ beinsjúkdómur, Ca/ PTH}} \tn 
% Row Count 18 (+ 2)
% Row 13
\SetRowColor{white}
g. Renin – Angiotensin & {\emph{blóðþrýstistjórnun}} \tn 
% Row Count 20 (+ 2)
% Row 14
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\emph{the renin-angiotensin system helps regulate blood pressure by constricting blood vessels and increasing the reabsorption of sodium and water in the kidneys. This system is activated when blood pressure drops, and it works to restore blood pressure to normal levels.}}} \tn 
% Row Count 26 (+ 6)
% Row 15
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Saga og skoðun}}\{\{ac\}\}} \tn 
% Row Count 27 (+ 1)
% Row 16
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{1. Almenn merki um system sjúkdóma}}} \tn 
% Row Count 28 (+ 1)
% Row 17
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{a. Lúpus, sykursýki, v{\"o}ðvabólga, scleroderma} \tn 
% Row Count 29 (+ 1)
% Row 18
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{ 2.	Saga}}} \tn 
% Row Count 30 (+ 1)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{5.377cm}{x{1.89126 cm} x{3.08574 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Nýrnastarfsemi (cont)}}  \tn
% Row 19
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{a.	Þvagvenjur, lyfjanotkun, v{\"o}kva-elektrólýtajafnvægi, fj{\"o}lskyldusaga, umhverfi} \tn 
% Row Count 2 (+ 2)
% Row 20
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{3.	Mat á v{\"o}kvaástand}}} \tn 
% Row Count 3 (+ 1)
% Row 21
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{a.	Þvagvenjur} \tn 
% Row Count 4 (+ 1)
% Row 22
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{b.	Fótabjúgur, augnbjúgur, þyngdarbreytingar, lífsm{\"o}rk, þorsti, turgor.} \tn 
% Row Count 6 (+ 2)
% Row 23
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{4.	Lífsm{\"o}rk}}} \tn 
% Row Count 7 (+ 1)
% Row 24
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{a. Púls og blóðþrýstingur.} \tn 
% Row Count 8 (+ 1)
% Row 25
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{b. Orthostatískur blóðþrýstingur} \tn 
% Row Count 9 (+ 1)
% Row 26
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{c. Tachypnea: Blóðsýring} \tn 
% Row Count 10 (+ 1)
% Row 27
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{d. Mæði: V{\"o}kvas{\"o}fnun í lungum} \tn 
% Row Count 11 (+ 1)
% Row 28
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{5.	Blóð og þvagrannsóknir}}} \tn 
% Row Count 12 (+ 1)
% Row 29
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{a.	Blóð: Kreatín, Urea, GFR, elektrólýtar, albumin, kalsíum, fosfat} \tn 
% Row Count 14 (+ 2)
% Row 30
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{b.	Þvag: Þvagstix, próteinurea, Microalbuminuria} \tn 
% Row Count 16 (+ 2)
% Row 31
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{6.	Lyfjanotkun}}} \tn 
% Row Count 17 (+ 1)
% Row 32
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{a.	NSAID, ACE- hemlar, þvagræsilyf, skuggaefni, sýkla- og ónæmisbælandi lyf, lithium,} \tn 
% Row Count 19 (+ 2)
% Row 33
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Nánar um þvagskoðun}}\{\{ac\}\}} \tn 
% Row Count 20 (+ 1)
% Row 34
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{1. Blóðmiga}}} \tn 
% Row Count 21 (+ 1)
% Row 35
\SetRowColor{LightBackground}
Flokkar: & Macro- vs. Microscopisk (stórsæ vs. smásæ) \tn 
% Row Count 23 (+ 2)
% Row 36
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Algengustu ástæður:} \tn 
% Row Count 24 (+ 1)
% Row 37
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{1. Þvagfærasýking} \tn 
% Row Count 25 (+ 1)
% Row 38
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{2. Nýrnasteinar} \tn 
% Row Count 26 (+ 1)
% Row 39
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{3. Bl{\"o}ðru/nýrnasýking} \tn 
% Row Count 27 (+ 1)
% Row 40
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{2. Próteinmiga}}} \tn 
% Row Count 28 (+ 1)
% Row 41
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Algengustu ástæður:} \tn 
% Row Count 29 (+ 1)
% Row 42
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{1. Diabetic Nephropathy} \tn 
% Row Count 30 (+ 1)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{5.377cm}{x{1.89126 cm} x{3.08574 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Nýrnastarfsemi (cont)}}  \tn
% Row 43
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{2. Hypertensive Nephropathy} \tn 
% Row Count 1 (+ 1)
% Row 44
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{3. Glomerulonephritis} \tn 
% Row Count 2 (+ 1)
% Row 45
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{3. Smásjárannsóknir}}} \tn 
% Row Count 3 (+ 1)
% Row 46
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Skemmdir í gaukul og píplum \{\{ac\}\}} \tn 
% Row Count 4 (+ 1)
% Row 47
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{1. Sjúkur gaukull og afsteypur} \tn 
% Row Count 5 (+ 1)
% Row 48
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\emph{ If there is damage or disease affecting the glomerulus, the filtering function of the kidney can be compromised. As a result, {\bf{red blood cells (RBCs) and proteins may leak into the urine}}. These abnormal findings in the urine can indicate glomerular diseases such as {\bf{glomerulonephritis}} or other conditions affecting the glomerulus.}}} \tn 
% Row Count 12 (+ 7)
% Row 49
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{2. Nekrósa og RBK í þvagi} \tn 
% Row Count 13 (+ 1)
% Row 50
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\emph{Diseases that attack the glomerulus or tubules in the kidney can cause damage and necrosis (cell death) of the kidney tissue. This can lead to the presence of damaged red blood cells in the urine. The presence of necrotic cells and red blood cells in the urine can provide important clues about the type and severity of kidney diseases.}}} \tn 
% Row Count 20 (+ 7)
% Row 51
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{3. Próteinurea} \tn 
% Row Count 21 (+ 1)
% Row 52
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\emph{When the glomerulus is diseased, it may become more permeable, allowing proteins to pass through and appear in the urine. The presence of excess protein in the urine, known as proteinuria, can indicate glomerular diseases or other conditions affecting the kidney's filtering function.}}} \tn 
% Row Count 27 (+ 6)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.43873 cm} x{2.53827 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Nýrnasjúkdómar}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Langvinn nýrnabilun}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{\{\{ac\}\}Orsakir} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{1.	Sykursýki} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{2.	Háþrýstingur} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{3. Glomerulonephritis} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{4.	Polycystic Kidney Disease PKD} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{5.	Annað} \tn 
% Row Count 7 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{\{\{ac\}\}Einkenni} \tn 
% Row Count 8 (+ 1)
% Row 8
\SetRowColor{LightBackground}
1.	Þreyta og veikleiki & Anemia t.d. \tn 
% Row Count 10 (+ 2)
% Row 9
\SetRowColor{white}
2.	Fluid retention & Fætur, augu \tn 
% Row Count 11 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{3.	Decreased urine output} \tn 
% Row Count 12 (+ 1)
% Row 11
\SetRowColor{white}
4.	Changes in urination & Sérstaklega um nætur \tn 
% Row Count 14 (+ 2)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{5.	Blood in urine} \tn 
% Row Count 15 (+ 1)
% Row 13
\SetRowColor{white}
6.	High blood pressure & Bæði ors{\"o}k og afleiðing \tn 
% Row Count 17 (+ 2)
% Row 14
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{7.	Anemia} \tn 
% Row Count 18 (+ 1)
% Row 15
\SetRowColor{white}
8.	Bone disorders & Bone pain and increased fractures \tn 
% Row Count 20 (+ 2)
% Row 16
\SetRowColor{LightBackground}
9.	Electrolyte imbalances & Kalíum, kalsíum, fosforus. Krampar, \seqsplit{hjarstláttatruflanir} \tn 
% Row Count 23 (+ 3)
% Row 17
\SetRowColor{white}
10.	Nausea and vomiting & accumulation of waste products \tn 
% Row Count 25 (+ 2)
% Row 18
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{11. Loss of appetite and weight changes} \tn 
% Row Count 26 (+ 1)
% Row 19
\SetRowColor{white}
12. Itching and dry skin & Build-up of waste products in the blood \tn 
% Row Count 28 (+ 2)
% Row 20
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Meðferð}}} \tn 
% Row Count 29 (+ 1)
% Row 21
\SetRowColor{white}
1. \seqsplit{Blóðþrýstingsstjórnun} & {\emph{lyf, lifestyle, low sodium}} \tn 
% Row Count 31 (+ 2)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{5.377cm}{x{2.43873 cm} x{2.53827 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Nýrnasjúkdómar (cont)}}  \tn
% Row 22
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{2. Blóðsykurstjórnun} \tn 
% Row Count 1 (+ 1)
% Row 23
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{3. Lyfjameðferð} \tn 
% Row Count 2 (+ 1)
% Row 24
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{a. Lyf við fylgikvillum} \tn 
% Row Count 3 (+ 1)
% Row 25
\SetRowColor{white}
b. Lyf til að minnka próteinureu & {\emph{ACE + ARB}} \tn 
% Row Count 5 (+ 2)
% Row 26
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{4. Breyting á mataræði} \tn 
% Row Count 6 (+ 1)
% Row 27
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{a. Restriction of sodium, potassium, phosphorus} \tn 
% Row Count 7 (+ 1)
% Row 28
\SetRowColor{LightBackground}
b. Controlling protein intake & {\emph{Reduces kidney workload}} \tn 
% Row Count 9 (+ 2)
% Row 29
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{c. Adjusting fluid intake} \tn 
% Row Count 10 (+ 1)
% Row 30
\SetRowColor{LightBackground}
5. Anemia Management & {\emph{Iron supplementation, \seqsplit{erythropoiesis-stimulating} agents (ESAs), blood transfusions}} \tn 
% Row Count 15 (+ 5)
% Row 31
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{6. Skilun} \tn 
% Row Count 16 (+ 1)
% Row 32
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{7. Kidney Transplantation:} \tn 
% Row Count 17 (+ 1)
% Row 33
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{8. Symptom Management} \tn 
% Row Count 18 (+ 1)
% Row 34
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{\{\{ac\}\}Nursing Management} \tn 
% Row Count 19 (+ 1)
% Row 35
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{1.	Education and Patient Empowerment:}}} \tn 
% Row Count 20 (+ 1)
% Row 36
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Education on causes, progression and management} \tn 
% Row Count 21 (+ 1)
% Row 37
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Teaching medication manangement} \tn 
% Row Count 22 (+ 1)
% Row 38
\SetRowColor{LightBackground}
Education on dietary modifications & sodium, potassium, and phosphorus. \tn 
% Row Count 24 (+ 2)
% Row 39
\SetRowColor{white}
Foster self-management: & blood pressure, blood sugar, weight \tn 
% Row Count 26 (+ 2)
% Row 40
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{2. Monitoring and Assessment:}}} \tn 
% Row Count 27 (+ 1)
% Row 41
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Lífsm{\"o}rk} \tn 
% Row Count 28 (+ 1)
% Row 42
\SetRowColor{LightBackground}
Fluid balance & weight, intake + output, fluid overload, dehydration \tn 
% Row Count 31 (+ 3)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{5.377cm}{x{2.43873 cm} x{2.53827 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Nýrnasjúkdómar (cont)}}  \tn
% Row 43
\SetRowColor{LightBackground}
Regular assessments of kidney function: & laboratory tests, including blood tests (serum creatinine, electrolytes, hemoglobin) and urine tests (urinalysis, proteinuria assessment). \tn 
% Row Count 7 (+ 7)
% Row 44
\SetRowColor{white}
Monitor and manage symptoms: & fatigue, edema, shortness of breath, or changes in urinary patterns. \tn 
% Row Count 11 (+ 4)
% Row 45
\SetRowColor{LightBackground}
Assess for signs of complications: & anemia, bone disorders, cardiovascular issues, or electrolyte imbalances. \tn 
% Row Count 15 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}