[Weekly dialysis integrated with low-protein diet and essential amino acids. Preliminary data].
The possibility of applying a once-a-week dialysis programme supplemented with hypoproteic diet as an adequate technique for starting the uraemic patient on dialysis is examined. Thirteen patients have been so treated, 7 of them currently under treatment for a global period of observation of 46 months. At the moment dialysis began, mean glomerular filtrate was 5.14 ml/min. Once-a-week dialytic treatment with bicarbonate dialysis was associated with a hypoproteic diet of 0.5 g/kg/die of proteins, supplemented with essential amino acids. This treatment showed excellent dialytic tolerance, the values of dialysis start blood nitrogen were lower than 200 mg/dl and dialytic efficiency was compatible with a Kt/v greater than 1.1. There was no observation of any subjective or objective symptomatology that could be related to dialytic inadequacy. Taken as a whole these results make it possible to state that this type of approach permits a gradual start to dialysis and deserves further study.
Cardelli
R
R
Servizio di Nefrologia e Dialisi, Ospedale Maggiore di Chieri, Torino.
D'Amicone
M
M
Manzione
A
A
Gurioli
L
L
Grott
G
G
Biselli
L
L
Priasca
G
G
Agagliati
D
D
D000328:Adult; D000368:Aged; D000596:Amino Acids / Q000008:administration & dosage*; D001794:Blood Pressure; D003131:Combined Modality Therapy; D003404:Creatinine / Q000097:blood; D004044:Dietary Proteins / Q000008:administration & dosage*; D005069:Evaluation Studies as Topic; D005260:Female; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007676:Kidney Failure, Chronic / Q000097:blood / Q000178:diet therapy / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011188:Potassium / Q000097:blood; D006435:Renal Dialysis
D000596:Amino Acids; D004044:Dietary Proteins; D006454:Hemoglobins; D003404:Creatinine; D011188:Potassium
Dialisi monosettimanale integrata con dieta ipoproteica e aminoacidi essenziali. Dati preliminari.