Nutritional aspects of acute renal failure.
The patient with acute renal failure is a very ill patient suffering from high urea levels causing poor appetite, nausea and vomiting. These patients are usually treated with a low sodium, low protein and, if the potassium in the blood is high, with a low potassium diet (1). This paper discusses whether or not this is the correct treatment. The symptoms of high urea levels in the blood together with increased needs for energy and protein makes it very hard to prevent the patient becoming malnourished. Often energy-enriched drinks are necessary to achieve recommendations and it is prudent to let the patient eat and drink what they desire. By calculating the energy and protein needs and comparing these with the intake and the state of illness and by following the patient's body weight over time we can obtain information about the state of nourishment. When we alter the food that's offered we achieve better intake and reduce the risk of malnourishment.
Hoogerwerf
M
M
Dietetic Department, Meander Medical Centre, Amersfoort, The Netherlands. m.hoogewerf@meandermc.nl
D058186:Acute Kidney Injury / Q000150:complications* / Q000178:diet therapy* / Q000378:metabolism; D004734:Energy Metabolism; D005260:Female; D006801:Humans; D008612:Menu Planning; D015596:Nutrition Assessment; D009751:Nutritional Requirements; D011502:Protein-Energy Malnutrition / Q000209:etiology* / Q000517:prevention & control*; D012307:Risk Factors