Nutrition support therapy in acute kidney injury: distinguishing dogma from good practice.
Acute kidney injury (AKI) is a frequently observed complication in critically ill patients. Its presentation may range from the early risk of renal dysfunction to complete renal failure. Morbidity and mortality in the AKI patient increase with the decline of renal function. Appropriate nutrition therapy is essential in the medical management of the AKI patient. Assessment of nutritional requirements should take into account the patient's underlying complication, comorbid medical conditions, and severity of the renal dysfunction. Various stages of AKI determine the direction of nutrition therapy. Additionally, understanding the macro- and micronutrient modifications and electrolyte and vitamin alterations that should be implemented are vital for better patient outcomes.
Gervasio
Jane M
JM
Butler University College of Pharmacy and Health Sciences, 4600 Sunset Avenue, Indianapolis, IN 46208, USA. jgervasi@butler.edu
Cotton
Ann B
AB
D058186:Acute Kidney Injury / Q000150:complications / Q000178:diet therapy* / Q000378:metabolism; D006801:Humans; D007677:Kidney Function Tests; D015596:Nutrition Assessment; D009751:Nutritional Requirements; D018529:Nutritional Support / Q000379:methods*; D011502:Protein-Energy Malnutrition / Q000209:etiology / Q000628:therapy