PHRM 221 Lecture Notes - Lecture 15: Hypoalbuminemia, Biological Value, Hyperlipidemia
Document Summary
Week 15: nutrition for renal diseases & diabetes (part 2) Ckd medical nutrition therapy (different for each stage of ckd) Manage the symptoms including edema, hypoalbuminemia, hyperlipidemia. Decrease risk of progression to renal failure. Studies have shown that a reduction of protein intake to as low as 0. 8 g/kg/day may decrease proteinuria without adversely affecting albumin. 60% should be from high biological value. Note : good bg control and hypertension control important. Potassium monitored especially in stage 4 ckd, may need to be reduced/restricted. Phosphorus serum phos elevates as gfr decreases. Early initiation of phosphate reduction therapies is advantageous for delaying hyperparathyroidism and bone disease. Pts with gfr < 60 should be monitored. Vitamins (multivitamin) eg. replavite custom supplement for renal patients often recommended. Control edema and electrolyte imbalance by controlling na, k and fluid intake. Prevent or slow the development of renal osteodystrophy. By controlling calcium, phosphorus, vitamin d, and pth. Assist patients with restrictions for enjoyment of food.
