NUTRI 130 Lecture Notes - Lecture 23: Acute Kidney Injury, Peritonitis, Weight Gain
6 Oct 2020
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Monitor changes in body weight and blood pressure; serum sodium levels. Fluids not restricted until urine output decreases. Fluid should match the daily urine output. Once on dialysis, sodium and fluid intakes controlled so that water weight gain is ~2 pounds between dialysis treatments. 1 kg water weight = 1000 ml fluid! Encourage to consume high calorie foods and condiments. Malnourished patients may require oral formulas or tf to maintain weight. Note: use of peritoneal dialysis can contribute a substantial amount of glucose from the dialysate may contribute as many as 800 calories! Note: the most common complication of peritoneal dialysis is infection, which can occur at the catheter site or within the peritoneal cavity = peritonitis. Intra-dialytic parenteral nutrition for high-risk malnutrition in ckd associated with improved survival. Evidence suggests that increases in protein intake and albumin concentrations are.
