11:709:255 Lecture Notes - Lecture 30: Hemodialysis, Malnutrition, Niacin
24 Apr 2020
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Document Summary
Nutritional routes are linked to many restrictions; often perceived as a big burden. Difficulty making appropriate food selections and correctly preparing meals. Nutritional disorders may result in protein energy wasting (pew: pew increases hospitalization and mortality rates among dialysis patients, guidelines recommend that nutritional status of dialysis patients be assessed routinely. Kdoqi recommendations for evaluation of pew and nutritional status. Nutritional status in hd patients should be assessed using a panel of nutritional measures, rather than any single measure alone. Kdoqi panel of nutritional measures for maintenance dialysis patients. The combination of these measurements provides an assessment of body protein, body weight, fat mass, and nutrient intake: category i: measurements that should be performed routinely in all patients. Predialysis or stabilized serum albumin: % of usual post dialysis or post-drain body weight, % of sbw. Progressive renal insufficiency has been associated with a spontaneous decline in protein intake: protein-energy malnutrition is considered one of the late complications of ckd.
