RENAL (JRRMMC) Flashcards
(28 cards)
Individualized MNT should begin as early as:
stage 3 CKD
KDOQI: Recommend CHON for Non-dialysis CKD (stages 3–5) stable patients:
0.55–0.60 g/kg/day of dietary protein for stable patients.
KDOQI: Recommend CHON for Non-dialysis CKD (stages 3–5) if KETOACID SUPP ARE USED:
0.28 to 0.43
KDOQI: Recommend CHON for DIALYSIS patients
1.0 to 1.2
KDOQI: Recommend KCAL
25-35 KCAL/KG
KDOQI: Recommend CHON TYPE
PLANT DOMINATED CHON
KDOQI: diETARY PATTERN
DASH and MEDITERRANEAN
KDOQI: Recommended for malnourished or PEW patients.
ONS
KDOQI: Can be used in selected cases, but not routinely.
IDPN
KDOQI: May improve lipid profile and inflammation but not strongly recommended.
OMEGA 3 PUFA
KDOQI: MICRONUTRIENT TO Monitor and treat deficiency.
VIT D
KDOQI: sODIUM
2.3 g/day
KDOQI: Limit intake to control CKD-mineral and bone disorder (CKD-MBD).
phosphorus
KDOQI: Intake should not exceed 2,000 mg/day from all sources.
calcium
KDOQI: Calcium req
not more than 2000 mg
espen gold standard
indirect calorimetry
ESPEN: Any kidney patient who stays in the ICU for more than ___ hours should receive nutrition therapy.
48
ESPEN: A kidney-specific screening tool, like ____, is promising but still needs more validation.
Renal iNUT
ESPEN: During the first ____ hours of acute illness, limit caloric intake to less than 70% of estimated needs.
72
ESPEN: Studies suggest ____ after initial hypocaloric phase:May reduce infection riskSupports lean body mass recoveryAvoids energy imbalance
isocaloric feeding
ESPEN CHON: Stable CKD (not acute)
0.6–0.8 g/kg/day
ESPEN CHON: CKD on regular dialysis (not critically ill):
≥1.2 g/kg/day
ESPEN CHON: AKI/CKD without acute illness:
0.8–1.0 g/kg/day
ESPEN CHON: AKI/CKD with acute illness, not on KRT
start with 1.0 g/kg/day, increase to 1.3 g/kg/day if tolerated
