Send the link below via email or IMCopy
Present to your audienceStart remote presentation
- Invited audience members will follow you as you navigate and present
- People invited to a presentation do not need a Prezi account
- This link expires 10 minutes after you close the presentation
- A maximum of 30 users can follow your presentation
- Learn more about this feature in our knowledge base article
Do you really want to delete this prezi?
Neither you, nor the coeditors you shared it with will be able to recover it again.
Make your likes visible on Facebook?
You can change this under Settings & Account at any time.
Diet in CKD
Transcript of Diet in CKD
Chronic Kidney Disease by.. Amr Hussein
Ahmed Basyoni Protein-Energy malnutrition (PEM) Daily protein intake in CKD eGFR <50 ml/min (no DM, not on dialysis) 0.6 to 0.8 g/kg/d eGFR <20 ml/min (no DM, not on dialysis) 0.3 to 0.5 g/kg/d Post-transplantation 0.8 to 1.0 mg/kg/d Diabetic nephropathy 0.8 to 0.9 g/kg/d Energy intake in CKD 23 to 35 kcal/kg/d Adjustment
Body weight and goals
Age and gender
Metabolic stressors Mineral and bone disorders Ca P Vit. D Total Ca intake (diet, supplements and Ca-based P binders) shouldn't exceed.. 2,000 mg/d CKD (stages III-IV) 800 to 1000 mg/d 10-12 mg/g ptn/d P binders are sometimes needed P supplements maybe needed post transplantation or Supplementation is needed if serum level drops below 30 ng-ml Na and K 2.4 mg/d intake shouldn't exceed.. Adjustment
GI issues e.g., vomiting Anemia Fe B12 and Folic Others Supplementation is needed if
Serum ferritin <100ng/ml
Transferrin saturation <20% Supplementation is needed if
MCV >100 ng
Low serum levels Vit. C
(improves Fe absorbtion) L-carnitine
(not recommended) Glycemic control Hb A1c should be kept below.. 7% prescribed to those who are at risk of malnutrition Miscellaneous Fish oil/omega-3 fatty acids physical activity Multivitamins Decrease oxidative stress and improve lipid profile Not recommended in
Ig A nephropathy
post-transplantation Decreases catabolic effects of protein restriction and improves quality of life Monitoring Biochemical parameters
Mineral & bone disorders
Electrolyte and acid-base balance Also check..
Adherence to diet plan
Patient's behavior More information?
Kidney Kitchen (National Kidney Foundation)
A Clinical Guide to Nutrition Care in Kidney Disease, Second Edition (American Dietetic Association)
Chronic kidney disease evidence-based nutrition practice guideline. [June, 2010]