5/10/08

Treatment of acute renal failure diet

(1) the supply of quality protein: oliguric period of acute renal failure patients poor appetite, it is difficult to meet the high-calorie requirements. If less severe diseases, heat supply should be Yi Xiaohua mainly of carbohydrates, may be fruits, wheat starch noodles, cereal, crackers or other snacks wheat starch, plus a small amount of Mitang or Xiyu, to reduce non-essential amino acid protein and the Intake, reduce the burden on the kidney to prevent the remaining increase of nitrogen. Protein to try to give animal protein, high-protein on the principle of the lowest bidder, according to urea nitrogen to determine the circumstances of the daily supply of protein. May be appropriate use of lean meat category, fish, chicken, shrimp and other animal protein used interchangeably, to regulate the patient's taste.

(2) to limit the intake of water: oliguria period, it is necessary to strictly limit the intake of various water, to prevent excessive body fluids caused by acute pulmonary edema or dilution of hyponatremia. Food and water content to be calculated, such as raw water 1 g protein 0.43 ml, 1 g fat raw water 1.07 ml, 1 g carbohydrate raw water 0.55 ml. To record amount of drinking water and urine, according to a decision of body fluids from the daily intake, under normal circumstances, to follow doctor's orders to drinking water.

(3) supply of low-salt diet hyponatremia: oliguria period, with more swelling, according to the determination of hyponatremia were used low-salt, salt-free diet or hyponatremia.

(4) hyperkalemia, it is necessary to reduce the potassium content of the diet, the potassium content of foods to avoid, so as not to exogenous potassium and increase the number hyperkalemia. The high potassium content of food can be frozen, water immersion or abandoned to the broth to reduce the potassium content.

(5) If in the short term can be improved, should be given to low-protein diet, severe gastrointestinal reaction, the short term to give intravenous fluid replacement, mainly to glucose.

(6) polyuria period, the increased amount of urine, blood urea nitrogen decreased appetite gradually improved, proper nutrition can increase speed up the body repair. More attention should be paid to add urine of water and electrolyte, about 1,000 milliliters of drinking water daily, intravenous infusion, coupled with the urine approached one day calculation. Attention should be paid to vitamin preparations.

(7) recovery, decreased serum creatinine and blood urea nitrogen, and the protein in the diet can be gradually increased, if necessary, to amino acid injection. Injection in the presence of amino acids isoleucine, leucine and lysine, methionine, valine, arginine, histidine, it is worth noting that branched-chain amino acids essential amino acids should account for 40% ~ 50 percent, only then would it be beneficial to muscle protein synthesis.

(8), acute renal failure Jiyong irritating foods, such as wine, coffee, pepper, and so on.

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