Journal of Japan Society for Blood Purification in Critical Care
Online ISSN : 2434-219X
Print ISSN : 2185-1085
Nutritional management in AKI patients during acute blood purification therapy
Akihiko Kato
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2020 Volume 11 Issue 1 Pages 22-28

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Abstract

Metabolic characteristics of acute kidney injury (AKI) are hyperglycemia and increased catabolism of body protein. So, nutritional therapy for AKI patients is essential to lessen energy intake 80% lower than basal energy expenditure (20-30 kcal/kg BW/day), and increase protein intake greater than 1.2g/kg body weight /day. Since electrolyte abnormality during continuous renal replacement therapy (CRRT) is a risk factor for the development of AKI, comorbidity and mortality, it is necessary to check serum potassium, phosphorous and magnesium routinely. In addition, due to easy loss of water-soluble vitamins and micronutrients from the dialysate, it is important to monitor blood levels of these nutrients in patients on CRRT.

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© 2020, Japan Society for Blood Purification in Critical Care
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