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Food therapy for acute renal failure

2017-05-27 11:01

Food therapy for acute renal failure.Acute renal failure is not an independent disease, but by kidney disease or renal factors caused by rapid decline in renal function, or even complete loss caused by a group of clinical syndrome.

(1) supply of high quality protein: acute renal failure oliguria patients appetite is poor, it is difficult to meet the requirements of high calorie. If the disease is mild, the heat supply should be easy to digest carbohydrate-based, can be used fruit, wheat starch noodles, cereals, biscuits or other wheat starch dessert, add a small amount of rice soup or gruel, to reduce the protein and non-essential amino acids Intake, reduce the burden on the kidneys, to prevent nitrogen retention increased. Protein should try to give animal protein, high bio-low protein as the principle, according to the situation of urea nitrogen to determine the amount of daily supply of protein. May be appropriate to use lean meat, fish, chickens, shrimp and other animal protein used interchangeably to regulate the patient's taste.

(2) limit the intake of water: oliguria, 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. The water content of the food should be calculated, such as 1 gram of protein water 0.43 ml, 1 gram of fat water 1.07 ml, 1 gram of carbohydrate water 0.55 ml. To record the amount of water and urine, according to body fluid discharge to determine the daily intake, under normal circumstances, to follow the doctor's instructions to drink water.

(3) the supply of low salt and low sodium diet: oliguria, accompanied by edema, according to the determination of sodium were used low salt, salt or low sodium diet.

(4) high potassium, to reduce the amount of potassium in the diet, to avoid potassium-containing foods, so as to increase the exogenous potassium increased hyperkalemia. High potassium foods can be frozen, soaked in water or discarded soup to reduce the potassium content.

(5) such as in the short term can be improved, should be given low-protein diet, severe gastrointestinal reactions, short-term can be given intravenous fluid, to glucose-based.

(6) polyuria, the urine increased, decreased blood urea nitrogen, appetite is improving, the appropriate increase in nutrition can accelerate the body repair. Polyuria should pay attention to add water and electrolytes, daily drinking water about 1000 ml, intravenous rehydration, plus the previous day's urine volume calculation. Attention should be given to vitamin preparations.

(7) recovery period, serum creatinine and blood urea nitrogen gradually decreased, and dietary protein can be gradually increased, if necessary, can be given amino acid injection. Amino acid injection contains isoleucine, leucine, lysine, methionine, valine, arginine, histidine, etc. It is worth noting that branched-chain amino acids should account for 40% to 50% of the essential amino acids, , The only way to be conducive to the synthesis of muscle protein.

(8) acute kidney failure when using irritating food, such as wine, coffee, pepper and so on.

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