ESRD with HD

Question 1

What are the protein recommendations for ESRD on HD?

Answer 1

1.0-1.2 g/kg
May be increased to help with glycemic control in DM

Question 2

What are the energy recommendations for ESRD on HD?

Answer 2

25-35 kcal/kg

Question 3

What are the sodium recommendations for ESRD on HD?

Answer 3

< 2300 mg/day

Question 4

What are the fluid recommendations for ESRD on HD with > 1 L UOP?

Answer 4

2 L fluid

Question 5

What are the fluid recommendations for ESRD on HD with < 1 L UOP?

Answer 5

1-1.5 L fluid

Question 6

What are the fluid recommendations for ESRD on HD with oliguria?

Answer 6

750 mL + 24-hour urine volume

Question 7

What are the potassium recommendations for ESRD on HD?

Answer 7

Adjust intake to maintain serum levels WNL

Question 8

What are the phosphorus recommendations for ESRD on HD?

Answer 8

Adjust intake to maintain serum levels WNL
Consider bioavailability of source

Question 9

What are the calcium recommendations for ESRD on HD?

Answer 9

800-1000 mg/day including diet, binders, supplements

Question 10

What are the magnesium recommendations for ESRD on HD?

Answer 10

200-300 mg/day

Question 11

What are the zinc recommendations for ESRD on HD?

Answer 11

8-11 mg
Do not routinely supplement; may help with taste issues but requires short time frame
Serum levels may be low but cellular levels may be high
Chronic supplementation risks copper deficiency