Renal Disorders

Question 1

GFR > 90

Answer 1

• High calories
• Normal to incrd fluid vol 2-4L/day
• May need a dietitian consult
• Each renal process requires differing dietary additions/subtractions

Question 2

GFR < 90

Answer 2

• High calories
• Low:
  > sodium
  > potassium
• Do not use salt sub; contain potassium
• Restrictions:
  > potassium
  > phosphorus
  > magnesium
  > fluid
• Prepackaged food are high in sodium
• Dialysis requires even greater restrictions
• Dietitian consult a must!
• Lab values & fluid status guide treatment

Question 3

Modfication of Diet in Renal Disease (MDRD)

Answer 3

• >60mL/min/1.73 m2
• Requires serum creatinine level, age, and numbers specific to gender & ethnicity
• An accurate way to measure urine creatinine clearance