What is the diet for acute renal failure?
Lower the amount of sodium you eat each day by avoiding products with added salt, including many convenience foods, such as frozen dinners, canned soups and fast foods. Other foods with added salt include salty snack foods, canned vegetables, and processed meats and cheeses. Limit phosphorus.
What are the contraindications for enteral feeding?
Relative contraindications include primary disease of the stomach, abnormal gastric or duodenal emptying, and significant oesophageal reflux. Specific complications include local irritation, haemorrhage, skin excoriation from leaking of gastric contents, and wound infection.
How do you manage a patient with acute renal failure?
Management includes correction of fluid and electrolyte levels; avoidance of nephrotoxins; and kidney replacement therapy, when appropriate. Several recent studies support the use of acetylcysteine for the prevention of acute renal failure in patients undergoing various procedures.
What are the indications and contraindications of enteral nutrition?
2. Contraindications to enteral nutrition
- absence of intestinal function due to failure, severe inflammation or, in some instances, post operative stasis.
- complete intestinal obstruction.
- inability to access the gut e.g. severe burns, multiple trauma.
- high loss intestinal fistulaea.
What are indications for enteral nutrition?
Specific indications for enteral nutrition include the following:
- Prolonged anorexia.
- Severe protein-energy undernutrition.
- Coma or depressed sensorium.
- Liver failure.
- Inability to take oral feedings due to head or neck trauma.
- Critical illnesses (eg, burns) causing metabolic stress.
Which electrolyte must be restricted in patients with acute renal failure?
Hypernatremia (sodium Imbalance) An individual with acute kidney failure may not be able to excrete as much sodium as usual, thus causing hypernatremia, which is associated with symptoms such as: Disorientation.
What is the nursing management for renal failure?
Nursing goal of treating patients with acute renal failure is to correct or eliminate any reversible causes of kidney failure. Provide support by taking accurate measurements of intake and output, including all body fluids, monitor vital signs and maintain proper electrolyte balance.
When is enteral nutrition appropriate?
Enteral tube feeding is indicated in patients who cannot main adequate oral intake of food or nutrition to meet their metabolic demands. Healthcare professionals commonly use enteral feeding in patients with dysphagia.
Is enteral nutrition safe and effective in patients with acute renal failure?
Systematic studies on safety and efficacy of enteral nutrition in patients with acute renal failure (ARF) are lacking.
How much protein and non-protein should patients with renal failure eat?
In our practice, the non-protein caloric goal was 20 kcal/kg/day for patients with normal renal function, and at least 25 Kcal/kg/day for ARF patients, with a protein intake goal of at least 0.8 g/kg/day in ARF patients not on renal replacement therapy, and at least 1 g/kg/day in the other cases.
What is the role of parenteral nutrition in renal failure treatment?
In this clinical setting, enteral nutrition allows the delivery of adequate amounts of calories while restraining the fluid intake; parenteral amino acid supplementation is, however, recommended in the case of ARF patients on renal replacement therapy, in order to achieve currently recommended protein goals.
What is the role of enteral nutrition in the treatment of ARF?
Moreover, provided that nursing personnel strictly adhere to enteral feeding protocols, enteral nutrition allows the delivery of adequate caloric intake, while keeping fluids restrained. However, in ARF patients on renal replacement therapy, parenteral amino acid supplementation may be required to achieve currently recommended protein intakes.
