The MD's progress note indicates that the patient is experiencing acute kidney injury
What is this? If the patient's renal function continues to deteriorate and he needs continuous renal replacement therapy, what changes will you make to your current nutritional regimen and why?
Acute kidney injury is defined as an abrupt cessation or decline of kidney function. The injury can be classified as stage I, II, or III based on the serum creatinine level and urine output.
Patients who are on CRRT have increased protein needs up to 2-2.5 g/kg and electrolyte restriction is not indicated. Therefore, we will continue with the current regimen, monitor for recovery of renal function, and also change in treatment. Will monitor for vitamin A and C intakes and reduce doses if renal recovery is slow. If indirect calorimetry is available, doing so may provide a more accurate estimation of calorie needs with the additional stress of renal injury. Monitoring the patient's nitrogen balance will also allow the dietitian to determine if his high protein needs are being met.
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