1996
DOI: 10.1016/s0272-6386(96)90080-3
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The nutritional management of acute renal failure in the critically III patient

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Cited by 9 publications
(2 citation statements)
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“…The disparate implications of nPCR in stable ESRD patients and unstable ARF patients accounts for this uncoupling of UKM and CKM parameters in ARF. Because a characteristic feature of hypercatabolic ARF is net negative nitrogen balance [30,39,45], nPCR in this setting is not a surrogate for dietary protein adminis-tration. Instead, nPCR in ARF is more appropriately regarded as a marker of acute illness severity and hypercatabolism-induced turnover of protein.…”
Section: Discussionmentioning
confidence: 99%
“…The disparate implications of nPCR in stable ESRD patients and unstable ARF patients accounts for this uncoupling of UKM and CKM parameters in ARF. Because a characteristic feature of hypercatabolic ARF is net negative nitrogen balance [30,39,45], nPCR in this setting is not a surrogate for dietary protein adminis-tration. Instead, nPCR in ARF is more appropriately regarded as a marker of acute illness severity and hypercatabolism-induced turnover of protein.…”
Section: Discussionmentioning
confidence: 99%
“…Continuous renal replacement therapy has permitted new approaches to nutrition management with adaptation for individual needs. Calories can be given to meet daily energy expenditure, nitrogen can be given to achieve neutral nitrogen balance, and vitamins and trace elements can be given to meet expected demands [46,47]. Adequate nutritional support promotes renal recovery and may prevent consequences of muscle weakness and immune dysfunction.Indices of malnutrition have also been established for individuals with end-stage renal disease; 20% to 50% are estimated to be malnourished, with morbidity and mortality significantly affected [48].…”
Section: Nutrition and Acute And Chronic Renal Failurementioning
confidence: 99%