Linked Life Data

8574600

Source:http://linkedlifedata.com/resource/pubmed/id/8574600

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1996-3-8
pubmed:abstractText
The nutritional support of patients with acute renal failure (ARF) in the ICU has undergone major changes. Nutritional therapy in these patients should not depend on the impairment of renal function but on the severity of multiple organ failure (MOF). There are no differences in general rules for the nutrition of the critically ill with or without ARF. Because ARF, per se, does not affect energy expenditure, energy requirements in these patients are the same as in other MOF patients. Thirty to 35 kcal/kg/day should be administered as carbohydrate and lipid solutions, and the serum concentration of glucose and triglycerides controlled. In contrast to patients with chronic renal failure, in ARF patients nitrogen administration of approximately 1.5 to 1.7 g amino acids/kg/day is necessary to diminish protein catabolism. No clinical data exist about the best composition of the administered amino acids, but a mixture of essential and nonessential amino acids seems sensible; the exclusive administration of essential amino acids is obsolete. New dialysis techniques such as continuous renal replacement therapy offer the opportunity to adapt nutrition to each individual patient's needs. Using these techniques, there is no reason to reduce nutrition because of fluid restriction, as is often necessary in intermittent hemodialysis.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1063-7389
pubmed:author
pubmed:issnType
Print
pubmed:volume
3
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
699-707
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed:year
1995
pubmed:articleTitle
The nutritional management of acute renal failure in the intensive care unit.
pubmed:affiliation
Department of Internal Medicine II, Technical University of Aachen, Germany.
pubmed:publicationType
Journal Article, Review