Stage 4 CKD is severely reduced kidney function, 15-30% (GFR 15-29
ml/min/1.73m2)
Someone in stage 4 may also be referred to a dietitian. Because diet is such
an important part of treatment, the dietitian will review a person’s lab work
results and recommend a meal plan individualized for their needs. Eating a
proper diet can help preserve kidney function and overall health. For stage 4 a
dietitian will usually recommend eating a healthy diet with reduced amounts of
protein to help decrease build up of protein waste. Phosphorus may be limited to
help keep blood phosphorus or PTH normal and prevent renal bone disease.
Controlling phosphorus may also help preserve existing kidney function. Calcium
may be limited if blood levels are too high. Potassium may be restricted in
stage 4 CKD if blood levels are above normal. The dietitian will also take into
consideration if the patient has diabetes and provide tips on limiting
carbohydrates in their diet. They may also recommend a diet low in sodium for
those with high blood pressure or fluid retention. Supplementation with water
soluble vitamins may be recommended. Vitamin C may be limited to 100 mg per day
from supplements. Nutrients like Vitamin A and some minerals may not be
recommended because levels can build up in the blood as kidney function
declines. The dietitian may recommend avoiding over the counter dietary
supplements unless approved by the nephrologist.
1. Watch out protein intake
2. Limit sodium intake
3. Limit fluid intake if CKD stage 4 patients have swelling symptom
4. Low-phosphorus diet
5. Low-potassium diet if lab test show there is high level of potassi
These are some diet suggestions for stage 4 CKD patients, which can help them
slow the progression of their kidney failure. Besides, they should also have
some effective treatments which can help repair their damaged kidney tissues and
improve their kidney function. Then the progression of stage 4 CKD can be slowed
effectively.
if you have any questions, you can ask our Shiajiazhuang Kidney Diseases Hospital online doctor.We will free answer your questions. And you can enail us: kidneyservice@hotmail.com
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