2014年9月22日星期一

Stage 4 CKD Diet for patients

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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