Clinical Practice Guidelines for Nutrition in Chronic Renal Failure

 

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Foreword
K/DOQI^TM Advisory Board Members

K/DOQI^TM Nutrition Work Group Membership/Advisory Council/Steering Committee

Acronyms and Abbreviations List

Introduction

Methods

 

CLINICAL PRACTICE GUIDELINES

I. ADULT GUIDELINES

A. Maintenance Dialysis

1.  Evaluation of Protein-Energy Nutritional Status

Guideline 1. Use of Panels of Nutritional Measures

Guideline 2. Panels of Nutritional Measures for Maintenance Dialysis Patients

Guideline 3. Serum Albumin

Guideline 4. Serum Prealbumin

Guideline 5. Serum Creatinine and the Creatinine Index

Guideline 6. Serum Cholesterol

Guideline 7. Dietary Interviews and Diaries

Guideline 8. Protein Equivalent of Total Nitrogen Appearance (PNA)

Guideline 9. Subjective Global Nutritional Assessment (SGA)

Guideline 10. Anthropometry

Guideline 11. Dual Energy X-Ray Absorptiometry (DXA)

Guideline 12. Adjusted Edema-Free Body Weight (aBW_ef)

2.  Management of Acid-Base Status

Guideline 13. Measurement of Serum Bicarbonate

Guideline 14. Treatment of Low Serum Bicarbonate

3.  Management of Protein and Energy Intake

Guideline 15. Dietary Protein Intake (DPI) in Maintenance Hemodialysis (MHD)

Guideline 16. Dietary Protein Intake (DPI) for Chronic Peritoneal Dialysis (CPD)

Guideline 17. Daily Energy Intake for Maintenance Dialysis Patients

4.  Nutritional Counseling and Follow-Up

Guideline 18. Intensive Nutritional Counseling With Maintenance Dialysis (MD)

Guideline 19. Indications for Nutritional Support

Guideline20. Protein Intake During Acute Illness

Guideline 21. Energy Intake During Acute Illness

5. Carnitine

Guideline 22. L-Carnitine for Maintenance Dialysis Patients

B. Advanced Chronic Renal Failure Without Dialysis

Guideline 23. Panels of Nutritional Measures for Nondialyzed Patients

Guideline 24. Dietary Protein Intake for Nondialyzed Patients

Guideline 25. Dietary Energy Intake (DEI) for Nondialyzed Patients

Guideline 26. Intensive Nutritional Counseling for Chronic Renal Failure (CRF)

Guideline 27. Indications for Renal Replacement Therapy

 

C. Appendices (Adult Guidelines)

Appendix I. Methods for Measuring Serum Albumin

Appendix II. Methods for Calculation and Use of the Creatinine Index

Appendix III. Dietary Interviews and Diaries

Appendix IV. Role of the Renal Dietitian

Appendix V. Rationale and Methods for the Determination of the Protein Equivalent of Nitrogen Appearance (PNA)

Appendix VI. Methods for Performing Subjective Global Assessment

Appendix VII. Methods for Performing Anthropometry and Calculating Body Measurements and Reference Tables

Appendix VIII. Serum Transferrin and Bioelectrical Impedance Analysis

Appendix IX. Estimation of Glomerular Filtration Rate

Appendix X. Potential Uses for L-Carnitine in Maintenance Dialysis Patients

D. References (Adult Guidelines)

E. Index of Equations and Tables (Adult Guidelines)

II. PEDIATRIC GUIDELINES

A. Guidelines

Guideline 1. Patient Evaluation of Protein-Energy Nutritional Status

Guideline 2. Management of Acid-Base Status

Guideline 3. Urea Kinetic Modeling

Guideline 4. Interval Measurements

Guideline 5. Energy Intake for Children Treated With Maintenance Dialysis

Guideline 6. Protein Intake for Children Treated With Maintenance Dialysis

Guideline 7. Vitamin and Mineral Requirements

Guideline 8. Nutrition Management

Guideline 9. Nutritional Supplementation for Children Treated With Maintenance Dialysis

Guideline 10. Recommendations for the Use of Recombinant Human Growth Hormone (hGH) for Children Treated With Maintenance Dialysis

B. Appendix (Pediatric Guidelines)

Appendix I. Procedures for Measuring Growth Parameters

C. References (Pediatric Guidelines)

D. Index of Equations and Tables (Pediatric Guidelines)

III. Biographical Sketches of the Work Group Members

© 2000 National Kidney Foundation, Inc

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