Despite being on dialysis, whether hemodialysis or peritoneal, patients with chronic kidney failure do not have the same ability to clear waste products from their blood stream as patients without kidney failure. In addition, chronic disease states, such as kidney failure, may result in special nutritional needs.
In general, patients with chronic kidney disease (CKD) need to restrict the intake of foods high in potassium and phosphorous and salt. High potassium foods include bananas, citrus fruit and fruit juices, tomatoes and the like. Dairy foods are high in phosphorous.
All dietary measures should be discussed with your kidney health providers. The sites below are listed as sources of general chronic kidney disease dietary information and not intended as specific nutritional advice. Hemodialysis facilities provide nutritional and dietary services and patients should take advantage of their expertise.
Hemodialysis Dialysis ESRD End Stage Kidney Disease | Chronic Kidney Disease | Diet Research
Semin Dial. 2010 Jul;23(4):407-10.
Bhan I, Hewison M, Thadhani R.
Division of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts
Semin Dial. 2010 Jul;23(4):396-400.Friedman AN.
Department of Medicine, Indiana University School of Medicine, Indianapolis, and International Omega-3 Learning and Education Consortium for Health and Medicine, Purdue University, West Lafayette, Indiana.
Semin Dial. 2010 Jul;23(4):365-72.
Dukkipati R, et al
Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Los Angeles, California.
Semin Dial. 2010 Jul 29.
Bross R,
Harold Simmons Center for Chronic Disease Research and Epidemiology, Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance, California.
Noori N, et al
Harold Simmons Center for Chronic Disease Research and Epidemiology, Torrance, CA; Division of Nephrology and Hypertension, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA.
National Institute of Diabetes and Digestive and Kidney Diseases
National Institutes of Health
Discusses diets for both the malnourished and overweight patient with chronic kidney disease, including those on dialysis and those in the earlier stages of kidney failure.
New Feature from Hemodialysis.com: Hemodialysis or Chronic Kidney Disease Abstract of the Week
Association of Cumulatively Low or High Serum Calcium Levels with Mortality in Long-Term Hemodialysis Patients.
Am J Nephrol. 2010 Sep 3;32(5):403-413.
Miller JE, Kovesdy CP, Norris KC, Mehrotra R, Nissenson AR, Kopple JD, Kalantar-Zadeh K.
Harold Simmons Center for Kidney Disease Research and Epidemiology,Torrance, Calif., USA.
Abstract
Background: The outcome-predictability of baseline and instantaneously changing serum calcium in hemodialysis patients has been examined. We investigated the mortality-predictability of time-averaged calcium values to reflect the 'cumulative' effect of calcium burden over time. Methods: We employed a Cox model using up-to-5-year (7/2001-6/2006) time-averaged values to examine the mortality-predictability of cumulative serum calcium levels in 107,200 hemodialysis patients prior to the use of calcimimetics, but during the time where other calcium-lowering interventions, including lower dialysate calcium, were employed.
Results: Both low (<9.0 mg/dl) and high (>10.0 mg/dl) calcium levels were associated with increased mortality (reference: 9.0 to <9.5 mg/dl). Whereas mortality of hypercalcemia was consistent, hypocalcemia mortality was most prominent with higher serum phosphorus (>3.5 mg/dl) and PTH levels (>150 pg/ml).
Higher paricalcitol doses shifted the calcium range associated with the greatest survival to the right, i.e. from 9.0 to <9.5 to 9.5 to <10.0 mg/dl. African-Americans exhibited the highest death hazard ratio of hypocalcemia <8.5 mg/dl, being 1.35 (95% CI: 1.22-1.49). Both a rise and drop in serum calcium over 6 months were associated with increased mortality compared to the stable group.
Conclusions: Whereas in hemodialysis patients cumulatively high or low calcium levels are associated with higher death risk, subtle but meaningful interactions with phosphorus, PTH, paricalcitol dose and race exist.
Hemodialysis | Kidney Disease | Dialysis Resources and Educational Materials
100 Q&A About Kidney Disease and Hypertension
Raymond R. Townsend, MD
High blood pressure is one of the leading causes of kidney failure. Each year, high blood pressure causes more than 25,000 new cases of kidney failure in the United States. 100 Questions & Answers About Kidney Disease and Hypertension offers authoritative, up-to-date, practical answers about kidney disease, end-stage renal disease, transplants, and dialysis. The book is an invaluable resource for anyone coping with the physical and emotional turmoil of this condition.
Handbook of Dialysis Therapy
Here's an in-depth, quick-reference, problem-solving resource for those involved in the care of dialysis patients. More than 120 world-class authorities discuss dialysis techniques, mechanical considerations, and complications related to various diseases for both pediatric and adult patients. Selected annotated references and excellent cross-referencing between chapters help you find answers fast, and more than 100 photos, drawings, charts, and tables, mostly in color, clarify complex topics. Providing practical, immediately useful guidelines that can be applied directly to patient care, this book is a "must-have" for all dialysis caregivers.
Certified Hemodialysis Technologist/Technician Exam Secrets Study Guide: CHT Test Review for the Certified Hemodialysis Technologist/Technician Exam
Certified Hemodialysis Technologist/Technician Exam Secrets helps you ace the Certified Hemodialysis Technologist/Technician Exam, without weeks and months of endless studying. Our comprehensive Certified Hemodialysis Technologist/Technician Exam Secrets study guide is written by our exam experts.....
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