RT Book, Section
A1 Kalantar-Zadeh, Kamyar
A1 Kopple, Joel D.
A2 Lerma, Edgar V.
A2 Rosner, Mitchell H.
A2 Perazella, Mark A.
SR Print(0)
ID 1149113459
T1 Chronic Renal Failure and the Uremic Syndrome: Nutritional Issues
T2 CURRENT Diagnosis & Treatment: Nephrology & Hypertension, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259861055
LK accessmedicine.mhmedical.com/content.aspx?aid=1149113459
RD 2024/04/23
AB In  patients  with  chronic  kidney  disease  (CKD),  as  the  glomerular  filtration  rate  (GFR)  declines,  numerous  nutritional  and  metabolic  disorders  develop,  and  the  dietary  requirements  for  many  nutrients  are  altered.  These  disorders  and  alterations  include,  (1)  diminished  appetite  or  anorexia;  (2)  abnormalities  in  intestinal  absorption  of  certain  minerals,  for  example  calcium,  and  other  nutrients  including  some  trace  elements  (eg,  iron,  selenium,  zinc,  and  copper)  and  vitamins  (eg,  vitamin  K,  folic  acid,  riboflavin);  (3)  abnormalities  in  urinary,  intestinal  and  dermal  excretion  of  nutrients,  including  changes  in  microbiome;  and  (4)  disorders  of  nutrient  metabolism.