Percorsi pratici per intraprendere un programma di dialisi monosettimanale combinato con una nutrizione ipoproteica personalizzata

Percorsi pratici per intraprendere un programma di dialisi monosettimanale combinato con una... The aim of this article is to provide detailed information to nephrologists on how to apply the combined diet dialysis program (CDDP) in selected patients. Patients are evaluated by urea nitrogen appearance, which allows the sustainability and compliance of patients on 0.6 g/kg per day low-protein diet to be verified by calculating the protein catabolic rate at a metabolic steady state. The combined action of nutrition and less frequent hemodialysis may preserve residual renal function with a further chance of achieving greater excretion of the protein-bound uremic toxins, thereby obtaining a positive phosphate balance. This paper describes all fundamental steps and calculations, although a greater clinical commitment is required to achieve a tailored therapeutic protocol such as Combined Diet Dialysis Program (CDDP). http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Giornale di Techniche Nefrologiche e Dialitiche SAGE

Percorsi pratici per intraprendere un programma di dialisi monosettimanale combinato con una nutrizione ipoproteica personalizzata

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Publisher
SAGE
Copyright
© The Author(s) 2018
ISSN
0394-9362
eISSN
1724-5974
D.O.I.
10.1177/0394936218760823
Publisher site
See Article on Publisher Site

Abstract

The aim of this article is to provide detailed information to nephrologists on how to apply the combined diet dialysis program (CDDP) in selected patients. Patients are evaluated by urea nitrogen appearance, which allows the sustainability and compliance of patients on 0.6 g/kg per day low-protein diet to be verified by calculating the protein catabolic rate at a metabolic steady state. The combined action of nutrition and less frequent hemodialysis may preserve residual renal function with a further chance of achieving greater excretion of the protein-bound uremic toxins, thereby obtaining a positive phosphate balance. This paper describes all fundamental steps and calculations, although a greater clinical commitment is required to achieve a tailored therapeutic protocol such as Combined Diet Dialysis Program (CDDP).

Journal

Giornale di Techniche Nefrologiche e DialiticheSAGE

Published: May 1, 2018

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