The values indicating protein malnutrition are a little lower ...

[erika]

The values indicating protein malnutrition are a little lower than they were the last time. Discuss what factors could be responsible for this.

Question 2

In addition, Mr. G will need protein to replace that which was lost during his transition to ESRD, and to help to further prevent anemia. The increased kcals are to allow the protein to be used for protein metabolism and not energy. 41 The RD encouraged Mr. G to increase his caloric intake by eating more fat and sugar. Comment on the advantages vs. disadvantages of doing this with a patient who has renal disease.

[yasmin]

Answer to Question 1

Hemodialysis is a catabolic process, requiring additional kcals and protein. It is frequently difficult to keep patient's serum albumin up on hemodialysis.

Answer to Question 2

The advantages are the kcals provided and, for Mr. G, the enjoyment of eating lots of high-fat junk food that his previous recall indicated he liked. Disadvantages include possible atherosclerosis and hyperglycemia.