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Types of nutritional interventions in dialysis patients
What types of nutritional interventions are there in dialysis patients?
Due to the complex medical conditions that are common in CKD, nutritional interventions often extend far beyond dietary counseling in these patients.
Nutritional interventions for malnourished CKD patients can be classified into three groups of oral/enteral, parenteral, and pharmacologic.
Among dialysis patients, the goal of nutritional interventions is to maintain serum albumin greater than 4.0 g/dL, and this may be achieved by maintaining oral supplements of 1 to 2 servings per day.
Nutritional Support and Therapy
Oral or eternal interventions
- • Meals during dialysis treatment
- • Intense/tailored protein-energy
- • Oral nutritional supplements
- • Tube feeding
Parenteral interventions
- • Intradialytic parenteral nutrition (IDPN)
- • Total parenteral nutrition (TPN)
Pharmacologic interventions
- • Appetite stimulators
- • Antidepressant
- • Antiinflammatory and/or antioxidative
- • Anabolic and/or muscle enhancing
Artificial nutrition through feeding tubes, gastrostomy tubes, or parenteral nutrition (which is sometimes applied in the context of hemodialysis, called intradialytic parenteral nutrition) can be applied in certain conditions, usually over short periods of time.
