Section outline

  • CRACKCast E097 - Renal Failure - CanadiEM

    • Objectives and outcomes


      At the end of the topic the student will be able to achieve the following:

      • Given the medical history, physical examination, and laboratory data, identify factors affecting the nutritional status of a patient with chronic kidney disease (CKD stage 5) initiating hemodialysis.

      • Describe the appropriate medical nutrition therapy for a patient with CKD on hemodialysis changing to peritoneal dialysis.


    • Study Materials



      CD is a 28-year-old administrative hospital worker who presented to the emergency room complaining of headaches and shortness of breath. She was admitted to the hospital for evaluation when she was found to have a blood pressure of 170/110 mm Hg and mild congestive heart failure (CHF) by chest X-ray. CD reports that over the past year, her weight has increased about 10 pounds (4.5 kg), although her dietary intake has remained unchanged or even lower due to desire for weight loss.


    • What dietary recommendations are indicated for hemodialysis based on her initial laboratory data and what fluid and electrolyte management does CD require?


    • Case-study Assignment Submission



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