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Page 1: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 2: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease

Schmidt , A. (2019, February). MNT II.

Page 3: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease

Poulton , C. (2017). Glomerular Disease.

Page 4: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease

DaVita Dialysis, 2019.

Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease.

Page 5: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease

Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease.

Page 6: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease

Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease.

Page 7: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease

Nutrient ImpairedRenal Function

Hemodialysis Peritoneal Dialysis

Transplant (4-6 weeks after)

Transplant (6 weeks after)

Energy 30-35 kcal/kgIBW

35 kcal/kg IBW

30-35 kcal/kg IBW

30-35 kcal/kg IBW

Achieve or maintain IBW

Protein 0.6-1.0 g/kg IBW

1.2 g/kg IBW 1.2-1.5 g/kg BW

1.3-2 g/kg IBW 1 g/kg BW

Fluid Ad libitum 1000-1500 mL/day

Minimum of 2000 mL/day

Ad libitum Ad libitum

Sodium Variable; 2000-3000 mg daily

2000-3000 mg/day

2000-4000 mg/day

2000-3000 mg/day

2000-3000 mg/day

Potassium Variable 2000-3000mg/day

3000-4000mg/day

Variable Variable

Phosphorus 0.8-1.2 g/day

0.8-1.2 g/day 0.8-1.2 g/day Calcium 1200 mg/day

Calcium 1200 mg/day

Page 8: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease

Campos-Collado, A. X., et. all, (2016). Medical Nutrition Therapy for Chronic Kidney Disease in Pregnancy: A Case Report. Journal of the Academy of Nutrition and Dietetics.

Page 9: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 10: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 11: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 12: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 13: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 14: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 15: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 16: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 17: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 18: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease

Renal RD has a unique role within the health care team

responsible for treating CKD in pregnancy

Main challenge of this case study, energy intake

recommendation

More research for pregnant women with CKD is urgent

Page 19: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 20: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 21: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 22: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 23: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease

Chen. X., et al., American Journal of Kidney Diseases, 2016.

Page 24: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease

^ intake of plant proteins from

gluten decreases LDL cholesterol, uric acid and TG

1^ intake of soy

protein decreases total cholesterol, LDL cholesterol

and TG

2^ intake of plant-

proteins in junction with some animal-proteins ensures more variety of

amino acids

3In a Western diet, more than half of

dietary phosphorus comes from animal

protein

4

Page 25: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 26: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 27: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 28: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 29: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 30: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 31: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 32: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease
Page 33: Schmidt , A. (2019, February). · DaVita Dialysis, 2019. Ko, G. J., et. all., (2017). Dietary protein intake and chronic kidney disease