Summary
Acute renal failure (ARF) is a clinical syndrome associated with a complex pattern of alterations of metabolism, with the induction of a prooxidative, proinflammatory and hypercatabolic state and impairment of immunocompetence. Metabolism and nutrient requirements are affected by the acutely uremic state per se, by the type and intensity of renal replacement therapy and by the underlying disease process leading to ARF and associated complications, respectively. A nutritional program for a patient with ARF must not only consider these complex metabolic alterations but also take into account the fact that because of the limited tolerance not only to fluids and electrolytes but also to various nutritional substrates and metabolic complications of nutritional support can frequently occur. Thus, nutrition support in ARF patients must be more closely monitored than in other disease states.
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© 2008 Humana Press, Totowa, NJ
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Druml, W. (2008). Acute Renal Failure. In: Byham-Gray, L.D., Chertow, G.M., Burrowes, J.D. (eds) Nutrition in Kidney Disease. Nutrition and Health. Humana Press. https://doi.org/10.1007/978-1-59745-032-4_19
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DOI: https://doi.org/10.1007/978-1-59745-032-4_19
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