Half of the dietary protein of their diet should be from food sources high in biological value. Renal patients should assess the nutritional value of the food they eat. Patients with end stage renal disease must follow a proper diet plan. End stage renal disease patients on dialysis may suddenly decrease calorie and protein consumption because of rise in leptin, uremic toxins and other reasons. The average energy consumption of end stage renal disease patients is always lower than the recommended level. Majority of the renal patients complain of malnutrition. In order to avoid malnutrition-associated morbidity and death, end stage renal disease patients on dialysis must perform regular nutrition screening and weight check. They should compare the initial weight with usual body weight. They should also compare their weight with ideal body weight. They must perform subjective global assessment also. Apart from this, they would be benefited from dietary interviews from diet diaries. Nutrition counseling would also help them plan their diet. Nutrient intake shortage would lead to malnutrition. This will lead to more health problems. Proper diet is quite important for people with end stage renal disease. If it is not possible to meet the protein-calorie needs, patients must be given dietary supplements. They must be offered tube feeding, if required. They can also be given parenteral nutrition to satisfy the protein and calorie needs. Sodium and potassium balance in the body is important for people with end stage renal disease. They should avoid having high-sodium diets. High blood pressure in dialysis patients is related to positive sodium balance and volume increase. People on dialysis can keep blood pressure under control by maintaining a low sodium diet and having low-sodium dialysate. These days, majority of the people who undergo dialysis need antihypertensive medications. Several patients fail to keep the recommended degree of sodium restriction; those who can restrict their diet can successfully control their blood pressure. They can also avoid left ventricular hypertrophy. A high-potassium diet is generally recommended to control blood pressure. High-potassium diet also helps reduce the risk of stroke. But, people with end stage renal disease, on hemodialysis find it difficult to tolerate this diet as they are not able to excrete potassium. End stage renal disease patients should therefore avoid consuming things like bananas, orange juice, legumes, melons, pumpkin, winter squash, potatoes, tomatoes, sweet potato, spinach, bran cereal, and milk. Restricting their diet would help them escape from the dangerous hyperkalemia-induced arrhythmia. According to the studies, a good part of patients with end stage renal disease follow potassium restriction. Hyperkalemia is found to be less likely in people with peritoneal dialysis. However, hypokalemia is found to be occurring in certain patients. They may sometimes need to increase their potassium consumption. Potassium supplementation would be helpful. Diet and fluid restriction is essential for people with end stage renal disease. It is quite important that people with end stage renal disease reduce their fluid intake. They must restrict their fluid intake to escape from blood pressure related problems and heart failure. Restricting fluid intake has been found to be helping patients with end stage renal disease. Increased blood phosphorus concentrations are found to be causing
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Class name Date assignment is due Title Nutritional restrictions are proved to be helpful in end stage renal disease. Keeping normal weight and serum proteins is essential as far renal patients are concerned. Diet restriction would also help them avoid cardiovascular problems…
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