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Protein

Educational resources for renal medicine

Licensed under a Creative Commons LicenseCreative Commons Attribution 4.0 International License.

Protein

Essential for the growth and repair of body tissues

Protein-rich foods include: Meat, chicken, fish, eggs, cheese, yoghurts, nuts, pulses, meat substitutes (Note: some high protein foods contain high levels of phosphate and potassium)

Recommendation for protein varies according to stage of renal disease/ type of renal replacement therapy

Pre dialysis/ Conservative Management

Controlled protein intake (0.8-1g/kg/IBW)

  • Helps to reduce phosphate load
  • Prevents acidosis
  • May reduce uraemic symptoms
  • But must maintain nutritional status
  • Use of low protein diets is controversial

Haemodialysis

Moderate protein requirements (1-1.2g/kg/IBW)

  • Haemodialysis is a catabolic process
  • Aim to replace protein lost during dialysis (~4g per session)

Peritoneal Dialysis

High protein requirements (1.1-1.5g/kg/IBW)

  • Average peritoneal losses of 5-15g protein per day
  • Increased losses in peritonitis

 

 
Page last modified 19.03.2009, 21:20 by Administrator. edrep and edren are produced by the Renal Unit at the Royal Infirmary of Edinburgh and Univ. Edinburgh. CAUTIONS and Contact us. Note that the information published here is primarily intended for education, not for clinical care.