Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

CiteULike is a free service for managing and discovering scholarly references - click here to get started.

Sign In to gain access to subscriptions and/or personal tools.
Journal of Parenteral and Enteral Nutrition
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Neal Reynolds, H.
Right arrow Articles by Frankenfield, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Neal Reynolds, H.
Right arrow Articles by Frankenfield, D.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Case Reports

Full Protein Alimentation and Nitrogen Equilibrium in a Renal Failure Patient Treated With Continuous Hemodiafiltration: A Case Report of 67 Days of Continuous Hemodiafiltration

H. Neal Reynolds, MD

Departments of Critical Care and Nutrition Support, Shock Trauma Center, Maryland Institute for Emergency Medical Services Systems, Baltimore

Ulf Borg, BS

Departments of Critical Care and Nutrition Support, Shock Trauma Center, Maryland Institute for Emergency Medical Services Systems, Baltimore

David Frankenfield, MS, RD

Departments of Critical Care and Nutrition Support, Shock Trauma Center, Maryland Institute for Emergency Medical Services Systems, Baltimore

Standard care for patients with renal failure while in an intensive care unit involves traditional hemodialysis or peritoneal dialysis and protein restriction. We present a case of a patient with renal failure supported with continuous arteriovenous hemofiltration with dialysis (CAVH-D) who was given full protein alimentation. Total daily urea clearance was measured from the CAVH-D output. Protein load was 196 ± 34 g/day while receiving total parenteral nutrition and 164 ± 30 g/day while receiving enteral alimentation. Serum blood urea nitrogen was controlled between 40 and 75 mg/dL, except during septic episodes. Nitrogen balance was estimated based upon known alimentation protein load and measurable and estimated nitrogenous losses. The patient was potentially in nitrogen equilibrium during most of the dialysis period. The cumulative nitrogen balance was positive by 5.2 g after 67 days of dialysis. Volume of alimentation was 3.49 ± 0.7 liters/day. With CAVH-D, the renal failure patient can receive full alimentation without volume or protein load limitations. Furthermore, nitrogen balances can be estimated easily while the patient is on CAVH-D. (Journal of Parenteral and Enteral Nutrition 16:379-383, 1992)

Journal of Parenteral and Enteral Nutrition, Vol. 16, No. 4, 379-383 (1992)
DOI: 10.1177/0148607192016004379
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 JPEN J Parenter Enteral NutrHome page
W. L. Macias, K. J. Alaka, M. H. Murphy, M. E. Miller, W. R. Clark, and B. A. Mueller
Impact of the Nutritional Regimen on Protein Catabolism and Nitrogen Balance in Patients With Acute Renal Failure
JPEN J Parenter Enteral Nutr, January 1, 1996; 20(1): 56 - 62.
[Abstract] [PDF]