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Hemodialysis Case Study Essay

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Hemodialysis Case Study Essay
What will Mrs. Joaquin’s protein requirements be when she begins hemodialysis? What standard guidelines have you used to make these recommendations?
Mrs. Joaquin’s protein requirements will increase to 1.2 g/kg once she begins hemodialysis.
1.2 x 66.4=80 g of protein
According to Mrs. Joaquin’s edema-free weight, she should be receiving approximately 80 grams of protein a day. This will ensure that she is receiving adequate amounts of protein to prevent muscle wasting. Low-protein diets are associated with high risks of muscle wasting and compliance difficulties. Dietitians suggest that patients will illnesses consume a high protein diet in order to maintain health. CKD patients that are not receiving dialysis cannot consume a high protein diet or their blood
…show more content…
The protein requirement is lower than healthy individuals due to the fact that CKD patients do not have the ability to excrete nitrogenous waste from their bodies (Rolfes, Pinna, & Whitney, 2012, p. 853). For hemodialysis, protein requirements are anything equal to or greater than 1.2 g/kg. CKD patients who have started hemodialysis are allowed more protein due to the fact that dialysis helps to eliminate excess nitrogenous waste from the body that the kidneys are no longer able to do. The protein requirements are higher than healthy individuals to ensure that muscle wasting does not occur. CKD patients or any ill patient needs to ensure that they are receiving enough energy and protein for muscle maintenance (Rolfes, Pinna, & Whitney, 2012, p. 853). In peritoneal dialysis, the protein requirement is equal to or greater than 1.2-1.3 g/kg (Rolfes, Pinna, & Whitney, 2012, p. 853). Peritoneal dialysis patients need more protein than hemodialysis patients because they tend to lose more protein than hemodialysis. More protein is lost while the patient drains the dialysate from his or her stomach ("Protein and Your Peritoneal Dialysis

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