Acute And Chronic Renal Failure (Uraemia)

February 11, 2020 | by Yashaswi Pathakamuri | Posted in Kidney

Acute Renal Failure

In acute renal failure, accumulation of urea and other waste products takes place in blood and tissues. A reduction in the endogenous waste products (urea and other compounds) and in the breakdown of tissue proteins can be achieved by giving glucose and emulsified fat in one liter of water equivalent to the water lost from the body in insensible perspiration, sweat and respiration.

Diet

Bull et al. (1949) recommended a regimen of 400 g glucose and 100 g refined groundnut oil made into an emulsion in 1 liter of water with daily requirements of vitamins to be given by drip through nasogastric tube. Some physicians administrator only 200 g of glucose in one liter of water as Bull’s regimen may give raise to diarrhoea in some cases. As soon as the flow of urine is resumed, the patient may be given more fluids in the form of milk, fruit juice etc.

Chronic Renal Failure

Chronic renal failure occurs in glomerulonephritis and chronic pyelonephritis. In this condition, the glomeruli and tubules are heavily damaged.

Diet

The diet in chronic uraemia should be low in proteins depending on the urea content of the blood. The pattern of diet and the daily menu for an adult suffering from chronic renal failure is given below:

Diet For An Adult Suffering From Chronic Renal Failure

Calories:1500-2000 kcal, Proteins:15-20 g, Carbohydrates:300-400 g, Salt-free.

FOOD STUFFG/CAPUT/DAY
Cereals200
Vegetables (potato, carrot)100
Milk200
Egg30
Butter and vegetable fats40-50
Sugar50
Glucose200
Fruit juice1000 ml

Daily Menu For Chronic Renal Failure

MorningFruit juice with glucose-1 glass
BreakfastBread-2 slices
Butter-2 teaspoons
Jam-2 teaspoons
LunchCooked rice or bread-1 serving
Butter or ghee-2 teaspoons
Potato and carrot curry-1 serving
Curd-1 cup
Fruit juice with glucose-1 glass
TeaBiscuits-3
Butter-1 teaspoon
Fruit juice with glucose-1 glass
Dinnersame as lunch

Note:

Common salt should not be added during or after cooking. One multivitamin tablet providing the daily requirements should be taken.

Chronic Renal Failure
Dietary Management For Acute Renal Failure
Dietary Management for Chronic Kidney Failure
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