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CKD patients should be administered with full protein dose in critical illness Junpei SHIBATA 1 , Osamu NISHIDA 1 1Department of Anesthesiology and Critical Care Medicine Fujita Health University School of Medicine pp.577-579
Published Date 2019/7/1
DOI https://doi.org/10.11477/mf.3102200664
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The amount of protein administered to patients with CKD is generally restricted, but the effect to prevent lowering of the GFR may be insufficient. Patients with CKD often have poor nutritional status, and muscle atrophy progresses since existing protein stores are metabolized to produce energy over a long period of time. As a result, lean body mass decreases, and immunocompetence and the ability to repair tissue decrease. In general, protein catabolism is accelerated at times of metabolic stress, so it is recommended to increase the protein dose in patients with critical illness. If protein restriction with the tendency to avoid calorie overdose is conducted in patients with CKD and poor nutritional status, there will be a deficiency of available energy, leading to further muscle and tissue collapse. The severity of atrophy and immunocompromise will progress. In the early stage of critical illness, patients with CKD should be given their full protein requirement even if dialysis is performed.


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電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル

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