Renal cystic fibrosis

[Guest guest]

Hello-

I have a pt with cystic fibrosis on hemodialysis 54kg- wants to gain wt.  The

problem with current TF plus oral supplementation his BUN are over 100 and doc

wants him to decrease prot intake.  Pt wants to gain weight and is fearful with

decreasing TF he will lose wt. 

Does anyone have any recipes or suggestions on high Kcal low prot foods-- he can

not tolerate butter or a lot of high fat items.

Thank You.

Lash, RD, LDN

[Guest guest]

Is the patient already doing pancreatic enzymes, usually cystic fibrosis

patients have an impairment of exocrine and sometimes endocrine pancreatic

function. The supplementation with those can improve the tolerance to fat. You

can also supplement with maltodextrines added to the fluid that he is allowed to

drink and add jam and jelly to bread and deserts.

If the patient has good dialysis efficacy why the doctor wants to decrease BUN?

How is his Kt/v and URR? Does he have enough vitamins and minerals to optimize

protein metabolism and increase of body weight by muscle mass? I would also

recommend the patient to start resistance exercises to promote increase of

muscle mass (walking isn't enough in these cases).

Catia Borges, nutricionista

Centro de Saude Chaves 1

ARS Norte, Portugal

> Hello-

> I have a pt with cystic fibrosis on hemodialysis�54kg- wants to gain wt.�

The problem with current TF plus oral supplementation his BUN are over 100 and

doc wants him to decrease prot intake.� Pt wants to gain weight and is fearful

with decreasing TF he will lose wt.�

> Does anyone have any recipes or suggestions on high Kcal low prot foods-- he

can not tolerate butter or a lot of high fat items.

> Thank You.

> Lash, RD, LDN

>

>