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Nutrition pregnancy dialysis

Julia Nava, Silvia Moran, Veronica Figueroa, Adriana Salinas, Margy Lopez, Rocio Urbina, Abril Gutierrez, Jose Luis Lujan, Alejandra Orozco, Rafael Montufar, Giorgina B Piccoli
Pregnancy is probably the most important challenge in young women with chronic kidney disease (CKD). The challenge is greater in developing countries, in which access to dialysis is uneven, and prenatal care for CKD patients is not uniformly available. This case report summarizes some of the challenges faced by pregnant CKD women in a developing country. A 35-year-old woman, affected by an undiagnosed kidney disease, experienced preeclampsia at 24 years of age, and started dialysis in emergency at age 31 in the context of severe preeclampsia in her second pregnancy...
December 2017: Journal of Nephrology
Michele Giannattasio, Federica Giannattasio, Giuseppe Gernone
Many of information on the safety of drugs during pregnancy were obtained many years ago, before the pregnant women were excluded from the study protocols for possible fetal risks. Because randomized trials in pregnancy are complex and considered unethical. For the same reasons, there are no randomized controlled trials in pregnant women on dialysis. Moreover Compared to the normal subject, the pharmacokinetics and pharmacodynamics in these patients are influenced or by pregnancy or from dialysis techniques or from chronic uremia...
January 2017: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
Denis Fouque, Jing Chen, Wei Chen, Liliana Garneata, S J Hwang, Kamyar Kalantar-Zadeh, Joel D Kopple, William E Mitch, Giorgina Piccoli, Vladimir Teplan, Philippe Chauveau
BACKGROUND: Low protein diets (LPD) have long been prescribed to chronic kidney disease patients with the goals of improving metabolic abnormalities and postpone the start of maintenance dialysis. METHODS: We reviewed the recent literature addressing low protein diets supplemented with ketoacids/essential aminoacids prescribed during chronic kidney disease and their effects on metabolic, nutritional and renal parameters since 2013. RESULTS: We show new information on how to improve adherence to these diets, on metabolic improvement and delay of the dialysis needs, and preliminary data in chronic kidney disease associated pregnancy...
July 7, 2016: BMC Nephrology
Jennifer Bishara Jagielski
No abstract text is available yet for this article.
May 2015: Journal of Renal Nutrition
Afshin Gharekhani, Mohammad-Reza Khatami, Simin Dashti-Khavidaki, Effat Razeghi, Alireza Abdollahi, Seyed-Saeed Hashemi-Nazari, Mohammad-Ali Mansournia
OBJECTIVE: The objective was to determine the effects of omega-3 supplementation on nutritional state and inflammatory markers of hemodialysis patients. DESIGN AND METHODS: This was a randomized, placebo-controlled trial. Adult patients undergoing maintenance hemodialysis were included. Patients with malignancy, pregnancy, concurrent inflammatory or infectious diseases, or concomitant use of any medication affecting inflammation status were excluded. The omega-3 group received 6 soft-gel capsules of fish oil (180 mg eicosapentaenoic acid and 120 mg docosahexaenoic acid in each) daily for 4 months, and the placebo group received corresponding paraffin oil capsules...
May 2014: Journal of Renal Nutrition
Francisco Espinoza, Romina Romeo, Marcela Ursu, Augusto Tapia, Antonio Vukusich
BACKGROUND: The frequency of pregnancies during dialysis is increasing. This condition requires changes in the dialysis schedule and nutritional approach. AIM: To report the experience in six patients with terminal kidney disease who became pregnant. MATERIAL AND METHODS: Retrospective review of medical records of women with terminal kidney disease in dialysis who became pregnant in a period of 27 years. RESULTS: We recorded six successful pregnancies among women in hemodialysis treatment aged 32 ± 4 years...
August 2013: Revista Médica de Chile
Marta Kalousová, Hana Benáková, Aleš Antonín Kuběna, Sylvie Dusilová-Sulková, Vladimír Tesař, Tomáš Zima
BACKGROUND/AIMS: Pregnancy-associated plasma protein A (PAPP-A) is a biomarker related to vascular damage. The aim of the study was to focus on PAPP-A and related parameters and their relationship to the prognosis of long-term hemodialysis (HD) patients. METHODS: This is a prospective observational cohort study which included 261 long-term HD patients followed up for 5 years and 66 healthy subjects. PAPP-A, placental growth factor (PlGF), matrix metalloproteinase 2 and 9 (MMP-2, MMP-9), insulin-like growth factor 1 (IGF-1), insulin-like growth factor binding protein-4 (IGFBP-4), and cardiac, nutritional and inflammatory parameters were measured at the beginning of the study and tested as predictors of mortality...
2012: Kidney & Blood Pressure Research
Mary Theresa Lau
Malnutrition is a complication of many disease processes and can have deleterious effects on patient care outcomes. Providing adequate nutritional support requires a plan that is tailored to the individual needs of the patient and occasionally requires the use of parenteral nutrition. The varied nutritional needs of malnourished dialysis, cancer, obese, and hyperemesis gravidarum patients will be discussed. The infusion nurse specialist is a vital member of the nutrition support team in the care and recovery of the malnourished patient who requires parenteral nutrition...
September 2011: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
D Faas, D Klauwer, G Klaus, K Zerres, C Neuhäuser, M Heckmann
The primarily anuric very low birth weight infant (VLBWI) is an ethical challenge for the attending doctor as well as for the parents. Long term peritoneal dialysis (PD) might provide an acceptable way in treating a primarily anuric VLBWI prior to kidney transplantation without endangering the child's neurologic development. We report a case of a VLBWI born at 30 weeks gestational age after anhydramnion for 5 weeks. Postnatally the neonate had persisting anuria and was successfully treated with peritonealdialysis for 31 months followed by hemodialysis for 12 months and eventually received a renal transplantion at the age of 43 months...
March 2012: Klinische Pädiatrie
Jean Stover
The occurrence of pregnancy in women with chronic kidney disease undergoing dialysis is still uncommon; however, women in this population do become pregnant and need management by renal and high-risk obstetric teams to promote best outcomes. This article discusses recommendations for medical considerations, the dialysis regimen, medications used, medical nutrition therapy, and the assessment of dry weight gain. Most recommendations are based upon case experience.
November 2010: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
Jeffrey S Berns
BACKGROUND AND OBJECTIVES: There have been no recent analyses of the adequacy of training in U.S. nephrology training programs or the importance of specific aspects of fellowship training in the careers and practices of nephrologists who recently completed training. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: An internet-based survey was sent to members of the American Society of Nephrology who completed nephrology training in 2004 to 2008. Respondents were asked to rate their fellowship training (little or no training, some training but not enough to feel competent, well trained and competent) in specific areas and the importance of each area to their current careers and practices...
March 2010: Clinical Journal of the American Society of Nephrology: CJASN
Delphine Tuot, Suzanne Gibson, Aaron B Caughey, Lynda A Frassetto
Pregnancy in chronic dialysis patients is unusual and associated with many complications. Infants are often born both prematurely and small for gestational age. We report a case of a 36-year-old diabetic hemodialysis patient G4P3 who had prolonged hyperemesis gravidarum, for whom intradialytic parenteral nutrition (IDPN) was started at week 14 and continued throughout her pregnancy. She delivered a 3.5-kg baby girl at the 36th week of gestation by cesarean section. We discuss the use of IDPN as adjunct therapy for pregnant dialysis patients...
March 2010: International Urology and Nephrology
Emily Duncanson, Virginia Richards, Kasey M Luce, James R Gill
Deaths that occur during medical care for the treatment of a disease are rarely certified as homicides. Some "medical" deaths, however, have been criminally prosecuted for manslaughter, reckless endangerment, or reckless homicide. We describe 5 deaths due to medical complications that underwent criminal prosecution. Three of the deaths were certified as homicides. Deaths certified as homicides due to the actions (or inactions) of a caregiver occur in 3 circumstances. The first is when the medical caregiver intentionally causes the death of the patient...
March 2009: American Journal of Forensic Medicine and Pathology
Lesley L McPhatter, Joanne C Drumheller
No abstract text is available yet for this article.
March 2008: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
Sai Subhodhini Reddy, Jean L Holley
Although unusual, pregnancy in chronic dialysis patients does occur. In fact, the percent of successful pregnancies in women on chronic dialysis may be increasing. But unfortunately, the rates for premature delivery, neonatal death, maternal hypertension, and preeclampsia in the chronic pregnant dialysis patient are high. Consequently, to have a successful outcome for the pregnant dialysis patient, close collaboration between the patient, her nephrologists, high-risk obstetrician, neonatalogist, dialysis nurse, and nutritionist is required...
April 2007: Advances in Chronic Kidney Disease
Patrick Niaudet
Congenital nephrotic syndrome is present at birth or appears during the first three months of life and infantile nephrotic syndrome during the first year. Finnish type congenital nephrotic syndrome is an autosomal recessive disease. Nephrotic syndrome is present at birth, severe and does not respond to therapy. Infectious and nutritional complications are frequent. Renal function deteriorates necessitating a dialysis-transplantation program. Between age five and eight. The disease does not recur after transplantation...
March 2005: Néphrologie & Thérapeutique
Kazuo Kubo
No abstract text is available yet for this article.
June 2004: Nihon Rinsho. Japanese Journal of Clinical Medicine
Shahid M Chandna, Ken Farrington
Residual renal function (RRF) remains important even after commencement of dialysis. Its role in the adequacy of peritoneal dialysis (PD) is well recognized and is increasingly utilized in incremental PD regimes, but it is also vitally important in hemodialysis (HD) patients, in whom it, as in PD patients, may improve survival. It may allow for a reduction in the duration of HD sessions. It reduces the need for dietary and fluid restrictions in both PD and HD patients. Other contributions include improved middle molecule clearance, better hemoglobin, phosphate, potassium, and urate levels, enhanced nutritional status and quality of life scores, and better outcomes in pregnancy...
May 2004: Seminars in Dialysis
Claudia M Reinke, Jörg Breitkreutz, Hans Leuenberger
In the early 1970s, aluminium toxicity was first implicated in the pathogenesis of clinical disorders in patients with chronic renal failure involving bone (renal osteomalacia) or brain tissue (dialysis encephalopathy). Before that time the toxic effects of aluminium ingestion were not considered to be a major concern because absorption seemed unlikely to occur. Meanwhile, aluminium toxicity has been investigated in countless epidemiological and clinical studies as well as in animal experiments and many papers have been published on the subject...
2003: Drug Safety: An International Journal of Medical Toxicology and Drug Experience
Elaine Fontenot Molaison, Kathy Baker, Mary Ann Bordelon, Phyllis Brodie, Kathy Powell
No abstract text is available yet for this article.
July 2003: Journal of Renal Nutrition
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