Figure 181

Nutritional goals in patients with acute renal failure (ARF). The goals of nutritional intervention in ARF differ from those in patients with chronic renal failure (CRF): One should not provide a minimal intake of nutrients (to minimize uremic toxicity or to retard progression of renal failure, as recommended for CRF) but rather an optimal amount of nutrients should be provided for correction and prevention of nutrient deficiencies and for stimulation of immunocompetence and wound healing in the mostly hypercata-bolic patients with ARF [1].

Determined by


Renal dysfunction (acute uremic state)

Specific effects of renal

Underlying illness

replacement therapy

The acute disease state, such as

Nonspecific effects of extracorporeal

systemic inflammatory response

circulation (bioincompatibility)

syndrome (SIRS)

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