Nutrition and Dialysis http://www.kidney.org/atoz/pdf/nutri_hemo.pdf

Great info. The more I know the more dangerous I am. Ha ha hahhhaaa

What is your stage of kidney disease?
There are five stages of kidney disease. They are shown in the table below. Your doctor determines your stage of kidney disease based on the presence of kidney damage and your glomerular filtration rate (GFR), which is a measure of your level of kidney function. Your treatment is based on your stage of kidney disease. Speak to your doctor if you have any questions about your stage of kidney disease or your treatment.

Stages of Kidney Disease. Stage. Glomerular Filtration Rate (GFR)*
1 Kidney damage (e.g., protein in the urine) with normal GFR. 90 or above
2 Kidney damage with mild decrease in GFR. 60 to 89
3 Moderate decrease in GFR. 30 to 59
4 Severe reduction in GFR. 15 to 29
5 Kidney failure. Less than 15
*Your GFR number tells your doctor how much kidney function you have.
As chronic kidney disease progresses, your GFR number decreases.

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Amount of Dialysis You Receive
Every month, tests will be used to determine if you are getting the right amount of dialysis to keep you in good health. Blood is tested at the beginning and the end of one of your dialysis treatments. You may also be asked for a urine sample. This information will provide a way to measure dialysis, called Kt/V (pronounced "kay tee over vee") and urea reduction ratio (urr). A low Kt/V (or a low URR) may mean that you are not getting enough dialysis. Low amounts of dialysis can keep you from feeling, sleeping or eating well. To keep your Kt/V and URR levels as high as possible, it is very important to come to all of your treatment sessions and stay for the full treatment time as ordered by your doctor.

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Serum Creatinine
Creatinine ("cre-at-i-nine") is a waste product in your blood that comes from the normal function of your muscles. Your creatinine level may rise as your kidney function falls. Creatinine levels can be lowered during dialysis and by any remaining kidney function. Creatinine can also be lowered by not eating enough calories and protein, as well as by weight loss. If your creatinine level is decreasing, ask your doctor or dietitian whether this change is related to your diet, your dialysis or your kidney function.

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Janice M. Isbell
www.janiceisbell.com

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