Nutritional support therapy for patient with acute prerenal failure complicated with urinary tract infection
10.12206/j.issn.1006-0111.202012020
- VernacularTitle:1例急性肾前性肾衰竭合并尿路感染患者的营养支持治疗及思考
- Author:
Qing CHEN
1
;
Gang CHEN
2
;
Xiaojia YU
2
;
Hongtao SONG
1
;
Aiwen HUANG
1
Author Information
1. Department of Clinical Pharmacy, No. 900 Hospital of Joint Logistics Support Force of the PLA, Fuzhou 350025, China.
2. Department of Pharmacy, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100020, China.
- Keywords:
acute prerenal failure;
urinary tract infection;
nutritional support;
low calorie and high protein;
nutritional support pharmacist
- From:
Journal of Pharmaceutical Practice
2021;39(2):178-181
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the formulation and adjustment of nutritional therapy by nutrition support pharmacists in patient with acute prerenal failure complicated with urinary tract infection, and to provide a reference for nutritional therapy in such patient. Methods With nutrition support pharmacists participated in nutrition treatment management and case analysis of a patient with acute prerenal failure complicated with urinary tract infection, we explored the nutritional support treatment plan for this type of patient. Results Nutrition support pharmacists provided pharmaceutical care throughout the course for patient with acute prerenal failure and designed an individualized low-calorie and high-protein nutritional support treatment according to the change of patient's condition, to increase the patient's serum albumin level and maintain at 35 g/L, at the same time the infection was effectively controlled and the creatinine value decreased to normal. Conclusion Small-volume, low-calorie, high-protein nutritional support solution ≤1 000 ml, calorie intake is about 1, 000 kcal, and protein is maintained at 1.2 g/(kg·d) throughout the course of acute prerenal renal failure with urinary tract infected patients can obtain better clinical outcomes and prognosis, and can better maintain clinical operability, and fully improve the safety, effectiveness and economics of nutritional support treatment.
