Hello, I have a pt who has CKD, no stage specified in MD notes. Cr now 1.18, receiving hydration. Unknown baseline. Hx prostate CA, now noted to have gastric CA. Alb 2.8, requesting a prealb level. What would you suggest for protein estimation? I want to provide ^protein (1.2-1.4g/kg actual wt), however Im unsure if a high protein load will worsen the renal function. Normally I am not too worried about Cr in the 1's however I wanted to get other opinions. Thank you

Hello, I have a pt who has CKD, no stage specified in MD notes. Cr now 1.18, receiving hydration. Unknown baseline. Hx prostate CA, now noted to have gastric CA. Alb 2.8, requesting a prealb level. What would you suggest for protein estimation? I want to provide ^protein (1.2-1.4g/kg actual wt), however Im unsure if a high protein load will worsen the renal function. Normally I am not too worried about Cr in the 1's however I wanted to get other opinions. Thank you
Posted by nah282:
Hello, I have a pt who has CKD, no stage specified in MD notes. Cr now 1.18, receiving hydration. Unknown baseline. Hx prostate CA, now noted to have gastric CA. Alb 2.8, requesting a prealb level. What would you suggest for protein estimation? I want to provide ^protein (1.2-1.4g/kg actual wt), however Im unsure if a high protein load will worsen the renal function. Normally I am not too worried about Cr in the 1's however I wanted to get other opinions. Thank you
Is he underweight? I usually use ideal bw-sometimes actual can over estimate depending on their wt.
Posted by nah282:<BR>Hello, I have a pt who has CKD, no stage specified in MD notes. Cr now 1.18, receiving hydration. Unknown baseline. Hx prostate CA, now noted to have gastric CA. Alb 2.8, requesting a prealb level. What would you suggest for protein estimation? I want to provide ^protein (1.2-1.4g/kg actual wt), however Im unsure if a high protein load will worsen the renal function. Normally I am not too worried about Cr in the 1's however I wanted to get other opinions. Thank you Is he underweight? I usually use ideal bw-sometimes actual can over estimate depending on their wt.
Posted by shandstar:
Posted by nah282:
Hello, I have a pt who has CKD, no stage specified in MD notes. Cr now 1.18, receiving hydration. Unknown baseline. Hx prostate CA, now noted to have gastric CA. Alb 2.8, requesting a prealb level. What would you suggest for protein estimation? I want to provide ^protein (1.2-1.4g/kg actual wt), however Im unsure if a high protein load will worsen the renal function. Normally I am not too worried about Cr in the 1's however I wanted to get other opinions. Thank you
Is he underweight? I usually use ideal bw-sometimes actual can over estimate depending on their wt.
his wt is normal 75.5kg. Today his Cr is wnl.
Posted by shandstar:<BR>Posted by nah282:<BR>Hello, I have a pt who has CKD, no stage specified in MD notes. Cr now 1.18, receiving hydration. Unknown baseline. Hx prostate CA, now noted to have gastric CA. Alb 2.8, requesting a prealb level. What would you suggest for protein estimation? I want to provide ^protein (1.2-1.4g/kg actual wt), however Im unsure if a high protein load will worsen the renal function. Normally I am not too worried about Cr in the 1's however I wanted to get other opinions. Thank you Is he underweight? I usually use ideal bw-sometimes actual can over estimate depending on their wt. his wt is normal 75.5kg. Today his Cr is wnl.
Posted by nah282:
Posted by shandstar:
Posted by nah282:
Hello, I have a pt who has CKD, no stage specified in MD notes. Cr now 1.18, receiving hydration. Unknown baseline. Hx prostate CA, now noted to have gastric CA. Alb 2.8, requesting a prealb level. What would you suggest for protein estimation? I want to provide ^protein (1.2-1.4g/kg actual wt), however Im unsure if a high protein load will worsen the renal function. Normally I am not too worried about Cr in the 1's however I wanted to get other opinions. Thank you
Is he underweight? I usually use ideal bw-sometimes actual can over estimate depending on their wt.
his wt is normal 75.5kg. Today his Cr is wnl.
Hydration improved it I guess-i would still feed for the cancer and higher protein-you can always monitor Cr and bring it back down if Cr starts going back up.
Posted by nah282:<BR>Posted by shandstar:<BR>Posted by nah282:<BR>Hello, I have a pt who has CKD, no stage specified in MD notes. Cr now 1.18, receiving hydration. Unknown baseline. Hx prostate CA, now noted to have gastric CA. Alb 2.8, requesting a prealb level. What would you suggest for protein estimation? I want to provide ^protein (1.2-1.4g/kg actual wt), however Im unsure if a high protein load will worsen the renal function. Normally I am not too worried about Cr in the 1's however I wanted to get other opinions. Thank you Is he underweight? I usually use ideal bw-sometimes actual can over estimate depending on their wt. his wt is normal 75.5kg. Today his Cr is wnl. Hydration improved it I guess-i would still feed for the cancer and higher protein-you can always monitor Cr and bring it back down if Cr starts going back up.

I agree, the cancer would now take priority. You could even try somewhere closer to the higher end and monitor labs, esp BUN for tolerance.

I agree, the cancer would now take priority. You could even try somewhere closer to the higher end and monitor labs, esp BUN for tolerance.
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