Question

What is the difference between peritoneal and hemodialysis?

What are the nutrition recommendations for individuals with Chronic Kidney Disease?

How do these recommendations change once an individual with end stage renal disease (ESRD) begins dialysis?

Answer 1

1) Peritoneal dialysis : is a process of removing waste products like urea from the blood when the kidneys are unable to perform excretory function. A catheter is placed in the Peritoneal cavity and lining of abdomen acts as a filter and remove waste products from the blood.

Hemodialysis : Artificial kidney / hemodialyzer used remachine is to remove waste product. A vascular access is created it consists of three port of entry like : Arteriovenous fistula (AV) , AV graft and Vascular access catheter into Central vein

2) Restricted sodium intake .Salt substitutes should be avoided as it contain more amounts of potassium chloride Garlic ,pepper can be used instead of salt.

3) DASH diet : it helps to decrease blood pressure and thereby lowers the risk of heart and kidney diseases.Dash diet

- DASH diet includes increase intake of fruits and vegetables. Selecting proper cooking techniques like Boil,Bake ,Barbeque and avoid fried foods.

- Renal diet is low in sodium, phosphorus and protein. Limit sodium intake .Limit foods high in potassium like avocoda,banana ,potatoes,spinach,beans,fish and citrus juices. Proper consumption of protein is important as it is essential for tissue growth.

Prevention is better than cure client with ESRD must maintain strict adherence to dietary patterns to prevent further damage of kidneys .