2b%20Common%20Problems%20of%20Patients%20on%20Peritoneal%20Dialysis

2b%20Common%20Problems%20of%20Patients%20on%20Peritoneal%20Dialysis

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COMMON PROBLEMS OF PATIENTS ON PERITONEAL DIALYSIS Problem Suggestions for Nutritional Care Recommendations Increased calories, weight gain, hypertriglyceridemia Limit sodium to decrease the number of high dextrose exchanges needed Limit dietary sugars, fats and calories. Reduce to ideal body weight. Increase exercise. Drug therapy – insulin. Satiety – fluid pressure, steady blood glucose, full feeling Frequent small meals. Save fluids until end of meal so they don't contribute to full feeling. Eat during outflow, or while drained. Use lower dextrose exchanges. Use more frequent, smaller volume exchanges. Build up slowly to more normal sized meals from small meals. Protein losses (especially during peritonitis) Encourage protein intake through education about needs and sources. Use easy-to-eat proteins such as cheese, milk, peanut butter, eggs, cottage cheese, chicken, fish. Use sodium allowed to season protein foods for more acceptance.
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2b%20Common%20Problems%20of%20Patients%20on%20Peritoneal%20Dialysis

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