AKI is a systemic disease process affecting all physiologic functions and organ systems and exerts a profound impact on the morbidity and mortality of the critically ill patient. Within this context, AKI is a catabolic, pro-oxidative and inflammatory syndrome per se and in addition augments any inflammatory signal of non-renal sources, such as in pneumonia or sepsis. Thus, concomitant renal dysfunction alters the course of any underlying disease process. It must be noted that metabolic factors can play a crucial role in the prevention and therapy of AKI and nutrition support must present a mandatory element in the care of any critically ill patient with AKI. As a result, many statements are based rather on the experience in nutritional support of critically ill patients in general and most recommendations present expert opinion only rather than being based on controlled studies. The complex systemic consequences of AKI together with RRT modalities have a profound impact on the metabolic environment.
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Hi diet aki protein
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