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Nutrition in Kidney Disease pp 487–502Cite as

Acute Renal Failure

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Part of the book series: Nutrition and Health ((NH))

Summary

Acute renal failure (ARF) is a clinical syndrome associated with a complex pattern of alterations of metabolism, with the induction of a prooxidative, proinflammatory and hypercatabolic state and impairment of immunocompetence. Metabolism and nutrient requirements are affected by the acutely uremic state per se, by the type and intensity of renal replacement therapy and by the underlying disease process leading to ARF and associated complications, respectively. A nutritional program for a patient with ARF must not only consider these complex metabolic alterations but also take into account the fact that because of the limited tolerance not only to fluids and electrolytes but also to various nutritional substrates and metabolic complications of nutritional support can frequently occur. Thus, nutrition support in ARF patients must be more closely monitored than in other disease states.

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Author information

Authors and Affiliations

  1. Department of Medicine III, Division of Nephrology, Vienna General Hospital, Vienna, Austria

    Wilfred Druml MD

Authors
  1. Wilfred Druml MD
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Editor information

Editors and Affiliations

  1. Department of Nutritional Sciences, University of Medicine and Dentistry of New Jersey, 40 East Laurel Rd, Stratford, NJ, USA

    Laura D. Byham-Gray

  2. Division of Nephrology, Stanford University School of Medicine, 3333 California St, Stanford, CA, USA

    Glenn M. Chertow

  3. Department of Nutrition, C.W. Post Campus Long Island University, 720 Northern Blvd, Brookville, NY, USA

    Jerrilynn D. Burrowes

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© 2008 Humana Press, Totowa, NJ

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Druml, W. (2008). Acute Renal Failure. In: Byham-Gray, L.D., Chertow, G.M., Burrowes, J.D. (eds) Nutrition in Kidney Disease. Nutrition and Health. Humana Press. https://doi.org/10.1007/978-1-59745-032-4_19

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  • DOI: https://doi.org/10.1007/978-1-59745-032-4_19

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-781-5

  • Online ISBN: 978-1-59745-032-4

  • eBook Packages: MedicineMedicine (R0)

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