Case Study

HR is a 65 yo F with CKD Stage 4 secondary to DM. Her doctor is preparing to put her on dialysis.

HT: 5’6” WT: 165#

Diet hx: B- 3 pancakes with syrup D- steak, fries

1 c orange juice lettuce/cucumbers with French dressing

1 cup ginger ale

L- ham and cheese with lettuce

1 cup grape juice S- chocolate cake or cookies

S- apple ½ c whole milk

-Based on the National Kidney Foundation guidelines, how would you estimate HR's calorie needs?

Question

Case Study

HR is a 65 yo F with CKD Stage 4 secondary to DM. Her doctor is preparing to put her on dialysis.
HT: 5’6” WT: 165#
Diet hx:	B- 3 pancakes with syrup	D- steak, fries
	1 c orange juice	lettuce/cucumbers with French dressing
		1 cup ginger ale
	L- ham and cheese with lettuce
	1 cup grape juice	S- chocolate cake or cookies
	S- apple	½ c whole milk

-Based on the National Kidney Foundation guidelines, how would you estimate HR's calorie needs?

Quizplus · Accepted Answer

According to the National Kidney Foundation guidelines, individuals with CKD on dialysis should consume 30-35 kcal/kg of body weight per day. HR weighs 165 pounds, which is approximately 75 kg. Therefore, HR's estimated calorie needs would be 2250-2625 kcal/day. Choice C is the only answer option that falls within this range.