Caso clínico : abordaje nutricional en paciente con trasplante renal.

Abstract

Chronic kidney disease in its terminal stage represents a clinical challenge that requires comprehensive management, based on a personalized approach and supported by scientific evidence. Kidney transplantation is a surgical treatment that consists of replacing an affected kidney with a healthy one from a living or cadaveric donor; this procedure improves the quality of life of people with kidney damage. In patients with obesity after transplantation they will need weight reduction therapy to avoid complications in the graft. This clinical case presents the nutritional approach in a patient with cadaveric renal transplant and diagnosis of grade 1 obesity, in addition to altered values in hemoglobin, hematocrit, urea and creatinine. The nutritional approach for this patient was carried out in two phases. In the early or immediate phase a protein intake of 1.2 to 1.5 g/kg of weight per day with a caloric intake of 30 to 35 kcal/day is recommended and in the late phase a low protein diet of 0.8 to 1 g/kg of weight per day and a caloric intake of 25 to 35 kcal/day is suggested, as the patient stabilizes adjustments in the nutritional requirements can be made. Therefore, constant monitoring, personalization of the diet and multidisciplinary collaboration of all health professionals is essential to prevent future complications.