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Dietary Protein and Hypoalbuminemia in CAPD
Author(s) -
Kaysen George A.
Publication year - 1989
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/j.1525-139x.1989.tb00623.x
Subject(s) - hypoalbuminemia , medicine , albumin , serum albumin , endocrinology , gastroenterology , intensive care medicine , physiology
Despite a relatively high protein intake of 1.2 gl kglday, low levels of serum albumin are common in CAPD patients, presumably as a result of dialytic protein losses. Protein intakes of 1.5 glkglday have been recommended. Since this additional 0.3 glkgl day will result in an increase in BUN of about 30 mgldl (along with an increase in other unmeasured uremic toxins) I am concerned about the “risk:benet ratio” of raising the dietary protein intake in my CAPD patients. Will the higher intake raise serum albumin? Even if it does, will the higher albumin be of significant benefit to the patient considering the (unknown) risk?