Renal Care Nutrition

At Nutrition Link Services, we are Registered Dietitians that practice an integrative and functional approach to counsel patients with our Renal Care Program.

Chronic kidney disease (CKD) is a complex disease impacting more than twenty million individuals in the United States. Progression of CKD is associated with a number of serious complications, including increased risk of cardiovascular disease, hyperlipidemia, anemia, and metabolic bone disease.

CKD patients should be assessed for the presence of these complications and we provide comprehensive nutrition treatment to reduce their morbidity and mortality. A multidisciplinary approach is required to accomplish this goal.

End-stage renal disease produces a burden for patients and family members. As CKD progresses to ESRD, patients frequently present with characteristic signs and symptoms due to worsening uremia. Once these signs and symptoms develop, whether it be renal transplantation, peritoneal dialysis or hemodialysis is necessary to reverse the symptoms of uremia and prolong life.

The goals are accomplished through monitoring of protein, fluids and more.

Dietary Modifications for Renal Disease

The main job of kidneys is to remove waste and excess water from the body. The kidneys balance salts and minerals that circulate in the blood- such as calcium, phosphorus, sodium, and potassium. The kidneys also release hormones that help make red blood cells, regulate blood pressure, and keep bones strong.

Protein Intake

Protein needs will be based on diagnosis. If acute renal failure is present without dialysis, a strict monitoring of protein intake and recommendations of 0.6- 0.8g/kg body weight will be required. If undergoing dialysis at end-stage or renal function increased, daily protein intake is 1.2-1.4g/kg body weight.


Sodium is usually restricted to prevent fluid retention and control hypertension (1500-2000 mg/day). Potassium and phosphorus may need to be restricted depending on laboratory values for ESRD.


Fluid balance will be monitored by blood sodium level, weight changes and blood pressure. If on dialysis, daily fluid intake of 1.5-2.0L is usually adequate with further restriction as necessary.

The goals are accomplished through behavior modification techniques, specific
meal planning for acute, chronic, and end-stage renal disease.

• Blood pressure control
• Fluid retention control
• Appropriate protein intake
• Healthy food choices
• Maintain balance & wellness

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