Fred, a 67-year-old Caucasian man, is seen by his primary care physician. Fred lives with a significant other and has an active lifestyle (golfing, biking, swimming) and a history of hemicolectomy, diverticulitis, and hypertension. His weight is 240 lb. His laboratory values show serum creatinine of 3.3 mg/dl, BUN of 72 mg/dl, albumin of 4.1 mg/dL, potassium of 5.5 mEq/L, phosphate of 6.7 mg/dl, calcium of 8.3 mg/dl, and his parathyroid hormone is 365 pg/ml. Blood pressure is 160/92.
Nutrition Diagnostic Statement
Altered laboratory values related to hypertension as evidenced by estimated glomerular filtration rate (eGFR) calculation.
Nutrition Care Questions
1. What is Fred’s calculated eGFR?
2. What is his stage of chronic kidney disease (CKD)?
3. What is the first goal for your education of Fred?
4. What dietary factors would you address based on Fred’s laboratory values?
5. What is the goal for his protein intake?
6. How would you assess Fred for improvement or stability of his CKD?
7. What would you expect for him during the next few years if no diet intervention is followed?