IPDI

JAWA-BARAT
24 April 2018

PENATALAKSANAAN NUTRISI
pada pasien
PGK tahap 5 - DIALISIS

Rully Roesli
Penatalaksanaan Nutrisi pada
Pasien PGK 5-DIALISIS
• ETIOLOGI PEW
• NUTRITIONAL ASSESSMENT
• KEBUTUHAN NUTRISI
• NUTRISI INTRA HD
• PHYSICAL ACTIVITY
• KESIMPULAN
 1
ETIOLOGI PEW
 Etiology of the Protein-Energy Wasting Syndrome
in Chronic Kidney Disease:
A Consensus Statement From the International Society of Renal Nutrition and
Metabolism (ISRNM)
Optimal Nutrition in Hemodialysis Patients
T. Alp Ikizler
Adv Chronic Kidney Dis. 2013 March ; 20(2): 181–189
2

NUTRITIONAL
ASSESSMENT
PEW CRITERIA
 Journal of Renal Nutrition
Volume 23, Issue 3, May 2013, Pages 195-198

Nutritional Evaluation of Patients Receiving Dialysis for the

Management of Protein-Energy Wasting:
What is Old and What is New?

NUTRITIONAL ASSESSMENT PEW

pada PGK 5-D
 NUTRITIONAL ASSESSMENT PEW
Kidney International (2011) 80, 348–357; published online 11 May 2011
2016
3

KEBUTUHAN
NUTRISI
KEBUTUHAN NUTRISI
PASIEN PGK 5 - HD
macronutrient
micronutrient
tujuan nutrisi
pada pasien
DIALISIS
Pilihan nutrisi
pada pasien
DIALISIS
4

NUTRISI
INTRA HD
 SGA or MIS
SNAQ

oral

IDON

dosis
REVIEW ARTICLE Kamyar Kalantar-Zadeh,
EATING DURING HEMODIALYSIS TREATMENT: 2017 Published by Elsevier Inc. on behalf of the National A
Consensus Statement From the International Society of Renal Nutrition and Metabolism Kidney Foundation, Inc

eating during HD
REVIEW ARTICLE Kamyar Kalantar-Zadeh,
EATING DURING HEMODIALYSIS TREATMENT: 2017 Published by Elsevier Inc. on behalf of the National A
Consensus Statement From the International Society of Renal Nutrition and Metabolism Kidney Foundation, Inc
Potential Influence of Eating During
Hemodialysis on Blood Pressure
German Nutrition Association) ,2009 :
5

PHYSICAL ACTVITY
PASIEN PGK 5-D
PHYSICAL ACTVITY PASIEN PGK 5-D
OLAHRAGA SAAT HEMODIALISIS
6

PROGNOSIS
7

KESIMPULAN
 ALGORITHM OF MEDICAL NUTRITION IN
DIALYSIS PATIENTS

SGA
MIS
PEW +
SNAQ

PEW -

ORAL
IDON

IDPN

PA +
PA -