How does uremic patient supplement vitamin?2017-11-14 17:26
Uremia patients due to limit the intake of food, and the body itself can not synthesize vitamins, often lead to the lack of certain vitamins, leading to disease. However, not all vitamins need to be supplemented, depending on the specific circumstances.
Vitamin B1: vitamin B1 deficiency is not uncommon in dialysis patients due to dialysis membrane clearance. In addition to 0.5 - 1.5mg vitamin B1 supplementation, 1 - 5mg supplementation should be added to the dialysis patients. Charge 1 ~ 5mg.
Vitamin B2: low protein diet and dialysis can cause a small amount of deficiency, but most patients are supplemented by diet, recommended daily intake of 1.2 ~ 2.0mg.
Vitamin B6: uremia patients generally exist vitamin B6 deficiency, appear amino acid metabolism disorder, cause or aggravate some symptoms of uremia, such as anemia, peripheral neuropathy, immune decline, infection, etc., so need additional supplement. The daily supplement amount is about 10 ~ 50mg.
Vitamin B12: uremia patients with vitamin B12 deficiency is less, but the intake can not be lower than the daily 1mg. Folic acid: uremic patients retention of toxins, while reducing intake, dialysis clearance and so on, there will be folic acid deficiency, folic acid should be properly supplemented 5 ~ 10mg per day.
Vitamin C: vitamin C deficiency is common in uremic patients, but high doses of vitamin C may increase oxalate levels in blood and soft tissues and cause high oxalate blood. For uremic patients, the recommended daily dose is 60mg.
Vitamin A: uremia patients in the body vitamin A level is higher, generally supplement a small amount will cause poisoning. Therefore, no additional vitamin A is needed.
Vitamin D: the ability of renal synthesis of vitamin D decreases with the decline of renal function, hyperphosphatemia and renal osteodystrophy. Vitamin D should be added in the early stage of uremic patients to correct the disorder of calcium and phosphorus metabolism, and the amount of supplement should be guided by doctors.
Vitamin E: even low protein diet in uremic patients can ensure adequate vitamin E, and will not be lost by hemodialysis. Taking vitamin E is not the prevention of vitamin E deficiency, and plays a major role in antioxidant therapy.
Vitamin K: uremic patients with vitamin K deficiency may increase urinary calcium excretion, bone calcium loss, resulting in renal osteodystrophy. Uremic patients do not have to routinely supplement vitamin K, and patients who receive certain antibiotics should regularly monitor prothrombin time and supplement vitamin K if necessary.