Fluid intake in children
All parts of your body need water to function. When you are healthy, your body is able to balance the amount of water that enters or leaves your body.A fluid imbalance can happen when you lose more water or fluid than you consume. It can also happen when you consume more water or fluid than your body is able to get rid of.Causes
Your body is constantly losing fluids through breathing, perspiration and urine. If you do not drink enough water or fluids, you can become dehydrated.your body may also have difficulty eliminating fluids. As a result, excess fluid builds up in your body. This is called overload (volume overload). This can lead to edema (excess fluid in the skin and tissues).Many diseases can cause fluid imbalance:Often, high or low sodium or potassium is also present.Medications can also affect fluid imbalance. The most common are diuretics to treat blood pressure, heart failure, liver or kidney disease.Treatment.
Fluid control in renal failure
In the case of patients on hemodialysis or peritoneal dialysis, it is the nephrologist who will determine the amount of fluid that can be ingested taking into account residual renal function and the dialysis prescription. The objective is to achieve adequate dry weight without excessive gain between one dialysis session and the next.
In general, it is best to drink weakly mineralized water instead of carbonated beverages (due to their phosphate content) or juices (not recommended due to their potassium content and, in the case of diabetics, also because of their higher glycemic index).
In the case of hemodialysis and peritoneal dialysis patients, who may drink very little fluid, controlling their intake is often complicated, especially in hot weather, when thirst is most acute.
Why do I drink? Normally the fact of drinking is attributed to the fact of being thirsty, however this is not always the main reason why we drink, on many occasions we do so because the activity we are doing (social events, meetings with friends, etc.), or because it is easy to drink at any time of the day.
Fluid management in renal patients pdf
People on home peritoneal dialysis are likely to have fewer restricted fluids, while people on in-center hemodialysis generally have greater limitations on fluid intake. Talk to your doctor or dietitian about how to control fluids and feel full.
Limiting fluids will help you feel better and stay healthier. Once you are on dialysis, you will probably urinate very little or not at all. Any extra fluid must be removed through dialysis, and drinking too much fluid can lead to buildup between dialysis sessions, which will cause the following symptoms:
People on a dialysis fluid restriction diet should generally limit fluids to 32 ounces or less per day. Your doctor or dietitian will discuss your specific fluid requirements. To help you monitor your fluid intake, write down how much you are drinking or eating throughout the day. It can also help to reflect on your day to plan what and when you will eat. For example, if you have a special occasion in the evening, consume less fluids throughout the day.
Fluid intake rationale
Patients with renal failure who receive dialysis treatment should reduce fluid intake as it is a restriction of the medical condition, to make this easier we bring you some tips to control your intake.
Dialysis is one of the treatments that patients suffering from kidney failure must undergo. Overhydration in dialysis patients is a great risk to their health, controlling their intake is of vital importance to ensure a successful treatment and a better quality of life.
The exact amount of fluids that each patient should drink has to be determined by a nephrologist or nutritionist at the renal unit, as this will depend on the person’s health status, associated diseases and residual renal function. In conclusion, fluid restriction recommendations are given by a nephrologist at the monthly consultation.
Hemodialysis or peritoneal dialysis patients often experience thirst due to the restriction of the amount of fluid to be ingested per day. Although it is essential to comply with the maximum amount of fluids, this situation is often uncomfortable and difficult to cope with. For this reason, we bring you some tips for you to put into practice in your daily life: