What is the protein recommendation for CKD Stage 5D and HIV/AIDS patients?

The protein recommendation for patients with chronic kidney disease (CKD) stage 5 on dialysis (5D) and concurrent HIV/AIDS is set at a higher level, specifically in the range of 1.4 to 2.0 grams of protein per kilogram of body weight. This higher intake is necessary due to the increased protein losses that occur during dialysis treatment, as well as the heightened protein needs associated with the catabolic state often seen in patients with HIV/AIDS. The combination of these conditions can lead to muscle wasting and malnutrition, making adequate protein intake essential to preserve lean body mass and support overall health.

Understanding the nuances of protein requirements is crucial in care management for these patients, as it balances the needs for sufficient protein to maintain body function while also considering the limitations imposed by kidney function. These recommendations are based on clinical guidelines that account for the metabolic demands placed on the body by both renal failure and the effects of HIV/AIDS.