An In-Depth Look at Nutrition Management of an Anephric Preterm Infant

The presenters will share the case of a critically ill, anephric, preterm infant from birth to 12 months. This case provides education on different modalities of renal replacement therapy, including Carpediem^™, aquapheresis, hemodialysis, and peritoneal dialysis, which the infant in this case went through. This case reports nutrition challenges starting in the NICU and through all the transition phases, including the outpatient nephrology clinic.

In addition, information about the nutrition challenges associated with infantile end-stage kidney disease will be reviewed. These challenges include but are not limited to growth impairment, nutritional deficiencies, feeding difficulties, altered bone mineral metabolism, and electrolyte abnormalities.

CPE Level: Level 3 (advanced knowledge/expertise)
CPEU: 1.0

Performance Indicators

• 4.1.1 Demonstrates effective problem solving and professional judgment to address needs.
• 8.1.4 Integrates knowledge of macro- and micronutrients for digestion, absorption and metabolism throughout the lifespan in practice.
• 8.2.4 Integrates new knowledge of disease states and clinical conditions into practice.

Learning Objectives

• Describe different modalities of renal replacement therapy.
• Demonstrate how to optimize nutrition intake for adequate growth of an anephric preterm infant.
• Discuss the role of supplements and medications in the nutrition management of a renal patient.

Moderator

• Amy Sapsford

Speakers

• Irmalis Flores-Gonzalez
• Sydney Huesman