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samenvatting dieetleer urologie/nefrologie verdiepend 1

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Samenvatting van het onderdeel dieetleer urologie/nefrologie binnen de module verpleegkundig redeneren en handelen verdiepend 1 in de opleiding verpleegkunde aan de Arteveldehogeschool

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Uploaded on
November 24, 2020
Number of pages
3
Written in
2020/2021
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Summary

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Vrhv1


DIEETLEER UROLOGIE EN NEFRO
Inleiding

• Drie hoofdfuncties van de nieren
o Uitscheidingsfunctie (water-zoutbalans)
o Zuiveringsfunctie (oa. Afvalstoffen eiwitvertering ureum)
o Productie van hormonen: welke?
• à nierinsufficiëntie à klachten
o Oedeem, hypertensie
o Hyperuremie (jeuk, misselijkheid, anorexie, vermoeidheid)
• Acute vs chronische nierinsufficiëntie



Nierinsufficiëntie
• Dieet bij NI zonder niervervangende therapie
o Gericht op verminderde functies (uitscheiding)
o Complex dieet
o ¯eiwitbeperkt dieet (ureumproductie)
o ¯vochtperking afh van urineproductie
o ¯natriumbeperking indien oedemen
o ¯kaliumbeperking
o ¯fosfaatbeperking


Welke voedingsmiddelen moeten verminderd worden? Geef per dieet
de voedingsmiddelengroepen die moeten beperkt worden
• ¯ eiwitbeperkt dieet (ureumproductie)
• ¯ vochtbeperking afh van urinebperking
• Zie voorgaand


Eiwitbeperkt dieet

• ¯ afbraakproducten eiwitvertering: ureum
• ¯ minder klachten
o Licht eiwitbeperkt dieet
§ ¯ eiwitrijke voedingsmiddelen
§ ¯ Vlees (waren), vis(waren), melk(producten), ei,
peulvruchten, vleesvervangers,…
§ ­ zoet beleg en rauwkost
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