MEDICAL NUTRITIONAL THERAPY IN INGUINAL SQUAMOUS CELL CARCINOMA AND CARDIORENAL SYNDROME UNDERGOING HEMODIALYSIS : A CASE REPORT Kurnia Agustina Sitompul 1*, Diyah Eka Andayani 2
1 Klinik Panacea, Balikpapan
2 Departemen Ilmu Gizi, Fakultas Kedokteran Universitas Indonesia, Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo, Jakarta
Abstract
Malignancy can lead to kidney and heart disorder through number of mechanisms. Severe disturbance of renal function requires kidney replacement therapy such as hemodialysis. All this process induce protein energy wasting condition that reduce quality of life. A 51-year old male patient, diagnosed acute on chronic kidney disease on hemodialysis, obstructive nephropathy, inguinal squamous cell carcinoma, deep vein thrombosis, history of congestive heart failure fc III. Patient underwent nutritional therapy by giving energy and protein starting from 20 kcal/kgBW/day and 0.9 g/kgBW. The administration of protein is adjusted on dialysis status and urea level. Protein intake > 1 g/kgBW result in increasing the urea level of patient. Nutritional therapy is needed to support the quality of life improvement, reduce length of stay and prevent further malnutrition.
