Uraemia causes must be addressed, for example, by administering anti-emetic medications in cases of nausea and vomiting. A renal dietician will work with the rest of the team, especially the nurse, regarding an individualized diet prescription that considers the patient’s catabolic rate . Protein calorie malnutrition has been implicated as one of the contributing factors in the high mortality rate seen in AKI. Nitrogen balance is exceptionally negative, especially in
AKI this is linked with sepsis, post surgery and multiorgan dysfunction syndrome. This negative nitrogen balance is contributed by various renal factors such as uraemia, acidosis, inadequate protein intake and parathyroid hormone
abnormalities. Supplemental nutritional support with enteral versus parenteral nutrition may enhance nutritional status, reduce infections and sepsis along with producing a better survival rate in critically ill patients. Therefore, enteral feeding
is the preferred method of nutritional support