Kidney disorders nutrition

The ACGIH recommended maximum time-weighted average concentration in the workplace atmosphere for eight-hour daily exposure is 10 ppm. OSHA has set the permissible exposure level at 2 ppm. It maybe desirable to exclude alcohoHcs, persons with chronic disorders of the Hver, kidneys, and central nervous system, and those with nutritional deficiencies from working with chloroform. 

Erythropoietin stimulates erythroid proliferation and differentiation by interacting with specific erythropoietin receptors on red cell progenitors. It also induces release of reticulocytes from the bone marrow. Endogenous erythropoietin is produced by the kidney in response to tissue hypoxia. When anemia occurs, more erythropoietin is produced by the kidney, signaling the bone marrow to produce more red blood cells. This results in correction of the anemia provided that bone marrow response is not impaired by red cell nutritional deficiency (especially iron deficiency), primary bone marrow disorders (see below), or bone marrow suppression from drugs or chronic diseases. 

The normative lithium requirement of humans is assessed at < 100 tg per day, as all German test subjects of both genders took in between < 100 and > 3500 tg Li per day without showing deficiency symptoms, even at the lowest intake amounts (Anke etal. 1995, 1997b). However, deficiency symptoms may occur in dialysis patients, in kidney failure and in parenteral nutrition. Based on intake data in different countries, Schrauzer (2002) suggested a provisional recommended dietary allowance (RDA) of 1 mg Li per day for a 70-kg adult. Compared with the above intake data, therapeutic effectiveness in the treatment of manic-depressive disorders is achieved at doses of 140 to 280 mg Li per day - about 100 to 300 times higher than RDA (Schou... 

Diets designed to treat a disetise or metabolic disorder. They are diets adapted or modified to meet special needs of specific diseases. Some common examples of diseases requiring therapeutic or modified diets are diabetes mellitus, phenylketonuria, kidney disetises, and galactosemia. Depending upon the disorder, these diets may be modified in eneigy content, in consistency or bulk, or in the kinds and amounts of nutrients such as vitamins, minerals, fats, proteins, or fluids. Despite the modification, the therapeutic diet should remain nutritionally adequate. 

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