Example case 01 · 62 years · Hemodialysis
Avery Brooks
Potassium rose across two dated entries
Visit baseline
Seated BP: 138/78 mmHg · Current weight: 70 kg · Edema: Mild ankle edema (example observation)
Blood test trend
Fictional patient-entered values · illustrative case range 3.5–5 mmol/L
Potassium trend, fictional example
Latest 5.5 mmol/L on Nov 7. 2 of 4 results outside the illustrative range of 3.5 to 5 mmol/L. Up 0.9 mmol/L since Oct 12.
| Date | Value | Status |
|---|---|---|
| Oct 12 | 4.6 mmol/L | Within range |
| Oct 21 | 4.8 mmol/L | Within range |
| Nov 1 | 5.2 mmol/L | Above range |
| Nov 7 | 5.5 mmol/L | Above range |
Two recent entries sit above this example range. Confirm the sample dates and report source, then review medicines, treatment context and portion details with the care team. A trend alone does not establish a dietary cause.
Today’s logged intake
Above illustrative care-plan limit
Above illustrative care-plan limit
Limits belong to this invented care plan only. Missing entries are not zero intake. Dietary milligrams and blood-test concentrations are separate measurements.
Nutrition review: protein needs by treatment
Hemodialysis · Example target 1–1.2 g/kg/day
Recorded-day average: 1.1 g/kg/day over 12 of 14 days, using the example current weight of 70 kg. Missing days are excluded; this is not a complete intake assessment.
Non-dialysis CKD: a supervised 0.6–0.8 g/kg/day plan may reduce nitrogenous waste and help slow renal function decline. Adequate energy intake and nutritional monitoring are essential to avoid malnutrition.
Dialysis/ESRD on dialysis: 1.0–1.2 g/kg/day helps prevent protein-energy wasting and compensate for amino acids lost during dialysis.
These are educational ranges, not universal prescriptions. KDIGO generally recommends 0.8 g/kg/day in CKD G3–G5. KDOQI uses 0.6–0.8 with diabetes, and 0.55–0.60 without diabetes, for metabolically stable adults under close supervision. Individualize for frailty, acute illness, appetite and nutritional status; adequate calories and monitoring are essential. ESRD without dialysis does not automatically imply the dialysis protein range. Compare recorded intake with the individualized plan, energy intake, weight changes and appetite.
Review evidence, not assumptions
Logged days
18 / 30
Days containing example entries. A blank day might reflect missing data, not missed meals or poor adherence.
Next conversation
Ask which portions, drinks and label values are missing. Reconcile dated blood results before drawing conclusions about food choices.
Assigned reviewer
This changes the fictional caseload only, not account permissions.