Düsing R, Kramer H J
Infusionsther Klin Ernahr. 1975 Dec;2(6):433-7.
Body electrolyte and water balance as well as elimination of toxic metabolites depend on intact renal function. Acute azotemia of either prerenal, renal, or postreanal origin requires adequate fluid and electrolyte theraphy. Based on physiological regulation of protein metabolism and nitrogen balance parenteral nutrition of uremic patients with stable renal function is described. Sufficient caloric supplementation is required. Parenteral treatment to improve nitrogen balance in these patients is achieved by infusion of essential amino acids including histidine. The possible therapeutic value of keto-analogs is suggested by recent studies.