Question

A patient with acute kidney injury (AKI) who requires parenteral nutrition support would most likely benefit from a solution containing which of the following?

1: Essential amino acids only
2: Essential amino acids with arginine only
3: Essential amino acids and nonessential amino acids
4: Essential amino acids and branched-chain amino acids

Answer 1

A patient with AKI on parenteral nutrition would benefit from a solution with essential amino acids and branched-chain amino acids to support protein synthesis while minimizing the nitrogen load on the kidneys.

Step-by-step explanation:

A patient with acute kidney injury (AKI) who requires parenteral nutrition support would most likely benefit from a solution containing essential amino acids and branched-chain amino acids. Since these patients have impaired kidney function, the use of nonessential amino acids should be minimized to reduce nitrogen load, as kidneys are responsible for excreting nitrogenous waste. By providing essential amino acids and branched-chain amino acids, we support protein synthesis without adding unnecessary metabolic burden on the kidneys.