Question

Children with CKD should receive ____% of DRI for their age and sex for both fat and water-soluble vitamins. In children with a GFR less than 15 mL/min, ______ supplementation is indicated:

a) 50%, iron
b) 100%, calcium
c) 200%, vitamin C
d) 75%, potassium

Answer 1

Children with Chronic Kidney Disease should receive 100% of the DRI for vitamins for their age and sex. In those with a GFR less than 15 mL/min, iron supplementation at 50% is indicated to prevent anemia.

Step-by-step explanation:

Children with Chronic Kidney Disease (CKD) should receive adequate nutrition to support growth and reduce the progression of kidney disease. Supplementing with vitamins and minerals is often necessary due to the altered metabolic processes and restrictions in diet these patients may have. When considering the Dietary Reference Intakes (DRI), children with CKD should generally receive 100% DRI for their age and sex for both fat and water-soluble vitamins to prevent deficiencies that could exacerbate their condition.

For children with a Glomerular filtration rate (GFR) less than 15 mL/min, which indicates stage 5 CKD or established kidney failure, it becomes particularly important to manage mineral and vitamin supplementation. In this situation, iron supplementation is indicated to prevent anemia, a common complication in advanced kidney disease. Thus, the correct answer to the question is a) 50%, iron supplementation.