Certified Specialist In Renal Nutrition (CSR) Practice Exam

The energy requirement for patients with chronic kidney disease (CKD) across all stages is appropriately set at 25-35 Kcal/kg. This range accounts for the metabolic changes that occur in individuals with CKD, including increased energy needs due to the catabolic state resulting from kidney dysfunction, inflammation, and potential malnutrition.

Patients with CKD often require higher caloric intake to prevent muscle wasting and maintain overall nutritional status. It's essential to ensure that energy needs are met to support metabolic processes, given that these patients can experience alterations in energy metabolism.

This specific caloric range is designed to provide sufficient energy while accommodating for the dietary restrictions that patients may have, such as limitations on protein, sodium, potassium, and phosphorus intake. As a result, ensuring an adequate caloric supply from carbohydrates and fats becomes even more critical for these individuals to meet both their energy and nutritional needs without further exacerbating their condition.

In contrast, values outside the 25-35 Kcal/kg range would not sufficiently cater to the energy needs of CKD patients, failing to support their overall health and nutritional status effectively.