Background: Growth failure is a major problem in pediatric patients with chronic kidney disease (CKD), and onset condition in infancy is more likely to have an adverse impact on growth in children. Client History: FSR was a 10 months boy with CKD G5A3, VUR grade V and hidronefrosis bilateral and attached a catheter last two months. Assessment: Anthropometric data 6.51kg weight, 67.5cm height, nutritional status was moderate malnourished (W/H -3SD

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