The Renal Diet
A Guide to Eating Healthier for Hemodialysis Patients
Table of Contents
Introduction Controlling Your Phosphorus Controlling Your Potassium Controlling Your Sodium Controlling Your Protein Controlling Your Fluid Intake Grocery List Suggestions Fast Food Facts for the Renal Patient Dining Out for the Dialysis Patient Smart Snacking Choices Renal Friendly Holiday Food List Cookbooks for the Kidney Patient Renal References Sources Cited Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 11 Page 16 Page 18 Page 19 Page 22 Page 24 Page 25
This information is a guide for you and your family. The purpose is to help you learn more about your health. Be sure to follow any ...view middle of the document...
In kidneys that are failing, phosphorus builds up in the blood and may cause many problems including muscle aches and pains, brittle, easily broken bones, calcification of the heart, skin, joints, and blood vessels. To keep your phosphorus levels in check, consider the following tips: 1. Limit high phosphorus foods such as: • Meats, poultry, dairy and fish (you should have 1 serving of 7-8 ounces) • Milk and other dairy products like cheese ( you should have one 4 oz. serving) 2. Avoid high phosphorus foods such as: • Lima Beans, Black Beans, Red Beans, Black-eyed Peas, White Beans, and Garbanzo Beans • Dark, whole or unrefined grains • Refrigerator doughs like Pillsbury • Dried vegetables and fruits • Chocolate • Dark colored sodas 3. Don’t forget to take your phosphate binders with meals and snacks. • Your doctor will prescribe a medication called a phosphate binder which will be some type of polymer gel or calcium medication. You need to take your phosphate binder as prescribed by your doctor. Often you will take a phosphate binder with every meal and snack. 4. Usually your diet is limited to 1000 mg of phosphorus per day.
Controlling Your Potassium
Potassium is an element that is necessary for the body to keep a normal water balance between the cells and body fluids. All foods contain some potassium, but some contain larger amounts. Normal kidney function will remove potassium through urination. Kidneys that are not functioning properly cannot remove the potassium in the urine, so it builds up in the blood. This can be very dangerous to your heart. High potassium can cause irregular heart beats and can even cause the heart to stop if the potassium levels get to high. Typically, there are no symptoms for someone with a high potassium level. If you are concerned about your potassium level, check with your doctor, and follow the tips below.
Usually a renal patient’s diet should be limited to 2000 mg of potassium each day. The following foods are high in potassium: Bananas Orange Juice Tomatoes Cantaloupe Nuts Red Beans Lima Beans Lentils Avocado Prunes Tomato Juice Tomato Puree Papaya Milk Garbanzo Beans Split peas Oranges Prune Juice Tomato Sauce Honeydew Melon Chocolate White Beans Black Beans Baked Beans
Specially Prepared Potatoes: 1. Peel and slice into 1/8 inch pieces. 2. Soak 1 cup potatoes in 5 cups of water for 2 hours. 3. Drain and rinse and drain. 4. Cook in a large amount of water. 5. Drain and mash, fry or serve plain.
Controlling Your Sodium
Sodium, or sodium chloride is an element that is used by all living creatures to regulate the water content in the body. Usually a sodium restriction comes in the form of “No Added Salt.” This is necessary because a greater intake of sodium will result in poorly controlled blood pressure and excessive thirst which can lead to difficulty adhering to the fluid restrictions in your diet. To limit your sodium, you should:
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Avoid table salt and any seasonings...