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Sunday, December 13, 2015

Renal Diet Example for HD

Renal Diet Example for HD

1.            Diet order:
2100 calories, 84 gm prot, 2 gm Na+, 2 gm K+

3.  84 gm prot x 0.7 HBV = 59 gm HBV prot

4.          Drink milk? Yes = 4 gm
59 – 4 = 55 gm – 7 (gm/oz) = 8 oz meat/exchanges

5.          84 – 60 = 24 gms protein left
look at diet recall to determine fruit & veg:
fruit – 2(0.5) = 1 gm
veg – 2(1) = 2 gm
subtotal = 3
starch (24-3=21 gm – 2) = 11 exchanges

6.
Exchanges
#
Calories
Protein
Na+
K+
Milk
1
120
4
80
185
Meat
8
520
56
200
800
Starch
11
990
22
880
385
Veg
2
50
2
30
300
Fruit
2
140/1820
1
0
300
Fat
6
270
0
330
60
Extra
0




TOTAL

2090
85
1520
2030

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