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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