SIMPLIFIED RENAL DIET

Description
The Simplified Renal Diet mildly restricts sodium, potassium, phosphorus, and fluid intake.

Indications

• patients in predialysis stage
• patients receiving hemodialysis and having difficulty adhering to the Renal Diet

Nutritional Adequacy
The diet is inadequate in calcium according to the Dietary Reference Intakes (DRIs) as outlined in the Statement on Nutritional Adequacy.

How to Order the Diet
The diet should be ordered “No Added Salt Diet (NAS) ______ cc fluid restriction, Simplified Renal Diet.”  For patients who require a renal-diabetic restriction, order “Consistent Carbohydrate, NAS Diet with ______ cc fluid restriction, Simplified Renal Diet.”

1. Limit milk and milk products to ½ cup/day.
2. Limit foods high in potassium to one serving per day.  Such foods include cantaloupe and honeydew, potatoes, prunes, oranges, orange juice, prune juice, dried beans and peas, nuts and peanut butter, chocolate, bananas, apricots, and tomatoes.  (The renal choice list may be used for guidelines of a serving.)
3. Eliminate salt substitutes and light salt.
4. If phosphorus restriction is required, limit bran cereal, whole wheat bread, nuts, and dried beans to one serving per day.
5. For protein requirements, provide 6 oz of meat or meat entree per day.  Offer an egg for breakfast at least every other day.

Bibliography
Ecklund K. Handling the dialysis diet in long-term care.  Consultant Dietitian. 1992; 17 (1): 1.

Manual of Clinical Nutrition Management                                                     
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