nutrition therapy: kidney disease & dialysis€¦ · nutrition therapy: kidney disease &...
TRANSCRIPT
Nutrition Therapy:
kidney disease & Dialysis
By, Lindsay K. Johnson, RD, LDClinical Registered Dietitian, BJEC
Photos used are licensed: free for commercial use and sharing via google or personal photos
What you will learn
Energy balance
What Kidney Disease Is
Risk Factors
Symptoms
What Dialysis Is
Nutrition Needs and Dialysis
Example Meals and Snacks
Kidney disease
Smaller kidney shaped organs located deep within
your upper back that help filter and clean your
blood
• With kidney disease you may have gradual loss of
kidney function, filtration and reduce urine output
• This can lead to fluid, electrolyte, and waste building
up in your blood stream
• This can make you feel ill
Risk Factors
Diabetes
High blood pressure
Heart disease
Smoking
Obesity
African American/ Native American/ Asia American
Family history of kidney disease
Abnormal kidney structure
Potential symptoms of
kidney disease
Nausea
Vomiting
Loss of appetite
Fatigue/weakness
Decreased urination
Swelling
Shortness of breath
High blood pressure
What is dialysis
Dialysis is the process of removing excess water and toxins from the blood by a machine. This
is needed when your kidneys no longer function optimally. This is determined by your Doctor
based upon the severity of your condition.
Protein and dialysis
Protein helps with muscle building, tissue repair, and fighting infections. During dialysis,
proteins are lost from your body. It is important to replenish your body by eating more
protein in your diet.
Without adequate protein, your body may start breaking down your muscle tissues in
order to get the protein that it needs. This can potentially cause fatigue, weight loss,
muscle wasting, and make you more prone to infections.
Example Protein sources
Lean cuts of meat
Eggs
Nuts/seeds
Cheese/milk
Tofu
Soy milk
Legumes/beans
General tips for kidney
disease patients
It may be helpful to limit sodium, potassium, and phosphorus in the diet.
Too much sodium can potentially affect blood pressure, increase thirst, and cause fluid
retention (edema).
Due to kidney disease, fluid intake may need to be limited.
Try to select fresh or frozen items instead packaged fast food items. If you must use
canned food items rinse with water before consumption.
High phosphorus levels may be a sign that your kidney failure is affecting your bones.
High potassium levels can potentially affect your heart.
Dairy products have potassium in them and may need to be limited to 1 small serving
per day.
Potassium in your diet
Breakfast Examples
1 egg
½ cup of oatmeal (made with water)
½ small apple (sliced on top of oatmeal)
1 slice of toast with a pat of butter and 2 tsp jelly
1 cup of coffee
1 cup of water
Lunch Example
Low sodium deli turkey on 2 slices of bread
(mustard/low fat mayo)
½ salad with onions, cucumber, lettuce, carrots, 2
tablespoon oil and vinegar dressing
½ cup fresh strawberries
1 cup of water
Dinner example
4-6 oz baked chicken breast
2/3 cup cooked pasta
½ cup cabbage
½ cup applesauce
1 cup of iced tea
1 tablespoon of olive oil for cooking/ 1/4
cup pasta sauce
Snack example
1 small low fat yogurt (fruited)
¼ cup of favorite nuts/seeds
*These examples are general menu recommendations; diet may need to be limited further according to Registered Dietitian and Physician orders.
Novasource renal dietary
supplement
Offered at BJEC
It has important protein, vitamins and minerals specifically
designed for patients with kidney disease.
This can be added to your diet order as needed
It is recommended to drink after dialysis to help you replace
lost protein and feel stronger
References
1. Mahan, L. Kathleen., Escott-Stump, Sylvia., Raymond, Janice L. Krause,
Marie V., eds. Krause’s Food & The Nutrition Care Process. St. Louis, Mo.
: Elsevier/Saunders, 2012. Print.
2. U.S. Department of Agriculture. http://www.ChooseMyPlate.gov
Website. Washington, DC.
3. Academy of Nutrition and Dietetics. Adult Nutrition Care Manual.
http://www.nutritioncaremanual.org.
Thank you!
Learn, Grow & Live Well