CND PDF
CND PDF
CND PDF
National Kidney Foundation. K/DOQI clinical practice guidelines for nutrition in chronic
renal failure. Am J Kidney Dis 2000;35(suppl);S27-S86.
Eat small meals regularly.
Source: Byham-Gray, Wiesen, eds. A Clinical Guide to Nutrition Care in Kidney Disease.
ADA, 2004
CKD Hemodialysis CAPD or CCPD
Protein 0.6-1.0 1.1-1.4 1.2-1.5
g/kg/day
Energy 30-35 30-35 30-35
(kcal/kg IBW)
Phosphorus 8-12 indiv <17 indiv <17 indiv
(mg/kg IBW)
Sodium 1000-3000 2000-3000 2000-4000
(mg/d)
Potassium Individualized ~ 40 Individualized
(mg/kg IBW)
Fluid Unrestricted 500-750 + Individualized
(ml/d) urine output
(1000 if anuric)
Calcium Individualized Individualized Individualized
(mg/d) based on serum level ~1000 mg/day ~1000 mg/day
Food Groups Kcal CHO g. PRO g. FAT g. Na mg. K+ mg. PO4 mg.
Meat 65 0 7 4 25 100 65
Starch 80 15 2 1 80 35 35
Vegetable 25 5 1 0 15 150 20
Calorie 60 15 0 0 15 20 5
Boosters
Beverages: 0 0 0 0 0 100 0
Coffee (1c.)
tea (1 bag)
wine (4 oz.)
beer (12 oz.)
Reduces nitrogenous waste
Reduces inorganic ions
Reduces metabolic/ clinical disturbance
(uremia)
Slows rate of decline in GFR
0.75 grams per kg/day for CKD stages 1 thru 3
0.6 grams per kg/day for CKD stages 4, 5
50% of the dietary protein should be HBV
HBV protein produces less nitrogenous waste
45 to 60 grams protein per day
No Protein Restriction for Dialysis Patients
▪ 1.2 g per kg/day hemodialysis
▪ 10-12 grams lost per HD treatment
▪ 1.3 g per kg/day peritoneal dialysis
▪ 5-15 grams lost per PD treatment
Carbohydrate Protein Fat
Food 4 kcals/g 4 kcals/g 9 kcals/g
3 oz
1 cup
&
½ cup
¼ cup
1 oz
1 oz meat, poultry, fish = 7 g
¼ cup tuna
½ cup beans, peas, or lentils
2 Tablespoons peanut butter
2 egg whites = 7 g
1 cup milk = 8 g
1 oz cheese
1/3 cup cottage cheese
1 cup veg = 2 g
1 slice bread = 3 g
½ cup rice or pasta
½ cup cereal
Fruit, fats, sugars = 0
Milk
Cheese
Beans
Peanut butter
Potassium is a mineral needed by the body to
make your muscles and cells work.