21


Abstract

Advising Diet For DialysisPatients


Mrs Poonam Tiwari

Dietician, Dr. RMLIMS, Lucknow


During Dialysis stage, there are indeed certain precautions to be considered from diet aspect. During dialysis we have to follow diet which include balance of nutrients, especially we have to take care with amount of certain nutrients such as proteins, potassium, sodium, phosphorus and fluids so that minimal waste gets accumulated during dialysis. Fluids restrictions need to be considered because specified amount of fluid only get excreted therefore fluid should be consumed in prescribed amount. Let us discuss each nutrient in detail. To start with

Restricting phosphorus becomes quite difficult t h e reason is that the foods rich in the proteins aswell as calcium is also rich in the phosphorus therefore the phosphate binders arerecommended. During dialysis it isdifficult to

filter the refore precautions need tobe taken.

In both type of dialysis whether the peritoneal or haemodialysis the intake of fluids has to be carefully monitored. Decreased urine output is the indicator of dehydration but reflect s the deteriorating condition of the kidneys. Therefore the amount of fluid has to bedecided on the basis ofprevious dayurine outputplus the body size of the patients. Generally it is restricted to 500- lOOOml/ day. Patient must follow haemodialysis diet and restrictions of the fluid in order to prevent muscle wasting and volume overload. A good dialysis plan improves health. Nutrition is a therapeutically essential component of medical therapy. Various nutritional components of diet such as protein, fats, carbohydrates, sodium potassium, calcium, phosphorus, iron,vitamin D, andfluids are the key components while plan ning diet for dialysis patients. There are varioussocioeconomicfactorsalso involved with food which will be addressed. Regional taboos, food fads etc. will also be covered.

REFERENCES:


  1. Mahan K L, Stump E S, Raymond L J. Krause's Food & the Nutrition Care Process. Medical Nutrition Therapy for Renal Disorder. Page. No. 815-829. 13thEdition.

  2. Henrich LW Principles and Practices of D i a 1y s i s . Treatment of Anemia in Patient with End Stage of Renal Disease. Page. No. 505. 4th edition.

  3. Henrich L W Principles and Practices of Dialysis. Malnutrition and Intradialytic Parenteral Nutrition in Patient with End Stage of Renal Disease. Page. No. 473-485. 4th edition.

  4. Henrich LW Principles and Practices of D i a 1y s i s . Dyslipidemia in Dialysis Patients. Page No. 461-469. 4th edition.

  5. Nix S. Basic Nutrition and Diet Therapy. Kidney Diseases. Page. No. 434-441. 14thedition.