NURS 3664 Lecture Notes - Lecture 16: Peanut Butter, Dash Diet, Glycated Hemoglobin
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Hdl > 40 mg/dl(male) > 50 mg/dl(female) Serum creatinine 0. 6-1. 3 mg/dl(> 1. 2 for women; Gfr 90 ml/min or higher (< 60 sign kidneys are not working properly; < 15 high risk failure) May need calcium and vitamin d supplements. Dash diet not recommended for people on dialysis. Phosphorus (too much in blood pulls calcium from bones) Protein restricted based on degree of renal impairment; on hd requires more protein. Fluids restricted 600 ml plus the amount equal to previous day"s urine output. Caloric intake 30-35 kcal/kg; blood glucose control. High: meat, poultry, fish, chocolate, whole wheat, peanut butter, colas. Low: fresh fruit, rice milk, white breads/rice/pasta, corn/rice, light colored sodas. No salt substitutes because they contain potassium chloride. Typical 3500 4500 mg per day. Renal restricted 2000 mg per day. Don"t drink or use liquid from canned fruits, vegetables, juices cooked meat. High quality protein produces less waste for removal during dialysis (meat, poultry, fish, eggs)
