Jacqueline Swarbrick

Renal Diet

1. Create three handouts for a dialysis patient, one handout for each nutrient listed
below (P, K+, Na+). For each nutrient, provide at least 30 foods and include
foods from five groups (animal protein, fruits, vegetables, dairy, and bread/
grains) when possible. But sure to include foods in each range (low, med, high)
of nutrients.  Include a serving size and how mgs/serving for each food.  Explain
what the nutrient does in the body and why it needs to be controlled in dialysis. 
Add color and pictures.  Make it attractive and reader friendly.

Phosphorus
Low Medium High
Rice Krispies Cereal Peanut butter 2 tbsp Milk 1c = 240mg
1c = 28mg = 120mg

During Dialysis Chocolate 1 ounce = Deli turkey 1 oz = Tuna 1c = 214mg

60mg 83mg

Banana 1 = 26mg Almonds 2 tbsp = Cheese cheddar 1oz

Phosphorus is a mineral in the body
88mg = 145mg
that helps control calcium levels in
Beets- 1 = 33mg Onion 1c = 74mg Cottage cheese 1c =
the blood. In CKD your body has a 368mg
hard time removing excess Cabbage 1c = Egg 1 = 99mg Yogurt 1c = 327mg
phosphorus, which can then cause 27mg
more calcium to be pulled out of Eggplant 1c = 20mg Potato 1c = 86mg Ground turkey 1c =
bones and weaken bone, as well and 320mg

raising calcium levels in the blood. Spinach 1c = 15mg Corn 1c = 126mg

During dialysis some of Watermelon 1c = Oatmeal 1c = 187mg

17mg
the phosphorus is able to
Cucumber 1c =
be removed. To help
25mg
prevent increased levels
Apricot 1 = 8mg
of phosphorus in
Bell pepper 1c =
between treatments a low 30mg
phosphorus diet can Bread 1 slice = 27mg
help.
Pretzel 1c = 51mg

Carrots 1c = 45mg

Pear 1 med = 20mg

 Sodium Low Medium High

During Dialysis Tuna 3 oz = 43mg Beef steak 251g

= 146mg
Ham 1c = 1684mg

Grapes 1c = 2mg Waffle 7” = Salsa 100g =

Sodium is an electrolyte in the body, it helps 383mg 430mg

control fluids going in and out of cells as well Zucchini 1 Milk 1% 1c = French Fries 117g
= 251

as out of the body. During CKD your kidneys

medium = 16mg 107mg

Pinto beans 100g Bread 1slice = Beef Jerky 1oz =

have a harder time removing sodium and too = 51mg 147mg

590mg

much sodium can cause edema and increase Brown rice 1c = Chicken 1c = Tomato Soup 1c =
471
10mg 115mg
blood pressure, which can then damage Kale 1c = 25mg Jello 1c = Tortilla chips 1c =

kidneys more. During dialysis a low sodium

539mg
202mg

diet will help reduce the fluctuations of blood

Yogurt 170g = Ice cream,

61mg vanilla 1c =

pressure between dialysis treatments, 106mg

helping you feel better. Egg 1 = 62mg Hummus 1/4c =

233mg

Pineapple 1c = Cracker 5
medium = 120mg
2mg

Biscuit 1 medium Pudding 1/2c =

139mg
= 81mg

Broccoli 1c = Oatmeal 1c =
115mg
30mg

Mozzarella 1oz =
4mg
 Low Medium High
Potassium Apple 1 medium =
148k
Spinach 1c = 167mg Banana 1 = 422mg

During Dialysis Blueberry 1c = Kiwi 1 = 215mg Avocado 1c = 708mg

114mg

Cream Cheese Bell Pepper 1medium = Chicken 1c = 312mg

Potassium is an electrolyte in the 1tbsp = 20mg 208mg
body, it helps with muscle function Pancake 6” = Tofu 1/2c = 150mg Lentils 1c = 731mg
and to control fluids levels in the 102mg
body. During CKD the kidneys are Bread 1slice = Cherry 1c = 268mg Whole Milk 1c =
not able to remove the extra 35mg 322mg
potassium in the body. In between Oatmeal 1c = Tuna 3oz = 275mg Potato 1 small =
dialysis treatments potassium levels 143mg 897mg
can get high, and cause nausea and Cheddar Cheese Sour Cream 1tbsp = Salmon 3oz = 365mg
weakness. To help decrease these 1oz = 27mg 17mg
potential problems a low potassium Egg 1 = 63mg Yogurt 1c = 436mg
diet can help. Bacon 1 slice = Carrot 1c = 410mg
45mg

Popcorn 1oz = Sweet Potato 1c =

78mg 448mg

Corn Tortilla 24g = Orange 1c = 326mg

45mg

Butternut Squash 1c =
493mg

2. Write a sample diet that would provide 2,600 kcals (within 25), a minimum of 105
grams of protein (50% HBV), 2,000 mg Na+ (cannot exceed), 2,500 mg K+ (cannot
exceed), 1,300 mg P (cannot exceed), and 1,500 ml fluid (fluid is anything liquid at
room temperature). Type up a separate menu showing the nutrient content for each
food item.
Food Serving Kcals Pro P K (mg) Na (mg) Water
Size (g) (mg) (mL)

Breakfast

Scrambled 2 eggs 182 12 201 161 177 0

Eggs

Cream Cheese 1Tbsp 51 1 15 19 45 0

Toast 1 slice 174 6 67 74 385 0

Butter, 1 Tsp 33 0 1 1 1 0
unsalted

Blueberries 1 cup 63 1 13 85 1 0

Snack

Peanut Butter 1Tbsp 95 3 53 89 68 0

Apple 1/4 apple 23 0 5 48 0 0

Lunch

Lettuce 2 cups 20 1 28 203 14 0

Snap Peas 1/4 cup 6 0 8 31 0 0

Parmesan 2 Tbsp 56 5 100 13 7 0

Cheese

Chicken Thighs 3.7 126 20 194 253 99 0

ounces

Caesar 1Tbsp 79 0 2 4 177 5

Dressing

Olive Oil 2 Tbsp 238 0 0 0 0 0

Raspberries 1/2 cup 31 0 17 92 0 0

Pound Cake 1 slice 163 2 46 39 139 0

Whipped 1Tbsp 51 0 1 14 4 1
Cream
 Food Serving Kcals Pro P K (mg) Na (mg) Water
Size (g) (mg) (mL)

Dinner

Pasta 2 cups 391 14 143 109 2 0

Pesto 1/4 cup 259 3 80 125 608 0

Cream 2 Tbsp 102 0 17 26 6 1

Ground Beef 4 ounces 308 30 256 430 103 0

Green Beans 1/2 cup 21 1 18 91 1 0

Olive Oil 1Tbsp 119 0 0 0 0 0

WATER 1490mL 1490

throughout the
day

Total 2600 106 1281 1917 1846 1497

3. Analyze your sample diet on ESHA to be sure you’ve met the restrictions. Turn in the
ESHAspreadsheet with your assignment.  If a nutrient is not in ESHA (represented by a
dash in the spreadsheet), then look it up in the Food Values book or on the internet and
add it to the separate spreadsheet.  The spreadsheet should show the nutrient
composition for the above nutrients (in #2) for each food.