- Help control buildup of waste products and fluid in your blood
- Keep you healthy
- Avoid complications of end stage kidney disease such as
calciphylaxis (calcium deposits in soft tissues), renal bone disease,
heart disease, malnutrition
- Involves protein, sodium, fluid, phosphorus, potassium.
- High sodium intake can increase blood pressure and fluid retention
High sodium foods: salt, canned soups, processed cheese, some
canned goods, “fast foods”, pickles, olives, smoked and cured foods:
bacon, ham, luncheon meats.
- Read labels. Choose products with less than 140 mg. sodium per
serving and less than 600 mg. sodium per frozen
- If you are retaining fluids , you may need to limit liquid intake
to 6-8 cups of fluid a day. Goal is not to gain more than 3 kilograms
(or 6 pounds ) between hemodialysis treatments.
- Measure any liquid or any food that melts in your mouth like ice
cream, ice, jello, pudding, broth, coffee, tea, milk…
Excess fluid in the body causes difficulty breathing, chest pain,
edema, high blood pressure. Your dietitian can share tips on how to
control thirst and dry mouth.
- Your kidneys may not get rid of extra phosphorus at this stage of
- High levels of phosphorus weaken your bones and can cause them to
- Control phosphorus by:
- Avoid high phosphorus foods: dried beans and peas, nuts, liver and
other organ meats, cola, beer, canned salmon. Limit milk to ½ cup
and cheese to 1 ounce.
- Take phosphate binders as prescribed by your doctor. Examples
of “binders” are calcium carbonate, “Tums”, Phoslo, Renagel,
- High levels of potassium causes rapid heart beat. In serious cases,
a heart attack may occur.
Control potassium by:
- Avoid high potassium foods: bananas, orange, kiwi, greens,
broccoli, dried beans, “salt substitutes”, nuts. Soak potatoes for 4
hours or overnight. Limit tomatoes to 2 thin slices and milk to 1
- Do not skip dialysis.
If you choose PERITONEAL DIALYSIS, potassium is usually not
7. Follow a healthy
If you are diabetic, keep track of your carbohydrate intake.
Include variety of allowed foods…meat, fruit, vegetables,
- Choose “low fat foods”.
Portion control is important: 3 oz lean meat, ¾ plate
grains/starch and vegetables, and fruit.
8. Vitamins and