fluid restricted diet alaine mills, dietetic intern 1/21/2013-1/22/2013
TRANSCRIPT
Fluid Restricted Diet
Alaine Mills, Dietetic Intern
1/21/2013-1/22/2013
What is a Fluid? A fluid is anything that is liquid or anything
that melts at room temperature.
Some foods do not necessarily seem liquid, but must be counted as part of a patient’s fluid intake since they are liquid at room temperature or have liquid as a major ingredient.
Why Does a Patient Need a Fluid Restricted Diet? For a patient who is on fluid restriction,
excessive fluid can lead to fluid overload Fluid overload causes complications, such as
swelling shortness of breath congestive heart failure fluid in the lungs fluid in the abdominal area
Diet Orders Common diet orders you may see a fluid
restriction with:
Renal Diet
Cardiac Mediterranean Diet
Traditional Examples of Fluids Water Milk Coffee Tea: Hot and Iced Juice Soda Lemonade Nutritional supplements, such as Boost®
Other Examples of Fluids Ice cubes Soup Gelatin and Jell-O® Ice cream Sherbet Sorbet Freezer pops/Popsicles
Exceptions These foods contain water, but not a
significant amount and should not be counted as a part of a patient’s fluid restriction Pudding Oatmeal Grits Fruits Vegetables Custards
Planning the diet A patient’s fluid restriction should be broken down into
milliliters (mL’s) per tray
If a fluid restriction is in place, but the amount per tray is not specified, clarify with the nurse before providing the patient’s tray Ask if it is total fluid or free water
Foods that are liquid at room temperature should be counted by milliliters (mL’s)
Fluid is usually ordered in the form of cubic centimeters or “CC’s”
1 mL is equal to 1 cc
Conversions Milliliters can be converted from ounces
or cups as follows: 30 ml = 1 fl oz 120 ml = 4 fl oz or ½ cup 180 ml = 6 fl oz or ¾ cup 240 ml = 8 fl oz or 1 cup 960 ml = 32 fl oz or 1 qt
Fluids in the Regular Diet
Amount of Fluid in Commonly Served Items Small bottled water: 8 oz or 240ml Tea (in small clear cup): 8 oz or 240ml Pre-thickened water cup: 4oz or 120ml Apple, Orange, Prune Juice in cup: 4 oz or
120ml Milk Carton (skim, 1%, 2%, chocolate and
whole): 8 oz or 240ml Coffee in black mug: 8 oz or 240ml
Nutritional Supplements
Nutritional Supplements Some items have less free water than other fluids,
because of other ingredients. Boost Plus, Boost Glucose Control, Resource
Breeze, Resource Diabetishield ~200ml
Novasource Renal 170ml
Fluid Content of Foods
Fluid Content of Foods These foods should be counted as a part of the
allowed fluid for the day
Soup (6 oz) in black bowl: 150ml Jello (2 ½ Oz) in dessert dish: 100ml Ice cream/Sherbet (4 oz): 95ml Popsicles (whole) : 80ml Pre-thickened water cups (4oz): 120ml
What is a Free Water Restriction? A free water restrictions means patients can
have all fluids EXCEPT WATER.
All other fluids can be served as usual