John is a 5’5’’ male gentleman age 42 who recently was diagnosed with acute rena

Question

John is a 5’5’’ male gentleman age 42 who recently was diagnosed with acute renal failure. Doctor placed him on an 1800 Kcal, 45 gm. protein, and 1500ml Fluids diet. His weight at check in was 165lbs but his chart showed his weight 2 months prior to be 155 lbs.,

1. What are the patient’s caloric needs, Protein, Fat, and any other calculations (BMI, % weight change, UBW, % involuntary weight loss, % UBW) necessary to determine patient’s needs

2.Write a menu for each diet, taking into account patient disease state, and also color, texture and aesthetics

3.what are the RDA’s and AMDR’s are met for specific nutrients (CHO, Fat& Sat Fat, fiber, cholesterol, protein, Ca, Na,) and any other nutrient pertinent to the patient’s care

Explanation / Answer

Renal failure can be described as a condition in which the kidneys do not function as effectively as they are supposed to.According to patiients height and age the diet he should avoid are proteins such as eggs,dairy products,milk,cheese,yoghurt .Potassium rich diet such as bananas, avocado, pears, raisins, potatoes ,broccoli etc.Sodium rich diet such as table salt,chips,commercial sauces.

Foods to eat:to reduce the patients weight

according to the calculation of patients height and weight his body mass index(BMI)i.e 27.5 represents overweight for which he should reduce his calorie intake by following a perfect diet plan given by the physician.1390 calories per day to to lose 1lb per week.

Recommended dietary individuals RDA is the daily dietary intake level of a nutrient considered sufficient by the food and nutrition board. The definition implies that the intake level would cause a harmful nutrient deficiency in just 2.5%. It is calculated based on estimated average requirements. Acceptable macro nutrient distribution ranges is a range of intake specified as a percentage of total energy intake. Used for sources of energy such as fats and carbohydrates

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