Volume 13, Issue 7 July 2018 Inside this Issue

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Volume 13, Issue 7 July 2018 Inside this Issue Too much fluid causes: Swelling (edema) in hands, legs, ankles & feet Shortness of breath and feeling tired High blood pressure More work for your heart

Social Worker s Corner Free Clinic 6-7 Anything that melts in the sun, such as ice, popsicles, ice cream, Jell-o, gravy, soups & stews, pudding, etc Fruits & vegetables have a lot of water; however,

1 Volume 13, Issue 7 July 2018 Inside this Issue Too much fluid causes: Swelling (edema) in hands, legs, ankles & feet Shortness of breath and feeling tired High blood pressure More work for your heart (even Heart Failure) Kidney Health information 1 Product Pages: 2-3 Recipe of the Month: 4 Potassium & Fruits 5 Cramping and nausea during your dialysis treatment What Counts as Fluid? Social Worker s Corner Free Clinic 6-7 Anything that melts in the sun, such as ice, popsicles, ice cream, Jell-o, gravy, soups & stews, pudding, etc Fruits & vegetables have a lot of water; however, be sure to still enjoy as they are good for you! How Much Fluid Can I Have? Monthly Puzzle 8 Birthdays 8 Limit fluid to 6 cups per day (depending on urine output) Note: 1 cup = 8 ounces Daily total = 48 ounces = 6 cups Try to gain only 1-3 kg between each dialysis treatment Note: 1 kg = 2.2 pounds More Fluid = Longer Dialysis Treatments **Weigh yourself each morning if you re gaining a lot of weight, drink less!**

Mercy Dialysis Product Pages nutrition news

DIETITIAN RESEARCHED Better Choice: Protein:

150mg 190 mg Protein: 21g Phosphorus: 100mg

**Phosphorus is not required to be listed as

If a food naturally has phosphorus in it

and chocolate), the label may not show it.

(inorganic) then it will be listed in the

Caution to phosphorus content of bars that

and/or peanutbutter due to the high levels

However, these natural phosphorus options

2 Mercy Dialysis Product Pages nutrition news you can use! DIETITIAN RESEARCHED Better Choice: Protein: 20g 80mg Protein: 20g No added potassium Protein: 11 g Phosphorus: 65 mg 95 mg Protein: 2g No added potassium Protein: 6g 140 mg Protein: mg Protein: 2g No added potassium Protein: 20g Phosphorus: 150mg 190 mg Protein: 21g Phosphorus: 100mg 100 mg Protein: 2g No added potassium **Phosphorus is not required to be listed as a quantity on the nutrition label. If a food naturally has phosphorus in it (Organic- like protein, oats, peanutbutter, and chocolate), the label may not show it. If phosphorus is used as an added ingredient (inorganic) then it will be listed in the ingredients list on the food item. Caution to phosphorus content of bars that contain a combination of chocolate, oats, and/or peanutbutter due to the high levels of natural phosphorus. However, these natural phosphorus options are the better choice compared to something that has added phosphorus. P a g e 2 Note: Product ingredients are always changing. Please continue to read ingredient labels.

protein/serving Protein: 11 g Phosphorus: 160 mg 95 mg * >10-12mg phosphorus/g protein/serving Protein: 11 g

>10-12mg phosphorus/g protein/serving Protein: 12g 420mg Quick Tips when selecting a Protein Supplement

protein/serving Determin how much phosphorus is in something using Phosphorus %DV: 1000mg is the DV; 10%

supplements where grams of sugar are less than or equal to grams of protein Look for less fluid with more

3 Mercy Dialysis Product Pages nutrition news you can use! Avoid: DIETITIAN RESEARCHED Protein: 12g Phosphorus: 250mg No added potassium * >10-12mg phosphorus/g protein/serving Protein: 11 g Phosphorus: 160 mg 95 mg * >10-12mg phosphorus/g protein/serving Protein: 11 g Phosphorus: 160 mg 95 mg * >10-12mg phosphorus/g protein/serving Protein: 9g Phosphorus: 250mg 210mg * >10-12mg phosphorus/g protein/serving Protein: 12g 420mg Quick Tips when selecting a Protein Supplement (Powder, Bars, and Drinks)** Look on the nutrition label for: >10g of protein/serving >10-12mg phosphorus/g protein/serving Determin how much phosphorus is in something using Phosphorus %DV: 1000mg is the DV; 10% DV=100mg phosphorus <140mg sodium/serving <200mg potassium per serving (1/2cup if fluid) Look for supplements where grams of sugar are less than or equal to grams of protein Look for less fluid with more protein **Tips pertain to granola bars too they wont meet the protein and phosphorus guidelines. Note: Product ingredients are always changing. Please continue to read ingredient labels. P a g e 3

Strawberry Dream Fruit Salad Ingredients 16 oz. Cottage Cheese 2, 3oz packages Strawberry Sugar free Gelatin (watch for added phosphorus) 1, 14oz bag Sliced Frozen Unsweetened Strawberries 1 (8oz.

Sour Candy Grapes Thirst Quencher! Ingredients 1 box 3oz package of Gelatin (watch for phosphorus additives!) 3lb grapes (green grapes work best) 1 cup water *Lemon Juice (optional) Directions 1.

4 Strawberry Dream Fruit Salad Ingredients 16 oz. Cottage Cheese 2, 3oz packages Strawberry Sugar free Gelatin (watch for added phosphorus) 1, 14oz bag Sliced Frozen Unsweetened Strawberries 1 (8oz.) container Whipped Topping Directions Let frozen fruit soften. In a mixing bowl, combine gelatin, cottage cheese, whipped topping, and frozen fruit. Refrigerate until chilled and serve. Sour Candy Grapes Thirst Quencher! Ingredients 1 box 3oz package of Gelatin (watch for phosphorus additives!) 3lb grapes (green grapes work best) 1 cup water *Lemon Juice (optional) Directions 1. Wash grapes under running water (do not dry) 2. Pour gelatin into bowl and toss wet grapes in gelatin *Optional: Add extra zing! toss grapes in lemon juice prior to rolling in gelatin * Optional: try freezing the grapes Makes about 15, 1/2 cup servings Nutrient content per 1/2cup serving Calories 90.9kcal Fat 2.9g Carbohydrates 8.5g Protein 8.2g Sodium 353mg Fiber <1g Potassium 272mg Phosphorus 61.5mg Calcium 37.6mg Makes about 9, 1 cup servings Nutrient content per 1/2cup serving Calories 147 kcal Fat 0 g Carbohydrates 38 g Protein 2 g Sodium 56 mg Fiber 1.4 g Potassium 289 mg Phosphorus 45 mg P a g e 4

5 Low Potassium Fruits Less than 120mg/ 1/2 cup serving: Cherries 120 mg Rhubarb 115 mg Pineapple, raw, diced 88 mg Watermelon, diced 93 mg Plums 1 raw medium 114mg Raspberries 94 mg Blueberries, raw 65 mg Grapes, ten 105 mg Potassium restrictions or individualized. Ask your doctor or dietitian about your potassium needs. Peaches canned in heavy syrup 118mg Apricot, raw, medium 105 mg Medium Potassium Fruits mg/1/2 cup serving: Strawberries, raw/frozen 124/125 mg Blackberries 141 mg Raspberries Frozen, sweetened 143 mg Peaches canned in juice 159 mg Pineapple canned in juice/heavy syrup 153/133 mg Peaches raw, medium 171 mg High Potassium Fruits >250mg/1/2 cup serving: Bananas medium 451 mg Honeydew 1/4 medium 875 mg Cantaloupe 1/4 medium 413 mg Peaches dried 797 mg Mango 1 medium 323 mg Kiwi 1 medium 252 mg Prunes 5 large 365 mg Plantain 358 mg Nectarine 1 medium 288 mg Raisins 545 mg P a g e 5

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Word List Applesauce Biotene Fan Frozen Grapes Gum Hard Candy Lemon Wedge Measure Fluids Mist Bottle Mouthwash Plastic ice cubes Popsicle Shade Toothpaste M N E N Z E Y Y H E P L S M E I E L D P R Q

8 Word List Applesauce Biotene Fan Frozen Grapes Gum Hard Candy Lemon Wedge Measure Fluids Mist Bottle Mouthwash Plastic ice cubes Popsicle Shade Toothpaste M N E N Z E Y Y H E P L S M E I E L D P R Q C U L I E T N B S A C D P U Z H A A P O E Y H T E I A P A Z S D A O T S H O B S S R H U T V R T O N C L E O D P R M I N G H I S A L J C T E O C C N N P B H P V A B F T Q P I B E A P P F N J L T F L M C G Z S A Y D B U R R Z I E E A O T L Y S I J H S W G B C J R E E Q D F I H T T G L U G F Y H S A W H T U O M Q B N U S X L E M O N W E D G E J N M L X F F A N Y T N A S P M E David B. 3rd Cecil G. 4th Denice H. 6th Ken K. 7th Donna M. 8th Holly H. 11th Kevin L. 11th Karen D. 14th Slatko H. 16th Larry D. 17th Janet M. 20th Ricky C. 22nd Stephen Y. 28th Kelly M. 30th Patrick J. 30th Liz O. 31st Mercy Health Plaza 5264 Council St. NE Cedar Rapids, IA Mercy Medical Center th St. SE Cedar Rapids, IA Mercy Dialysis Vinton 502 N. 9 th Ave Vinton, IA Page 8

FOOD MODELS FRUIT GROUP CARD 21

APPLE 1 medium FOOD MODELS FRUIT GROUP CARD 21 0012N Copyright 2005. NATIONAL DAIRY COUNCIL, Rosemont, IL 60018-5616. All rights reserved. Printed in U.S.A. AVOCADO 1 2 medium DRIED APRICOTS 1 4 cup APPLESAUCE