PHOSPHORUS AND DIALYSIS

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WHY IS IT IMPORTANT TO MONITOR YOUR PHOSPHORUS? Healthy kidneys excrete phosphorus from your body. But phosphorus builds up in the blood when kidneys fail, which causes calcium to come out of the bones. This then makes your bones brittle and susceptible to osteoporosis. Additionally, the extra calcium and phosphorus in the blood can build up in blood vessels and your heart, causing them to clog and be damaged. It is very important to limit your phosphorus intake as you wouldn t want other organs to fail as well. If you have any questions or concerns with phosphorus or your diet, please contact your doctor or dietitian. PHOSPHORUS AND DIALYSIS You may also visit www.kidney.org

Foods with Low Phosphorus Low is less than 70 mg Apple 1 medium 15 Plain Bagel 3.5 60 Banana 1 medium 26 P White 1 slice 46 Bread Sprite Soda 8 oz 0 Fruit Loops 1 cup 24 Light Vanilla Ice Cream Iceburg Lettuce Oils (peanut, vegetable, canola, olive) ½ cup 65 1 cup 11 1 T 0 Foods with Medium Phosphorus Medium is between 70 and 120 mg Food Item Black 1 cup 241 Beans Chocolate 2 square 95 Cake Broccoli 1 cup 105 Honey 1 cup 86 Nut Cheerios Shrimp 6 large 98 Eggs 1 medium 87 French Toast Frozen Yogurt 1 slice 76 ½ cup 100 Peanuts 1 oz 101 Green Peas Bacon 1 cup 114 3 medium slices P 101 Foods with High Phosphorus High is above 120 mg, eat sparingly P Black 1 cup 241 Beans Frosted 1 cup 156 Mini- Wheats Cheddar 1 oz 145 Cheese Chicken 3 oz 194 Breast Cooked 1 cup 134 Corn Cod 3 oz 221 Lentils 1 cup 356 Low-fat Milk 1 cup 228 Almonds 1 oz 136 White Rice 1 cup 283

WHY IS IT IMPORTANT TO MONITOR YOUR POTASSIUM? Healthy kidneys excrete potassium from your blood. When your kidneys fail, dialysis and your diet work together to balance your potassium levels. Potassium helps muscles and nerves work properly. It is important to get the right amount of potassium because if you have too much or too little, your muscles will become weak. It may even effect your heart and breathing. POTASSIUM AND DIALYSIS If you have any questions or concerns with potassium or your diet, please contact your doctor or dietitian. You may also visit www.kidney.org

Foods with Low Potassium Low is less than 150 mg K Avacado 1 oz 144 Vanilla ice ½ cup 137 cream Walnuts 1 oz 125 Honey nut 1 cup 123 cheerios White rice 1 cup 98 Egg 1 large 98 Shrimp 3 oz 68 Croissant 1 medium 58 Black tea 6 oz 66 Provolone cheese 1 oz 39 Foods with Medium Potassium Medium is between 150 and 300 mg Food Item Salmon 3 oz 292 Raisin 1 cup 290 Bran Pistachio 1 oz 282 Pancakes 2 each 251 Chocolate ½ cup 247 pudding Onions 1 cup 234 Beef 3 oz 226 Watermelon 1 cup 175 Wild rice 1 cup 166 Chocolate cake Orange juice 2 serving 173 ½ cup 172 K Foods with High Potassium High is above 300 mg, eat sparingly K Raisins 1 cup 1086 Potatoes 1 cup 1000 Lentils 1 cup 731 Chocolate 16 oz 666 milkshake Plain 8 oz 531 yogurt Clam 1 cup 445 chowder Low-fat 1 cup 382 milk Turkey 1 cup 417 Red grapes 1 cup 306 Coconut 1 cup 313

WHY IS IT IMPORTANT TO MONITOR YOUR SODIUM CONTENT? The primary role of sodium in the body is to maintain normal fluid balance, which is done by the kidneys. Food usually contains more sodium than the body needs, and too much can be harmful for people with chronic kidney disease. Sodium causes fluid to build up in your body and leads to many problems like raising blood pressure, swelling, and putting a strain on your heart and kidneys. SODIUM AND DIALYSIS If you have any questions or concerns with sodium or your diet, please contact your doctor or dietitian. You may also visit www.kidney.org

Foods with Low Sodium Low is less than 100 mg Egg 1 large 95 Na Peanut 1 T 90 butter Carrots 1 cup 76 Peanut 1-2 66 butter cookie Mustard 1 t 57 Swiss 1 oz 54 cheese Plums 1 cup 49 Saltine crackers Margarine Potato chips Marshmallows 1 cup 40 Roast beef 3 oz 42 Broccoli 1 cup 29 Foods with Medium Sodium Medium is between 100 and 250 mg Food Item Provolone 1 oz 248 Blueberry 1 medium 199 muffin Pistachio 1 oz 185 Ketchup 1 T 175 Chocolate 4 oz 172 pudding Olives 5 large 162 Shrimp 6 large 166 Wheat bread 1 slice 141 4 each 132 1 T 112 1 oz 110 Na Foods with High Sodium High is above 250 mg, eat sparingly Na Table salt 1 tsp 2325 Deli ham 3 oz 1028 Soy sauce 1 T 902 Snack Pretzels Kidney beans, canned Turkey roast Chicken noodle soup, canned Corn muffin 10 each 814 1 cup 655 3 oz 578 1 cup 567 1 medium 365 Pumpkin 2 square 344 pie Bagel 3.5 313

Sample Renal Diet Meal Calories Protein (g) Sodium (mg) Potassium Phosphorus Fluid (ml) (mg) (mg) Breakfast Cinnamon raisin 4.5 358 13 567 194 131 0 bagel Scrambled egg 1 large 91 6 88 81 101 0 Sausage link 2-2 in 103 4 209 49 28 0 Cream cheese 1 T 50 1 47 20 15 0 Butter, unsalted 1 T 102 0 2 3 3 3 Apple 1 small 78 0 1 159 16 0 Snack Red grapes 1 cup 104 1 3 288 30 0 Cottage cheese ½ cup 81 14 15 87 151 0 Lunch White bread 2 slice 133 5 246 58 52 0 Chicken breast, low 3 oz 128 25 49 152 51 0 sodium Iceberg lettuce ¼ cup 3 0 2 25 3.6 0 Tomato 1 oz 5 0 1 67 7 0 Mayonnaise, light 1 T 50 0 95 8 9 8 Milk, 1% ½ cup 51 4 54 183 116 110 Snack Popcorn, popped 1.5 cup 46 2 1 39 43 0 Marshmallows 5 large 114 1 29 1.8 2.88 0 Butter, unsalted 2 T 204 0 3 7 7 5 Dinner Roast beef 4 oz 192 32 43 270 208 0 Celery, sliced 4 long 0 0 2 5 0 0 Carrot, sliced ¼ cup 13 0 22 102 12 0 Onion, sliced ¼ cup 16 0 2 58 12 0 Potatoes, cubed ¼ large 38 1 5 236 31 0 Butter, unsalted 2 T 204 0 3 7 7 5 Wheat roll 2.5 96 3 144 98 81 0 Applesauce ½ cup 84 0 2 92 7 101 Snack Chocolate Cake 2 square 249 2 223 173 88 0 TOTALS 2592 115 1857 2474 1211 232 + 1000 free H20