Post Date December, 03 2023
Dear kidney friends, if you have chosen blood as an alternative treatment, will other things be ignored? Actually, it's not. You need to effectively manage your life to have a healthier body. There are many details to pay attention to in daily life. However, dietary management is particularly important, which directly affects your weight gain, blood pressure control, heart and lung functions, and the occurrence of some long-term complications.
Malnutrition.
Poor control of water and sodium.
Insufficient vitamin intake.
Poor control of calcium and phosphorus.
Therefore, dialysis kidney friends need to pay attention to nutrition supply and water and salt control in their daily life.
Why should dialysis patients undergo water and salt control?
In recent years, many studies have confirmed that water and salt overload in dialysis patients is one of the important risk factors for left ventricular hypertrophy, and is also the main cause of hypertension in dialysis patients.
If the patient's diet does not control water and salt, it will inevitably lead to the excess of intake over output, chronic water and sodium retention, and induce a series of clinical complications such as severe hypertension, edema, heart failure, etc. Therefore, maintaining a water and salt balance in hemodialysis patients - proper volume loading and potassium and sodium intake is very important.
So how do I know the capacity load? Nurse Zhang Jieting said that the judgment mainly depends on observing the patient's recent weight and blood pressure. If recent weight gain and elevated blood pressure are accompanied by edema, chest tightness, shortness of breath, dizziness, headache, and inability to lie flat at night, it indicates excessive capacity.
It is hereby specially reminded that kidney friends should weigh themselves every morning and evening, and keep records.
Body weight calculation:
Standard weight (kg)=height (cm) - 105
Actual weight: about ± 10% of the standard weight is normal weight; Less than 20% refers to emaciation; More than 20% are obese.
How do dialysis patients control their intake of water and salt?
Water intake:
Calculation method:
Intermittent peritoneal dialysis patients: 500ml+urine volume the previous day
Continuous peritoneal dialysis patients: 500ml+urine volume the previous day+total dialysis volume the previous day
Hemodialysis patient: 500ml+urine volume the previous day
If the patient still has urine, then today's water intake=yesterday's urine volume+500 milliliters. If there is no urine: today's water intake is about 500~600ml/day, including taking medicine, drinking soup, etc. (soup powder, Wonton, Congee and other high water content foods are not recommended)
Water content of common foods:
Water content: 100%: fresh milk, beverages, tea, water
More than 90% water content: Congee, soup, tofu, fresh vegetables and fruits
Water content 80% ±: yogurt, ice cream, thick Congee
Water content: 70% ±: rice, potatoes, fresh fish and shrimp, meat, eggs, dried tofu, patties
Water content 30% ±: Mantou, cake, bread, fire, noodles, cooked meat, vermicelli, Rolls of dried bean milk creams, Dim sum, dry goods (cooked).
How do dialysis patients control their water intake?
Limit liquid intake and avoid chewing gum
Eat less water rich foods. Such as: fruits, vegetables, Congee, soup, cold drinks.
Add lemon slices or mint leaves to your drink to avoid drinking strong tea or coffee.
Develop the habit of sipping water without swallowing it all at once.
When thirsty, you can put ice cubes in your mouth or rinse your mouth with ice water.
Try to take medication with liquids from meals to reduce the amount of water consumed.
Divert your attention, try to find something to do, and prefer to drink water in your spare time.
Patients with high blood sugar can also increase thirst, and blood sugar should be controlled.
Use a small graduated glass to drink water, so that you won't drink too much at once, and you can also master the total amount of water you drink every day.
