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Patient Information Fluid management for kidney disease The information contained within this diet sheet is intended to be used alongside the tailored dietary advice provided by your dietitian Author: Dietetics and Nutrition Produced and designed by the Communications Team Issue date Jan 2016 - Review date Jan 2019 - Expiry date Jul 2020 Version 2 Ref no. PILCOM1735 Fluid restriction Controlling your fluid intake is an important part of your treatment. The amount of fluid allowed differs from one person to another because it depends on the amount of urine that you pass daily. Drinking more than your daily fluid allowance on a regular basis can lead to fluid overload. This can lead to: z Shortness of breath due to fluid on the lungs (pulmonary oedema) z Leg swelling (oedema) z High blood pressure z Thickening of the heart muscle due to excess workload Rapid weight gain over a short period is due to accumulation of fluid. Exceeding your fluid allowance is likely to worsen dialysis-related symptoms. Your fluid allowance is ............................… mls/day 2 What fluids should you include in your fluid allowance? All liquids in your diet should be included in your fluid allowance. This includes water, tea, squash, juice, thin dahls, gravy from casseroles/stews, soup, lassi, thin milk puddings e.g. custard & ice cream, ice cubes, yoghurts and jelly. Other important things to consider are: z Don’t forget to include any fluid, for example milk, water, fruit juice you add to breakfast cereals z Include fluids taken with medications in your allowance 3 Helpful tips to help with fluid control z Reduce your intake of salt, salty and spicy foods z Fill a jug with the volume of the fluid you are allowed daily. When you have any fluid, remove an equal volume from the jug. This may help to keep track of the fluid allowance throughout the day z Try to drink only when you are thirsty rather than out of habit. Avoid taking drinks with meals. Save them for between meals z If you are drinking to be sociable and are choosing an alcoholic drink, remember that spirits are lower in volume than beer or lager. However, if you are going to add a mixer and ice cubes (e.g. lemonade) then this must be counted in your allowance z Try sipping your drinks through a straw to prevent you gulping them too quickly 4 z Use a smaller cup for drinking z Take tablets with meals rather than with fluids, unless the doctor tells you otherwise z Freeze ice cubes with a drop of lemon in them and suck the cubes slowly z Suck thin slices of lemon to help quench your thirst z Sugar free mints or chewing gum will help to stimulate the production of saliva z Rinse your mouth with mouthwash or iced water, or clean your teeth to freshen your mouth. Remember not to swallow the fluid z When having tinned fruit, drain away any juice/syrup 5 Useful fluid measures 1 tea cup 1 small tumbler glass 1 tbsp sauce 1 ice cube Jelly (125g portion) 1 tbsp double cream 100g (4oz) ice cream 50g custard Yoghurt (125g) Typical household measurements 180 mls 200 mls 15 mls 15 mls 100mls 15 mls 60mls 40 mls 100mls My household measurements* *You may find that the typical household measurements differ from your own portions at home. We recommend measuring the fluid content of your own household items and noting in the table above. 6 Individual goals 7 Not to be photocopied Contact details: If you require further information, please contact the Nutrition and Dietetic Department at Basildon University Hospital on 01268 593958. All dietitians employed at Basildon and Thurrock University Hospitals NHS Foundation Trust are state registered with the Health and Care Professionals Council. Basildon University Hospital Nethermayne Basildon Essex SS16 5NL 01268 524900 Minicom 01268 593190 Patient Advice and Liaison Service (PALS) 01268 394440 E [email protected] W www.basildonandthurrock.nhs.uk The Trust will not tolerate aggression, intimidation or violence directed towards its staff. This is a smokefree Trust. Smoking is not allowed in any of our hospital buildings or grounds. This information can be provided in a different language or format (for example, large print or audio version) on request.