POINTS TO REMEMBER:-

• Calorie intake should be adequate in order to prevent tissue loss and also for protein build up. About 40-50cal/kg per day are sufficient.


• At least 50% of prescribed protein should be of high biological value and should be distributed in all the meals for better utilisation.


• Vegetables and pulses should be taken after leaching potassium.


• Low potassium fruits should be eaten once or twice a week.


• Salt should be restricted in case of oedema.


• Fluids should be restricted to the prescribed amounts.


• Spices and condiments should be used in small quantities.


• Foods high in sodium and potassium should be avoided.


• Rice products are much better tolerated than wheat. Therefore give rice flakes, items prepared out of rice flour, rice porridge, sago porridge, sago vada, sago khichdi, maida, arrowroot, sugar, boiled sweets, unsalted butter, unsalted margarine could be used. These foods have a very low content of sodium, potassium and protein but provide energy.


• Fruit juices, preservatives should be avoided.


• Methods that should be adopted for cooking are steaming, roasting, pressure cooking, stir frying, microwaving.


• Fruits recommended for patients are guava, apple, pineapple, papaya, pear.

20gm protein diet for a child weighing 20kg.Weight of the child approx 20kg Protein (1gm/kg) = 20gms

Meal	Menu
Breakfast 8:00am	Milk-100ml (cows milk) 2 medium sized idli/ 1 small dosa/ I katori vegetable noodles/ 1 katori upma/ 2 khakras (made from rice flour)
Midmorning 10:30am	2 small aloo tikkis* /2 sago vadas / 1 vegetable cutlet
Lunch 12:30pm	1 katori rice /1 chappati ½ katori vegetable (group 1) ½ katori potato* 75ml curds
Teatime 4:30pm	Milk-100ml / buttermilk 1 glass (100ml curds) 2 spinach puris*/1 katori rice upma /1 katori russian salad*/ 1 katori doodhi halwa or Fruit custard or Same as midmorning snack
Dinner 8:00pm	Same as lunch

*only after leaching potassium

Daily Allowance:-
Sugar-75gms
0il-40gms
milk-200ml
potato-100gms
vegetable (group1)-100-150gms
Sago (sabudana)-100gms

Nutritive value of the above meal:-
Calories-1300 cal
Protein-21-22gms
Potassium-140mg
Sodium-140mg

30 gms protein diet

Weight of the patient approx 25 kg
Protein (1.2gm/kg) = 30gms

Meal	Menu
Breakfast 8:00am	Milk-100ml 2 idlis/ 2 rice bhakris /1 chappati + ½ katori potato vegetable
Midmorning 10:30am	2 small aloo tikkis* /2 sago vadas / 1 vegetable cutlet
Lunch 12:30pm	1 ½ katori rice/ 2 chappatis Paneer (30gms)/ 1 egg /1 katori dal Vegetable-(group 1) -1/2 katori Potato- ½ katori
Teatime 4:30pm	Milk-100ml 1 katori sago khichdi/ 2 spinach puris*/1 katori rice upma /1 katori russian salad*/ 1 katori doodhi halwa/ 1 1/2 katori rice flakes(poha) chiwda-roasted. /2 dry khakras
Dinner 8:00pm	Same as lunch (except dal, egg, paneer)

*only after leaching potassium

Daily Allowance:-
Milk- 200ml
1 Egg or paneer-30gms
Sugar-75gms
0il-40gms
Potato-100gms
Vegetable (group1)-100-150gms
Sago (sabudana)-100gms

Nutritive value of the above meal:-
Calories-2000 cal
Protein-31-32gms
Potassium-1200mg
Sodium- 180mg

Last created on 23-02-2001
Last updated on 24-04-2007