Phosphorus Calcium Potassium ProteinSodium &

Fluid

$100 $100 $100 $100 $100

$200 $200 $200 $200 $200

$300 $300 $300 $300 $300

$400 $400 $400 $400 $400

$500 $500 $500 $500 $500

What is the good range for phosphorus?

3.0-5.5 mg/dL

Which of the following food groups are high in phosphorus?

A. Peaches, potatoes, tomatoesB. Rice, white bread, bagelsC. Nuts, cheese, seedsD. Pretzels, blueberries, cream cheese

C. Nuts, cheese, seeds

A. ItchingB. Red eyesC. CalcificationD. All of the above

What are some effects of high phosphorus levels?

D. All of the Above

What other mineral does phosphorus bind to in the blood?

Calcium

What are the 3 things that you can do to help control phosphorus levels?

1. Follow the diet guidelines2. Take phosphate binders as prescribed3. Come to all treatments and stay the

entire time

What is the good range for calcium?

8.4 – 10.2 mg/dL

(True/False) If I take my calcium containing phosphate binder too early/

between meals/or too far after my meal it becomes a calcium supplement.

True

Name one milk alternative that is acceptable for someone on dialysis.

Almond Milk (unenriched)Rice Milk (unenriched)

Non-dairy creamer

What happens when a calcium level is high?

Leads to calcification or a hardening of soft tissues including the

heart, lungs, and blood vessels.

What are some sources of calcium other than food?

Using calcium containing medication (tums, rolaids, bayer women’s aspirin), taking

calcium supplement or Vitamin D supplement containing calcium, taking vitamin (non-renal) containing calcium,

taking calcium containing binders too soon before or too long after meals, taking

calcium containing binders at times other than with meals/snacks, using nutrition

supplements with significant calcium content, low phosphorus levels (<3.0 mg/dL)

What is the good range for potassium?

3.5-5.5 mg/dL

(True/False) A high potassium levelcan lead to a heart attack.

True

Which of the following food groups are high in potassium?

A. Crackers, cream cheese, meatB. potatoes, tomatoes, bananas, orangeC. Bread, rice, pastaD. All of the above

Potatoes, Tomatoes, Bananas, Oranges

(True/False) Most salt substitutes andlower sodium foods

have added potassium.

True

What is the process for leeching potatoes?

This method reduces potassium content by approximately 50%

1.Peel, thinly slice and rinse potatoes2.Cover with water (twice as much as

potatoes) and bring to a boil3.Remove from heat and pour off water4.Replace with fresh water and cook until

tender5.Drain and use as desired

What lab measures protein intake?

Albumin

Which types of foods are the best source of protein?

Meats (chicken, turkey, fish, beef, eggs, etc.)

Name one way adequate protein levelshelp your body?

1.Fight infection

2.Build and repair body tissues

3.Helps with wound healing

4.Keeps you healthier and out of the hospital

5.Gives you more energy

What is the desirable level for your albumin?

Greater than or equal to 4.0 mg/dL

How often should you eat protein?

Eat protein with all meals to help maintain adequate protein levels.

What happens when too much fluid weight is gained between treatments?

Shortness of breath, difficulty getting around, in severe cases

congestive heart failure

How many 8 ounce cups of fluid are most people on dialysis

allowed Per day?

Four (8 ounce) cups or 32 ounces/1 Quart

What are some ways to help control fluid intake?

Chew gum or suck on hard candySpray mouth with cold mouthwashEat less sodium to help control thirstDrink only when truly thirstySip, don’t gulp.Use small cupsAvoid activities that cause you to

become overheated and extra thirsty.Avoid the heat of the day

What is the daily sodium limit for most people on dialysis?

2000 milligrams

One teaspoon of salt equals howmany milligrams of sodium?

2300 milligrams