The Hemodialysis Diet Versus The Peritoneal Dialysis Diet
By Maria Karalis, MBA, RD, LD

http://www.aakp.org/print-version/dsp_library_art.cfm?art=163

Nutrition is an important part of your dialysis treatment plan whether you are on hemodialysis (HD) or peritoneal dialysis (PD). To give forth your best in all aspects of your lifestyle, you need to make an effort to maintain yourself by eating enough of the right kinds of foods or less restricted foods.........

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Fluids

Healthy kidneys maintain fluid balance and prevent swelling in feet, ankles, legs, hands or face. When the kidneys lose their ability to get rid of extra fluid, excess water can raise blood pressure, cause strain on the heart and make it hard to breathe.

The fluid allowance for HD is determined by the amount of urine produced in a 24-hour period. Most people are limited to 700-1000 ml of fluid per day plus urine output. For example, if you urinate 500 cc, your total daily fluid allowance would be 1200 cc (500 + 700)......

Hemodialysis Peritoneal Dialysis

Protein Based on needs Based on needs; protein needs higher than HD

Calories Based on needs Based on needs; focus is on less sweets/fats to

prevent unwanted weight gain from dextrose

in dialysate

Potassium Limited Not usually limited

Phosphorus Limited Limited

Sodium Limited Limited

Fluid Limited Limited but can be more liberal than HD

Janice M. Isbell
www.janiceisbell.com

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