Taking Care of Your Kidneys

Roseville amp Sacramento Medical Centers

Health Education Department ndash Nutrition Services

Agenda Slide

The functions of the kidneys

Explaining chronic kidney disease

Protecting your kidneys

Your diet

Resources

2 November 7 2016

What are the functions of the kidneys

Clean the blood Remove extra fluid Keep your body in balance Responsible for making red blood cells

Controls blood pressure

3 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Measurements of kidney function

Creatinine By-product of MUSCLE metabolism

Normal lt13 Male lt11 Female

Diagram provided by the National Kidney Disease Education Program (NKDEP)

GFR (Glomerular Filtration Rate)

4 November 7 2016

What causes CKD

Hypertension Diabetes Chronic infectioninflammation

Blockage Heredity Autoimmune disease Some drugs and toxins

5 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Keep your blood pressure in control

Blood pressure goal 13085 (if diabetes the goal is 12075)

Take your medications Moderate alcohol Increase activity Stop smoking Lose weight if needed Low sodium diet (below 2300mg sodiumday)

6 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Control your blood sugar

Prevent spilling of blood sugar into your urine Ask your doctor about your hemoglobin A1C goal

ndash Take your medications ndash Follow nutrition guidelines ndash Please take advantage of our many classes and resources

7 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Keep current on your immunizations

8 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

Avoid Nephrotoxic drugs

NSAIDS- nonsteroidal anti-inflammatory ndash Ibuprofen (Motrin Advil) ndash Naproxen (Aleve)

Check with our doctorpharmacist about your medications Contrast (with X-ray)

9 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

A kidney protective diet

Protein Potassium Sodium Phosphorus Fluids

10 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein

Avoid overconsumption Focus on plant sources of protein

11 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

How much protein do you really need

Depends on body size and stage of growth Recommended intake for adults is 08 gram per kilogram of ideal weight (0365 grams per lb) Minimum is 10 of total calories Athletes may need slightly more (10g kg or 045g lb)

For example 5rsquo10rdquo man 170 lbs needs 62 g proteinday 5rsquo4rdquo woman 125 lbs needs 45 g proteinday

12 November 7 2016

Protein- example of portion

1 deck of cards = 3 oz of chicken fish lamb beef pork etc (This example is equal to 21 grams of protein)

A 3-ounce serving of cooked meat is the same size and thickness as a deck of playing cards (2 12 x 3 12 inches x 12 inch thick)

13 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein examples Buckwheat 1 cup 23 g Seitan (wheat gluten) 1 oz 21 g Tempeh frac12 cup 20 g Tofu firm frac12 cup 20 g Soy nuts roasted frac14 cup 19 g Meatless burger 1 patty 4-18 g Chlorella (seaweed) 1 oz 16 g TVP dry 14 cup 12 g Brewerrsquos yeast 1 oz 11 g Soy milk 1 cup 10 g Hemp seeds 1 oz 10 g Lentils frac12 cup 9 g Amaranth 1 cup 9 g Quinoa cooked 1 cup 8 g

14 November 7 2016

Peanut butter 2 T 8 g Edamame frac12 cup 8 g Split peas frac12 cup 8 g Sprouted lentils raw 1 cup 7 g Beans frac12 cup 7 g Walnuts 1 oz 7 g Couscous cooked 1 cup 6 g Hummus frac12 cup 6 g Peanuts other nuts 1 oz 5-6 g Sunflower seeds 1 oz 6 g Brown rice cooked 1 cup 5 g Chia seeds 1 oz 4 g Spirulina (seaweed) dry 1 T 4 g

What is sodium

Sodium is a mineral that can make your blood pressure go up or down

READ YOUR FOOD LABELS ndash Avoid foods with too much sodium ndash Avoid salt substitutes ndash Use fresh and dried herbs

Goal lt2300mgday DASH diet may not be wise

15 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is potassium Potassium is a mineral that helps muscles and nerves work the right way

Elevated blood potassium levels are dangerous ndash Try to keep your potassium below 50

Medications can affect your blood potassium levels Even if your blood potassium is within normal levels now this may change A list of high potassium foods is available upon request

16 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Agenda Slide

The functions of the kidneys

Explaining chronic kidney disease

Protecting your kidneys

Your diet

Resources

2 November 7 2016

What are the functions of the kidneys

Clean the blood Remove extra fluid Keep your body in balance Responsible for making red blood cells

Controls blood pressure

3 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Measurements of kidney function

Creatinine By-product of MUSCLE metabolism

Normal lt13 Male lt11 Female

Diagram provided by the National Kidney Disease Education Program (NKDEP)

GFR (Glomerular Filtration Rate)

4 November 7 2016

What causes CKD

Hypertension Diabetes Chronic infectioninflammation

Blockage Heredity Autoimmune disease Some drugs and toxins

5 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Keep your blood pressure in control

Blood pressure goal 13085 (if diabetes the goal is 12075)

Take your medications Moderate alcohol Increase activity Stop smoking Lose weight if needed Low sodium diet (below 2300mg sodiumday)

6 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Control your blood sugar

Prevent spilling of blood sugar into your urine Ask your doctor about your hemoglobin A1C goal

ndash Take your medications ndash Follow nutrition guidelines ndash Please take advantage of our many classes and resources

7 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Keep current on your immunizations

8 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

Avoid Nephrotoxic drugs

NSAIDS- nonsteroidal anti-inflammatory ndash Ibuprofen (Motrin Advil) ndash Naproxen (Aleve)

Check with our doctorpharmacist about your medications Contrast (with X-ray)

9 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

A kidney protective diet

Protein Potassium Sodium Phosphorus Fluids

10 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein

Avoid overconsumption Focus on plant sources of protein

11 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

How much protein do you really need

Depends on body size and stage of growth Recommended intake for adults is 08 gram per kilogram of ideal weight (0365 grams per lb) Minimum is 10 of total calories Athletes may need slightly more (10g kg or 045g lb)

For example 5rsquo10rdquo man 170 lbs needs 62 g proteinday 5rsquo4rdquo woman 125 lbs needs 45 g proteinday

12 November 7 2016

Protein- example of portion

1 deck of cards = 3 oz of chicken fish lamb beef pork etc (This example is equal to 21 grams of protein)

A 3-ounce serving of cooked meat is the same size and thickness as a deck of playing cards (2 12 x 3 12 inches x 12 inch thick)

13 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein examples Buckwheat 1 cup 23 g Seitan (wheat gluten) 1 oz 21 g Tempeh frac12 cup 20 g Tofu firm frac12 cup 20 g Soy nuts roasted frac14 cup 19 g Meatless burger 1 patty 4-18 g Chlorella (seaweed) 1 oz 16 g TVP dry 14 cup 12 g Brewerrsquos yeast 1 oz 11 g Soy milk 1 cup 10 g Hemp seeds 1 oz 10 g Lentils frac12 cup 9 g Amaranth 1 cup 9 g Quinoa cooked 1 cup 8 g

14 November 7 2016

Peanut butter 2 T 8 g Edamame frac12 cup 8 g Split peas frac12 cup 8 g Sprouted lentils raw 1 cup 7 g Beans frac12 cup 7 g Walnuts 1 oz 7 g Couscous cooked 1 cup 6 g Hummus frac12 cup 6 g Peanuts other nuts 1 oz 5-6 g Sunflower seeds 1 oz 6 g Brown rice cooked 1 cup 5 g Chia seeds 1 oz 4 g Spirulina (seaweed) dry 1 T 4 g

What is sodium

Sodium is a mineral that can make your blood pressure go up or down

READ YOUR FOOD LABELS ndash Avoid foods with too much sodium ndash Avoid salt substitutes ndash Use fresh and dried herbs

Goal lt2300mgday DASH diet may not be wise

15 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is potassium Potassium is a mineral that helps muscles and nerves work the right way

Elevated blood potassium levels are dangerous ndash Try to keep your potassium below 50

Medications can affect your blood potassium levels Even if your blood potassium is within normal levels now this may change A list of high potassium foods is available upon request

16 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What are the functions of the kidneys

Clean the blood Remove extra fluid Keep your body in balance Responsible for making red blood cells

Controls blood pressure

3 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Measurements of kidney function

Creatinine By-product of MUSCLE metabolism

Normal lt13 Male lt11 Female

Diagram provided by the National Kidney Disease Education Program (NKDEP)

GFR (Glomerular Filtration Rate)

4 November 7 2016

What causes CKD

Hypertension Diabetes Chronic infectioninflammation

Blockage Heredity Autoimmune disease Some drugs and toxins

5 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Keep your blood pressure in control

Blood pressure goal 13085 (if diabetes the goal is 12075)

Take your medications Moderate alcohol Increase activity Stop smoking Lose weight if needed Low sodium diet (below 2300mg sodiumday)

6 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Control your blood sugar

Prevent spilling of blood sugar into your urine Ask your doctor about your hemoglobin A1C goal

ndash Take your medications ndash Follow nutrition guidelines ndash Please take advantage of our many classes and resources

7 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Keep current on your immunizations

8 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

Avoid Nephrotoxic drugs

NSAIDS- nonsteroidal anti-inflammatory ndash Ibuprofen (Motrin Advil) ndash Naproxen (Aleve)

Check with our doctorpharmacist about your medications Contrast (with X-ray)

9 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

A kidney protective diet

Protein Potassium Sodium Phosphorus Fluids

10 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein

Avoid overconsumption Focus on plant sources of protein

11 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

How much protein do you really need

Depends on body size and stage of growth Recommended intake for adults is 08 gram per kilogram of ideal weight (0365 grams per lb) Minimum is 10 of total calories Athletes may need slightly more (10g kg or 045g lb)

For example 5rsquo10rdquo man 170 lbs needs 62 g proteinday 5rsquo4rdquo woman 125 lbs needs 45 g proteinday

12 November 7 2016

Protein- example of portion

1 deck of cards = 3 oz of chicken fish lamb beef pork etc (This example is equal to 21 grams of protein)

A 3-ounce serving of cooked meat is the same size and thickness as a deck of playing cards (2 12 x 3 12 inches x 12 inch thick)

13 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein examples Buckwheat 1 cup 23 g Seitan (wheat gluten) 1 oz 21 g Tempeh frac12 cup 20 g Tofu firm frac12 cup 20 g Soy nuts roasted frac14 cup 19 g Meatless burger 1 patty 4-18 g Chlorella (seaweed) 1 oz 16 g TVP dry 14 cup 12 g Brewerrsquos yeast 1 oz 11 g Soy milk 1 cup 10 g Hemp seeds 1 oz 10 g Lentils frac12 cup 9 g Amaranth 1 cup 9 g Quinoa cooked 1 cup 8 g

14 November 7 2016

Peanut butter 2 T 8 g Edamame frac12 cup 8 g Split peas frac12 cup 8 g Sprouted lentils raw 1 cup 7 g Beans frac12 cup 7 g Walnuts 1 oz 7 g Couscous cooked 1 cup 6 g Hummus frac12 cup 6 g Peanuts other nuts 1 oz 5-6 g Sunflower seeds 1 oz 6 g Brown rice cooked 1 cup 5 g Chia seeds 1 oz 4 g Spirulina (seaweed) dry 1 T 4 g

What is sodium

Sodium is a mineral that can make your blood pressure go up or down

READ YOUR FOOD LABELS ndash Avoid foods with too much sodium ndash Avoid salt substitutes ndash Use fresh and dried herbs

Goal lt2300mgday DASH diet may not be wise

15 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is potassium Potassium is a mineral that helps muscles and nerves work the right way

Elevated blood potassium levels are dangerous ndash Try to keep your potassium below 50

Medications can affect your blood potassium levels Even if your blood potassium is within normal levels now this may change A list of high potassium foods is available upon request

16 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Measurements of kidney function

Creatinine By-product of MUSCLE metabolism

Normal lt13 Male lt11 Female

Diagram provided by the National Kidney Disease Education Program (NKDEP)

GFR (Glomerular Filtration Rate)

4 November 7 2016

What causes CKD

Hypertension Diabetes Chronic infectioninflammation

Blockage Heredity Autoimmune disease Some drugs and toxins

5 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Keep your blood pressure in control

Blood pressure goal 13085 (if diabetes the goal is 12075)

Take your medications Moderate alcohol Increase activity Stop smoking Lose weight if needed Low sodium diet (below 2300mg sodiumday)

6 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Control your blood sugar

Prevent spilling of blood sugar into your urine Ask your doctor about your hemoglobin A1C goal

ndash Take your medications ndash Follow nutrition guidelines ndash Please take advantage of our many classes and resources

7 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Keep current on your immunizations

8 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

Avoid Nephrotoxic drugs

NSAIDS- nonsteroidal anti-inflammatory ndash Ibuprofen (Motrin Advil) ndash Naproxen (Aleve)

Check with our doctorpharmacist about your medications Contrast (with X-ray)

9 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

A kidney protective diet

Protein Potassium Sodium Phosphorus Fluids

10 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein

Avoid overconsumption Focus on plant sources of protein

11 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

How much protein do you really need

Depends on body size and stage of growth Recommended intake for adults is 08 gram per kilogram of ideal weight (0365 grams per lb) Minimum is 10 of total calories Athletes may need slightly more (10g kg or 045g lb)

For example 5rsquo10rdquo man 170 lbs needs 62 g proteinday 5rsquo4rdquo woman 125 lbs needs 45 g proteinday

12 November 7 2016

Protein- example of portion

1 deck of cards = 3 oz of chicken fish lamb beef pork etc (This example is equal to 21 grams of protein)

A 3-ounce serving of cooked meat is the same size and thickness as a deck of playing cards (2 12 x 3 12 inches x 12 inch thick)

13 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein examples Buckwheat 1 cup 23 g Seitan (wheat gluten) 1 oz 21 g Tempeh frac12 cup 20 g Tofu firm frac12 cup 20 g Soy nuts roasted frac14 cup 19 g Meatless burger 1 patty 4-18 g Chlorella (seaweed) 1 oz 16 g TVP dry 14 cup 12 g Brewerrsquos yeast 1 oz 11 g Soy milk 1 cup 10 g Hemp seeds 1 oz 10 g Lentils frac12 cup 9 g Amaranth 1 cup 9 g Quinoa cooked 1 cup 8 g

14 November 7 2016

Peanut butter 2 T 8 g Edamame frac12 cup 8 g Split peas frac12 cup 8 g Sprouted lentils raw 1 cup 7 g Beans frac12 cup 7 g Walnuts 1 oz 7 g Couscous cooked 1 cup 6 g Hummus frac12 cup 6 g Peanuts other nuts 1 oz 5-6 g Sunflower seeds 1 oz 6 g Brown rice cooked 1 cup 5 g Chia seeds 1 oz 4 g Spirulina (seaweed) dry 1 T 4 g

What is sodium

Sodium is a mineral that can make your blood pressure go up or down

READ YOUR FOOD LABELS ndash Avoid foods with too much sodium ndash Avoid salt substitutes ndash Use fresh and dried herbs

Goal lt2300mgday DASH diet may not be wise

15 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is potassium Potassium is a mineral that helps muscles and nerves work the right way

Elevated blood potassium levels are dangerous ndash Try to keep your potassium below 50

Medications can affect your blood potassium levels Even if your blood potassium is within normal levels now this may change A list of high potassium foods is available upon request

16 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What causes CKD

Hypertension Diabetes Chronic infectioninflammation

Blockage Heredity Autoimmune disease Some drugs and toxins

5 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Keep your blood pressure in control

Blood pressure goal 13085 (if diabetes the goal is 12075)

Take your medications Moderate alcohol Increase activity Stop smoking Lose weight if needed Low sodium diet (below 2300mg sodiumday)

6 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Control your blood sugar

Prevent spilling of blood sugar into your urine Ask your doctor about your hemoglobin A1C goal

ndash Take your medications ndash Follow nutrition guidelines ndash Please take advantage of our many classes and resources

7 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Keep current on your immunizations

8 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

Avoid Nephrotoxic drugs

NSAIDS- nonsteroidal anti-inflammatory ndash Ibuprofen (Motrin Advil) ndash Naproxen (Aleve)

Check with our doctorpharmacist about your medications Contrast (with X-ray)

9 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

A kidney protective diet

Protein Potassium Sodium Phosphorus Fluids

10 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein

Avoid overconsumption Focus on plant sources of protein

11 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

How much protein do you really need

Depends on body size and stage of growth Recommended intake for adults is 08 gram per kilogram of ideal weight (0365 grams per lb) Minimum is 10 of total calories Athletes may need slightly more (10g kg or 045g lb)

For example 5rsquo10rdquo man 170 lbs needs 62 g proteinday 5rsquo4rdquo woman 125 lbs needs 45 g proteinday

12 November 7 2016

Protein- example of portion

1 deck of cards = 3 oz of chicken fish lamb beef pork etc (This example is equal to 21 grams of protein)

A 3-ounce serving of cooked meat is the same size and thickness as a deck of playing cards (2 12 x 3 12 inches x 12 inch thick)

13 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein examples Buckwheat 1 cup 23 g Seitan (wheat gluten) 1 oz 21 g Tempeh frac12 cup 20 g Tofu firm frac12 cup 20 g Soy nuts roasted frac14 cup 19 g Meatless burger 1 patty 4-18 g Chlorella (seaweed) 1 oz 16 g TVP dry 14 cup 12 g Brewerrsquos yeast 1 oz 11 g Soy milk 1 cup 10 g Hemp seeds 1 oz 10 g Lentils frac12 cup 9 g Amaranth 1 cup 9 g Quinoa cooked 1 cup 8 g

14 November 7 2016

Peanut butter 2 T 8 g Edamame frac12 cup 8 g Split peas frac12 cup 8 g Sprouted lentils raw 1 cup 7 g Beans frac12 cup 7 g Walnuts 1 oz 7 g Couscous cooked 1 cup 6 g Hummus frac12 cup 6 g Peanuts other nuts 1 oz 5-6 g Sunflower seeds 1 oz 6 g Brown rice cooked 1 cup 5 g Chia seeds 1 oz 4 g Spirulina (seaweed) dry 1 T 4 g

What is sodium

Sodium is a mineral that can make your blood pressure go up or down

READ YOUR FOOD LABELS ndash Avoid foods with too much sodium ndash Avoid salt substitutes ndash Use fresh and dried herbs

Goal lt2300mgday DASH diet may not be wise

15 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is potassium Potassium is a mineral that helps muscles and nerves work the right way

Elevated blood potassium levels are dangerous ndash Try to keep your potassium below 50

Medications can affect your blood potassium levels Even if your blood potassium is within normal levels now this may change A list of high potassium foods is available upon request

16 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Keep your blood pressure in control

Blood pressure goal 13085 (if diabetes the goal is 12075)

Take your medications Moderate alcohol Increase activity Stop smoking Lose weight if needed Low sodium diet (below 2300mg sodiumday)

6 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Control your blood sugar

Prevent spilling of blood sugar into your urine Ask your doctor about your hemoglobin A1C goal

ndash Take your medications ndash Follow nutrition guidelines ndash Please take advantage of our many classes and resources

7 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Keep current on your immunizations

8 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

Avoid Nephrotoxic drugs

NSAIDS- nonsteroidal anti-inflammatory ndash Ibuprofen (Motrin Advil) ndash Naproxen (Aleve)

Check with our doctorpharmacist about your medications Contrast (with X-ray)

9 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

A kidney protective diet

Protein Potassium Sodium Phosphorus Fluids

10 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein

Avoid overconsumption Focus on plant sources of protein

11 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

How much protein do you really need

Depends on body size and stage of growth Recommended intake for adults is 08 gram per kilogram of ideal weight (0365 grams per lb) Minimum is 10 of total calories Athletes may need slightly more (10g kg or 045g lb)

For example 5rsquo10rdquo man 170 lbs needs 62 g proteinday 5rsquo4rdquo woman 125 lbs needs 45 g proteinday

12 November 7 2016

Protein- example of portion

1 deck of cards = 3 oz of chicken fish lamb beef pork etc (This example is equal to 21 grams of protein)

A 3-ounce serving of cooked meat is the same size and thickness as a deck of playing cards (2 12 x 3 12 inches x 12 inch thick)

13 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein examples Buckwheat 1 cup 23 g Seitan (wheat gluten) 1 oz 21 g Tempeh frac12 cup 20 g Tofu firm frac12 cup 20 g Soy nuts roasted frac14 cup 19 g Meatless burger 1 patty 4-18 g Chlorella (seaweed) 1 oz 16 g TVP dry 14 cup 12 g Brewerrsquos yeast 1 oz 11 g Soy milk 1 cup 10 g Hemp seeds 1 oz 10 g Lentils frac12 cup 9 g Amaranth 1 cup 9 g Quinoa cooked 1 cup 8 g

14 November 7 2016

Peanut butter 2 T 8 g Edamame frac12 cup 8 g Split peas frac12 cup 8 g Sprouted lentils raw 1 cup 7 g Beans frac12 cup 7 g Walnuts 1 oz 7 g Couscous cooked 1 cup 6 g Hummus frac12 cup 6 g Peanuts other nuts 1 oz 5-6 g Sunflower seeds 1 oz 6 g Brown rice cooked 1 cup 5 g Chia seeds 1 oz 4 g Spirulina (seaweed) dry 1 T 4 g

What is sodium

Sodium is a mineral that can make your blood pressure go up or down

READ YOUR FOOD LABELS ndash Avoid foods with too much sodium ndash Avoid salt substitutes ndash Use fresh and dried herbs

Goal lt2300mgday DASH diet may not be wise

15 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is potassium Potassium is a mineral that helps muscles and nerves work the right way

Elevated blood potassium levels are dangerous ndash Try to keep your potassium below 50

Medications can affect your blood potassium levels Even if your blood potassium is within normal levels now this may change A list of high potassium foods is available upon request

16 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Control your blood sugar

Prevent spilling of blood sugar into your urine Ask your doctor about your hemoglobin A1C goal

ndash Take your medications ndash Follow nutrition guidelines ndash Please take advantage of our many classes and resources

7 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Keep current on your immunizations

8 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

Avoid Nephrotoxic drugs

NSAIDS- nonsteroidal anti-inflammatory ndash Ibuprofen (Motrin Advil) ndash Naproxen (Aleve)

Check with our doctorpharmacist about your medications Contrast (with X-ray)

9 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

A kidney protective diet

Protein Potassium Sodium Phosphorus Fluids

10 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein

Avoid overconsumption Focus on plant sources of protein

11 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

How much protein do you really need

Depends on body size and stage of growth Recommended intake for adults is 08 gram per kilogram of ideal weight (0365 grams per lb) Minimum is 10 of total calories Athletes may need slightly more (10g kg or 045g lb)

For example 5rsquo10rdquo man 170 lbs needs 62 g proteinday 5rsquo4rdquo woman 125 lbs needs 45 g proteinday

12 November 7 2016

Protein- example of portion

1 deck of cards = 3 oz of chicken fish lamb beef pork etc (This example is equal to 21 grams of protein)

A 3-ounce serving of cooked meat is the same size and thickness as a deck of playing cards (2 12 x 3 12 inches x 12 inch thick)

13 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein examples Buckwheat 1 cup 23 g Seitan (wheat gluten) 1 oz 21 g Tempeh frac12 cup 20 g Tofu firm frac12 cup 20 g Soy nuts roasted frac14 cup 19 g Meatless burger 1 patty 4-18 g Chlorella (seaweed) 1 oz 16 g TVP dry 14 cup 12 g Brewerrsquos yeast 1 oz 11 g Soy milk 1 cup 10 g Hemp seeds 1 oz 10 g Lentils frac12 cup 9 g Amaranth 1 cup 9 g Quinoa cooked 1 cup 8 g

14 November 7 2016

Peanut butter 2 T 8 g Edamame frac12 cup 8 g Split peas frac12 cup 8 g Sprouted lentils raw 1 cup 7 g Beans frac12 cup 7 g Walnuts 1 oz 7 g Couscous cooked 1 cup 6 g Hummus frac12 cup 6 g Peanuts other nuts 1 oz 5-6 g Sunflower seeds 1 oz 6 g Brown rice cooked 1 cup 5 g Chia seeds 1 oz 4 g Spirulina (seaweed) dry 1 T 4 g

What is sodium

Sodium is a mineral that can make your blood pressure go up or down

READ YOUR FOOD LABELS ndash Avoid foods with too much sodium ndash Avoid salt substitutes ndash Use fresh and dried herbs

Goal lt2300mgday DASH diet may not be wise

15 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is potassium Potassium is a mineral that helps muscles and nerves work the right way

Elevated blood potassium levels are dangerous ndash Try to keep your potassium below 50

Medications can affect your blood potassium levels Even if your blood potassium is within normal levels now this may change A list of high potassium foods is available upon request

16 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Keep current on your immunizations

8 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

Avoid Nephrotoxic drugs

NSAIDS- nonsteroidal anti-inflammatory ndash Ibuprofen (Motrin Advil) ndash Naproxen (Aleve)

Check with our doctorpharmacist about your medications Contrast (with X-ray)

9 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

A kidney protective diet

Protein Potassium Sodium Phosphorus Fluids

10 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein

Avoid overconsumption Focus on plant sources of protein

11 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

How much protein do you really need

Depends on body size and stage of growth Recommended intake for adults is 08 gram per kilogram of ideal weight (0365 grams per lb) Minimum is 10 of total calories Athletes may need slightly more (10g kg or 045g lb)

For example 5rsquo10rdquo man 170 lbs needs 62 g proteinday 5rsquo4rdquo woman 125 lbs needs 45 g proteinday

12 November 7 2016

Protein- example of portion

1 deck of cards = 3 oz of chicken fish lamb beef pork etc (This example is equal to 21 grams of protein)

A 3-ounce serving of cooked meat is the same size and thickness as a deck of playing cards (2 12 x 3 12 inches x 12 inch thick)

13 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein examples Buckwheat 1 cup 23 g Seitan (wheat gluten) 1 oz 21 g Tempeh frac12 cup 20 g Tofu firm frac12 cup 20 g Soy nuts roasted frac14 cup 19 g Meatless burger 1 patty 4-18 g Chlorella (seaweed) 1 oz 16 g TVP dry 14 cup 12 g Brewerrsquos yeast 1 oz 11 g Soy milk 1 cup 10 g Hemp seeds 1 oz 10 g Lentils frac12 cup 9 g Amaranth 1 cup 9 g Quinoa cooked 1 cup 8 g

14 November 7 2016

Peanut butter 2 T 8 g Edamame frac12 cup 8 g Split peas frac12 cup 8 g Sprouted lentils raw 1 cup 7 g Beans frac12 cup 7 g Walnuts 1 oz 7 g Couscous cooked 1 cup 6 g Hummus frac12 cup 6 g Peanuts other nuts 1 oz 5-6 g Sunflower seeds 1 oz 6 g Brown rice cooked 1 cup 5 g Chia seeds 1 oz 4 g Spirulina (seaweed) dry 1 T 4 g

What is sodium

Sodium is a mineral that can make your blood pressure go up or down

READ YOUR FOOD LABELS ndash Avoid foods with too much sodium ndash Avoid salt substitutes ndash Use fresh and dried herbs

Goal lt2300mgday DASH diet may not be wise

15 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is potassium Potassium is a mineral that helps muscles and nerves work the right way

Elevated blood potassium levels are dangerous ndash Try to keep your potassium below 50

Medications can affect your blood potassium levels Even if your blood potassium is within normal levels now this may change A list of high potassium foods is available upon request

16 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Avoid Nephrotoxic drugs

NSAIDS- nonsteroidal anti-inflammatory ndash Ibuprofen (Motrin Advil) ndash Naproxen (Aleve)

Check with our doctorpharmacist about your medications Contrast (with X-ray)

9 November 7 2016 | copy Kaiser Permanente 2010-2011 All Rights Reserved

A kidney protective diet

Protein Potassium Sodium Phosphorus Fluids

10 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein

Avoid overconsumption Focus on plant sources of protein

11 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

How much protein do you really need

Depends on body size and stage of growth Recommended intake for adults is 08 gram per kilogram of ideal weight (0365 grams per lb) Minimum is 10 of total calories Athletes may need slightly more (10g kg or 045g lb)

For example 5rsquo10rdquo man 170 lbs needs 62 g proteinday 5rsquo4rdquo woman 125 lbs needs 45 g proteinday

12 November 7 2016

Protein- example of portion

1 deck of cards = 3 oz of chicken fish lamb beef pork etc (This example is equal to 21 grams of protein)

A 3-ounce serving of cooked meat is the same size and thickness as a deck of playing cards (2 12 x 3 12 inches x 12 inch thick)

13 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein examples Buckwheat 1 cup 23 g Seitan (wheat gluten) 1 oz 21 g Tempeh frac12 cup 20 g Tofu firm frac12 cup 20 g Soy nuts roasted frac14 cup 19 g Meatless burger 1 patty 4-18 g Chlorella (seaweed) 1 oz 16 g TVP dry 14 cup 12 g Brewerrsquos yeast 1 oz 11 g Soy milk 1 cup 10 g Hemp seeds 1 oz 10 g Lentils frac12 cup 9 g Amaranth 1 cup 9 g Quinoa cooked 1 cup 8 g

14 November 7 2016

Peanut butter 2 T 8 g Edamame frac12 cup 8 g Split peas frac12 cup 8 g Sprouted lentils raw 1 cup 7 g Beans frac12 cup 7 g Walnuts 1 oz 7 g Couscous cooked 1 cup 6 g Hummus frac12 cup 6 g Peanuts other nuts 1 oz 5-6 g Sunflower seeds 1 oz 6 g Brown rice cooked 1 cup 5 g Chia seeds 1 oz 4 g Spirulina (seaweed) dry 1 T 4 g

What is sodium

Sodium is a mineral that can make your blood pressure go up or down

READ YOUR FOOD LABELS ndash Avoid foods with too much sodium ndash Avoid salt substitutes ndash Use fresh and dried herbs

Goal lt2300mgday DASH diet may not be wise

15 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is potassium Potassium is a mineral that helps muscles and nerves work the right way

Elevated blood potassium levels are dangerous ndash Try to keep your potassium below 50

Medications can affect your blood potassium levels Even if your blood potassium is within normal levels now this may change A list of high potassium foods is available upon request

16 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

A kidney protective diet

Protein Potassium Sodium Phosphorus Fluids

10 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein

Avoid overconsumption Focus on plant sources of protein

11 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

How much protein do you really need

Depends on body size and stage of growth Recommended intake for adults is 08 gram per kilogram of ideal weight (0365 grams per lb) Minimum is 10 of total calories Athletes may need slightly more (10g kg or 045g lb)

For example 5rsquo10rdquo man 170 lbs needs 62 g proteinday 5rsquo4rdquo woman 125 lbs needs 45 g proteinday

12 November 7 2016

Protein- example of portion

1 deck of cards = 3 oz of chicken fish lamb beef pork etc (This example is equal to 21 grams of protein)

A 3-ounce serving of cooked meat is the same size and thickness as a deck of playing cards (2 12 x 3 12 inches x 12 inch thick)

13 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein examples Buckwheat 1 cup 23 g Seitan (wheat gluten) 1 oz 21 g Tempeh frac12 cup 20 g Tofu firm frac12 cup 20 g Soy nuts roasted frac14 cup 19 g Meatless burger 1 patty 4-18 g Chlorella (seaweed) 1 oz 16 g TVP dry 14 cup 12 g Brewerrsquos yeast 1 oz 11 g Soy milk 1 cup 10 g Hemp seeds 1 oz 10 g Lentils frac12 cup 9 g Amaranth 1 cup 9 g Quinoa cooked 1 cup 8 g

14 November 7 2016

Peanut butter 2 T 8 g Edamame frac12 cup 8 g Split peas frac12 cup 8 g Sprouted lentils raw 1 cup 7 g Beans frac12 cup 7 g Walnuts 1 oz 7 g Couscous cooked 1 cup 6 g Hummus frac12 cup 6 g Peanuts other nuts 1 oz 5-6 g Sunflower seeds 1 oz 6 g Brown rice cooked 1 cup 5 g Chia seeds 1 oz 4 g Spirulina (seaweed) dry 1 T 4 g

What is sodium

Sodium is a mineral that can make your blood pressure go up or down

READ YOUR FOOD LABELS ndash Avoid foods with too much sodium ndash Avoid salt substitutes ndash Use fresh and dried herbs

Goal lt2300mgday DASH diet may not be wise

15 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is potassium Potassium is a mineral that helps muscles and nerves work the right way

Elevated blood potassium levels are dangerous ndash Try to keep your potassium below 50

Medications can affect your blood potassium levels Even if your blood potassium is within normal levels now this may change A list of high potassium foods is available upon request

16 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein

Avoid overconsumption Focus on plant sources of protein

11 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

How much protein do you really need

Depends on body size and stage of growth Recommended intake for adults is 08 gram per kilogram of ideal weight (0365 grams per lb) Minimum is 10 of total calories Athletes may need slightly more (10g kg or 045g lb)

For example 5rsquo10rdquo man 170 lbs needs 62 g proteinday 5rsquo4rdquo woman 125 lbs needs 45 g proteinday

12 November 7 2016

Protein- example of portion

1 deck of cards = 3 oz of chicken fish lamb beef pork etc (This example is equal to 21 grams of protein)

A 3-ounce serving of cooked meat is the same size and thickness as a deck of playing cards (2 12 x 3 12 inches x 12 inch thick)

13 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein examples Buckwheat 1 cup 23 g Seitan (wheat gluten) 1 oz 21 g Tempeh frac12 cup 20 g Tofu firm frac12 cup 20 g Soy nuts roasted frac14 cup 19 g Meatless burger 1 patty 4-18 g Chlorella (seaweed) 1 oz 16 g TVP dry 14 cup 12 g Brewerrsquos yeast 1 oz 11 g Soy milk 1 cup 10 g Hemp seeds 1 oz 10 g Lentils frac12 cup 9 g Amaranth 1 cup 9 g Quinoa cooked 1 cup 8 g

14 November 7 2016

Peanut butter 2 T 8 g Edamame frac12 cup 8 g Split peas frac12 cup 8 g Sprouted lentils raw 1 cup 7 g Beans frac12 cup 7 g Walnuts 1 oz 7 g Couscous cooked 1 cup 6 g Hummus frac12 cup 6 g Peanuts other nuts 1 oz 5-6 g Sunflower seeds 1 oz 6 g Brown rice cooked 1 cup 5 g Chia seeds 1 oz 4 g Spirulina (seaweed) dry 1 T 4 g

What is sodium

Sodium is a mineral that can make your blood pressure go up or down

READ YOUR FOOD LABELS ndash Avoid foods with too much sodium ndash Avoid salt substitutes ndash Use fresh and dried herbs

Goal lt2300mgday DASH diet may not be wise

15 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is potassium Potassium is a mineral that helps muscles and nerves work the right way

Elevated blood potassium levels are dangerous ndash Try to keep your potassium below 50

Medications can affect your blood potassium levels Even if your blood potassium is within normal levels now this may change A list of high potassium foods is available upon request

16 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

How much protein do you really need

Depends on body size and stage of growth Recommended intake for adults is 08 gram per kilogram of ideal weight (0365 grams per lb) Minimum is 10 of total calories Athletes may need slightly more (10g kg or 045g lb)

For example 5rsquo10rdquo man 170 lbs needs 62 g proteinday 5rsquo4rdquo woman 125 lbs needs 45 g proteinday

12 November 7 2016

Protein- example of portion

1 deck of cards = 3 oz of chicken fish lamb beef pork etc (This example is equal to 21 grams of protein)

A 3-ounce serving of cooked meat is the same size and thickness as a deck of playing cards (2 12 x 3 12 inches x 12 inch thick)

13 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein examples Buckwheat 1 cup 23 g Seitan (wheat gluten) 1 oz 21 g Tempeh frac12 cup 20 g Tofu firm frac12 cup 20 g Soy nuts roasted frac14 cup 19 g Meatless burger 1 patty 4-18 g Chlorella (seaweed) 1 oz 16 g TVP dry 14 cup 12 g Brewerrsquos yeast 1 oz 11 g Soy milk 1 cup 10 g Hemp seeds 1 oz 10 g Lentils frac12 cup 9 g Amaranth 1 cup 9 g Quinoa cooked 1 cup 8 g

14 November 7 2016

Peanut butter 2 T 8 g Edamame frac12 cup 8 g Split peas frac12 cup 8 g Sprouted lentils raw 1 cup 7 g Beans frac12 cup 7 g Walnuts 1 oz 7 g Couscous cooked 1 cup 6 g Hummus frac12 cup 6 g Peanuts other nuts 1 oz 5-6 g Sunflower seeds 1 oz 6 g Brown rice cooked 1 cup 5 g Chia seeds 1 oz 4 g Spirulina (seaweed) dry 1 T 4 g

What is sodium

Sodium is a mineral that can make your blood pressure go up or down

READ YOUR FOOD LABELS ndash Avoid foods with too much sodium ndash Avoid salt substitutes ndash Use fresh and dried herbs

Goal lt2300mgday DASH diet may not be wise

15 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is potassium Potassium is a mineral that helps muscles and nerves work the right way

Elevated blood potassium levels are dangerous ndash Try to keep your potassium below 50

Medications can affect your blood potassium levels Even if your blood potassium is within normal levels now this may change A list of high potassium foods is available upon request

16 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein- example of portion

1 deck of cards = 3 oz of chicken fish lamb beef pork etc (This example is equal to 21 grams of protein)

A 3-ounce serving of cooked meat is the same size and thickness as a deck of playing cards (2 12 x 3 12 inches x 12 inch thick)

13 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein examples Buckwheat 1 cup 23 g Seitan (wheat gluten) 1 oz 21 g Tempeh frac12 cup 20 g Tofu firm frac12 cup 20 g Soy nuts roasted frac14 cup 19 g Meatless burger 1 patty 4-18 g Chlorella (seaweed) 1 oz 16 g TVP dry 14 cup 12 g Brewerrsquos yeast 1 oz 11 g Soy milk 1 cup 10 g Hemp seeds 1 oz 10 g Lentils frac12 cup 9 g Amaranth 1 cup 9 g Quinoa cooked 1 cup 8 g

14 November 7 2016

Peanut butter 2 T 8 g Edamame frac12 cup 8 g Split peas frac12 cup 8 g Sprouted lentils raw 1 cup 7 g Beans frac12 cup 7 g Walnuts 1 oz 7 g Couscous cooked 1 cup 6 g Hummus frac12 cup 6 g Peanuts other nuts 1 oz 5-6 g Sunflower seeds 1 oz 6 g Brown rice cooked 1 cup 5 g Chia seeds 1 oz 4 g Spirulina (seaweed) dry 1 T 4 g

What is sodium

Sodium is a mineral that can make your blood pressure go up or down

READ YOUR FOOD LABELS ndash Avoid foods with too much sodium ndash Avoid salt substitutes ndash Use fresh and dried herbs

Goal lt2300mgday DASH diet may not be wise

15 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is potassium Potassium is a mineral that helps muscles and nerves work the right way

Elevated blood potassium levels are dangerous ndash Try to keep your potassium below 50

Medications can affect your blood potassium levels Even if your blood potassium is within normal levels now this may change A list of high potassium foods is available upon request

16 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Protein examples Buckwheat 1 cup 23 g Seitan (wheat gluten) 1 oz 21 g Tempeh frac12 cup 20 g Tofu firm frac12 cup 20 g Soy nuts roasted frac14 cup 19 g Meatless burger 1 patty 4-18 g Chlorella (seaweed) 1 oz 16 g TVP dry 14 cup 12 g Brewerrsquos yeast 1 oz 11 g Soy milk 1 cup 10 g Hemp seeds 1 oz 10 g Lentils frac12 cup 9 g Amaranth 1 cup 9 g Quinoa cooked 1 cup 8 g

14 November 7 2016

Peanut butter 2 T 8 g Edamame frac12 cup 8 g Split peas frac12 cup 8 g Sprouted lentils raw 1 cup 7 g Beans frac12 cup 7 g Walnuts 1 oz 7 g Couscous cooked 1 cup 6 g Hummus frac12 cup 6 g Peanuts other nuts 1 oz 5-6 g Sunflower seeds 1 oz 6 g Brown rice cooked 1 cup 5 g Chia seeds 1 oz 4 g Spirulina (seaweed) dry 1 T 4 g

What is sodium

Sodium is a mineral that can make your blood pressure go up or down

READ YOUR FOOD LABELS ndash Avoid foods with too much sodium ndash Avoid salt substitutes ndash Use fresh and dried herbs

Goal lt2300mgday DASH diet may not be wise

15 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is potassium Potassium is a mineral that helps muscles and nerves work the right way

Elevated blood potassium levels are dangerous ndash Try to keep your potassium below 50

Medications can affect your blood potassium levels Even if your blood potassium is within normal levels now this may change A list of high potassium foods is available upon request

16 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is sodium

Sodium is a mineral that can make your blood pressure go up or down

READ YOUR FOOD LABELS ndash Avoid foods with too much sodium ndash Avoid salt substitutes ndash Use fresh and dried herbs

Goal lt2300mgday DASH diet may not be wise

15 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is potassium Potassium is a mineral that helps muscles and nerves work the right way

Elevated blood potassium levels are dangerous ndash Try to keep your potassium below 50

Medications can affect your blood potassium levels Even if your blood potassium is within normal levels now this may change A list of high potassium foods is available upon request

16 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is potassium Potassium is a mineral that helps muscles and nerves work the right way

Elevated blood potassium levels are dangerous ndash Try to keep your potassium below 50

Medications can affect your blood potassium levels Even if your blood potassium is within normal levels now this may change A list of high potassium foods is available upon request

16 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

High potassium foods

Some vegetables Some fruits Salt substitutes Electrolyte drinks Some low sodium foods

17 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What is phosphorus Phosphorus is a mineral that combines with calcium to keep bones and teeth strong Extra phosphorus in your blood can cause Bone thinning Deposits in blood vessels

Avoid foods with phosphate additives

Phosphoric acid (found in colas and other sodas) Sodium triphosphate Orthophosphate

18 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Phosphorus absorption

Phosphate additives are 100 absorbable Up to 80 absorbable

Chocolate Nuts Dairy

Less than 50 absorbable

Beans Whole grains Bran

19 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

What about fluids

It is important to keep your sodium intake low to prevent fluid retention A normal intake of fluid is about 48 ounces or 6 cups Contact your dietitian if your doctor wants you to restrict fluid

Check your urine color

20 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Supplements

A standard multivitamin with about 100 RDA is fine Avoid additional mineral and potassium supplements unless prescribed by your physician

Check with your dietitian physician or nephrologist for other supplements

21 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

HEALTHY EATING PLATE

Use healthy oils (like olive and canola oil) for cooking on salad and at the table Limit butter Avoid trans fat

If you have high blood potassium choose lower potassium foods Asparagus celery green beans green onions leeks lettuce bell peppers

If you have high blood potassium choose lower K+ fruits apples blueberries grapes fruit cocktail pineapple

Drink according to MD recommendations If no restriction follow your thirst and drink as needed

Try to choose whole grains including rice pasta breads Remember potatoes are high in potassium

Choose -3 oz of high quality lean meats including lean cuts of red meat skinless chicken breast turkey fish and egg whites

~ KAISER PERMANENTE th rive

Healthy eating plate

22 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Overall dietary goals

It is still important for you to follow your current dietary goals Seek help from a registered dietitian to combine your other diets

It is not necessary at this time to follow a ldquoRenal dietrdquo

23 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys

Blood pressure and blood sugar control Stop smoking Exercise Lose excess weight Keep all MD appointments Take all prescribed medications Be current on immunizations

24 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Be careful list for healthy kidneys - continued

Avoid nephrotoxic drugs Avoid Contrast (with xray) Check with doctor or dietitian before taking nutritional supplements Kaiser MD homepage at wwwkporgmydoctor Follow nutrition guidelines

ndash Lower sodium intake ndash Moderate animal protein consumption ndash Avoid phosphorus food additives ndash Watch your potassium levels ndash Drink enough fluids

25 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

Resources

Health Education Center

Recipes can be found at ndash American Heart Association

ndash American Diabetes Association

26 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

wwwkporg

ndashndash

ndashndashndash

ndashndash

E-mail your doctor Order prescription refills (mailed to your home at no additional cost)

Schedule routine appointments View recent lab test results Explore interactive health programs and research health topics

To sign up visit kporgregister Have questions Call (800) 556-7677 for kporg telephone support

27 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only

wwwkporg

ndashndash

ndashndashndash

ndashndash

E-mail your doctor Order prescription refills (mailed to your home at no additional cost)

Schedule routine appointments View recent lab test results Explore interactive health programs and research health topics

To sign up visit kporgregister Have questions Call (800) 556-7677 for kporg telephone support

27 November 7 2016 | copy 2011 Kaiser Foundation Health Plan Inc For internal use only