Case Study

HR is a 65 yo F with CKD Stage 4 secondary to DM. Her doctor is preparing to put her on dialysis.

HT: 5’6” WT: 165#

Diet hx: B- 3 pancakes with syrup D- steak, fries

1 c orange juice lettuce/cucumbers with French dressing

1 cup ginger ale

L- ham and cheese with lettuce

1 cup grape juice S- chocolate cake or cookies

S- apple ½ c whole milk

-Which of the above foods is contributing the most potassium?

Question

Case Study

HR is a 65 yo F with CKD Stage 4 secondary to DM. Her doctor is preparing to put her on dialysis.
HT: 5’6” WT: 165#
Diet hx:	B- 3 pancakes with syrup	D- steak, fries
	1 c orange juice	lettuce/cucumbers with French dressing
		1 cup ginger ale
	L- ham and cheese with lettuce
	1 cup grape juice	S- chocolate cake or cookies
	S- apple	½ c whole milk

-Which of the above foods is contributing the most potassium?

Quizplus · Accepted Answer

Orange juice is likely contributing the most potassium as it is a common source of potassium and the other foods listed do not typically contain high levels of potassium.

Answer: It is difficult to make a best choice recommendation without knowing HR's specific dietary needs and restrictions as someone with CKD and DM. However, in general, it's important for individuals with these conditions to limit their intake of high-potassium foods and choose lower potassium options. Some potential recommendations could include choosing lower-potassium fruits such as strawberries or blueberries instead of oranges, opting for a lower-potassium breakfast option such as scrambled eggs instead of pancakes, and replacing the milk with a non-dairy alternative such as almond milk to reduce potassium intake. It's important for HR to work with a registered dietitian on an individualized nutrition plan.