Fact sheetDiet specifications

Published on 1 Nov 2011 ; Partial revision Jul 2019


Fluid restriction diet - nil on tray

This document is part of the ACI Diet Specifications for Adult Inpatients. It is not to be used for patient education.

Aim

To avoid all beverages provided to patients requiring strict fluid restriction.

Characteristics

No beverages or soup are provided to patients at either meals or mid-meals.

Indications

Controlling fluid overload in patients with dementia, confusion or non-compliance who have:

  • end stage renal failure or dialysis
  • congestive cardiac failure
  • liver failure with ascites
  • dysphagia / swallowing difficulty.

Nutritional adequacy

This diet is nutritionally adequate.

Precautions

Water jug should not be left by bedside. Solid food choices to be allowed depend on diet prescription. Fluid intake and measurement remains the responsibility of nursing staff.

Paediatrics

Suitable for use in paediatrics when combined with an age-appropriate diet.

Specific menu planning guidelines

Allowed Not allowed
Hot main dishes As allowed by diet prescription -
Sauces, gravies As allowed by diet prescription -
Starchy vegetables / pasta / rice As allowed by diet prescription -
Vegetables As allowed by diet prescription -
Soups None -
Sandwiches As allowed by diet prescription -
Salads, dressings As allowed by diet prescription -
Breads, cereals As allowed by diet prescription -
Spreads As allowed by diet prescription -
Hot breakfast choices As allowed by diet prescription -
Fruit As allowed by diet prescription

Canned fruit drained of juice

Portion-control fruit snack pack opened and drained of juice/syrup
-
Yoghurt As allowed by diet prescription -
Desserts As allowed by diet prescription -
Milk and cheese

Milk for cereal only

Cheese as allowed by diet prescription

All others
Beverages None -
Biscuits As allowed by diet prescription -
Miscellaneous  -

References

  1. American Dietetic Association. Nutrition care manual. Chicago: ADA; 2009.
  2. Maher AK, editor; Iowa Dietetic Association. Simplified diet manual. 10th ed. Ames: Blackwell; 2007.
  3. Dietitians Association of Australia: Australia and New Zealand Renal Guidelines Taskforce. Evidence based practice guidelines for the nutritional management of chronic kidney disease. Nutr Diet 2006;63 Suppl 2:S35-45.
  4. Hunt SA, Abraham WT, Chin MH, Feldman AM, Francis GS, Ganiats TG et al. ACC / AHA guideline update for the diagnosis and management of chronic heart failure in the adult: A report of the American College of Cardiology / American Heart Association Task Force on Practice Guidelines. Circulation 2005;105:e154-234.
  5. Gines P, Cardenas A, Arroyo V, Rodes J. Management of cirrhosis and ascites. N Engl J Med 2004;350(16):1646-54

Change log

July 2019

Section updatedChange
Specific menu planning guidelines - Fruit In Allowed, deleted All canned fruit drained of juice, unless portion-control snack pack used
In Allowed, added Canned fruit drained of juice, Portion-control fruit snack pack opened and drained of juice/syrup
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