Fluid restriction diet - 1200ml
This document is part of the ACI Diet Specifications for Adult Inpatients. It is not to be used for patient education.
Aim
To control the number of beverages provided to patients requiring strict fluid restriction, limiting fluid intake to 1200mL per day.
Characteristics
The diet counts the beverages, soups and jelly as drink exchanges. It does not count the fluids from other foods including custard, yoghurt and icecream. All canned fruits are served drained. Patient beverage selections are edited to conform to the following suggested pattern of 100mL drink exchanges (including beverages, soup and jelly as drink exchanges):
| Meal | 100mL drink exchange |
|---|---|
| Breakfast | 2 |
| Morning tea | 2 |
| Lunch | 2 |
| Afternoon tea | 2 |
| Dinner | 2 |
| Supper | 2 |
Indications
Where appropriate, clinicians may consider ordering this diet for patients:
Controlling fluid overload in:
- end-stage renal failure or dialysis
- congestive cardiac failure
- liver failure with ascites.
Nutritional adequacy
This diet is nutritionally adequate.
Precautions
All beverages are offered on the menu but will be counted in the pattern. Water jug or bottled water 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.
In order to meet protein and energy requirements, custard, yoghurt and ice-cream are not counted as fluids.
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 | As allowed by diet prescription | - |
| 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 | As allowed by diet prescription | - |
| Beverages | As allowed by diet prescription | - |
| Biscuits | As allowed by diet prescription | - |
| Miscellaneous | As allowed by diet prescription | - |
References
- Dietitians Association of Australia. Nutrition manual. 9th ed. Canberra: DAA; 2014.
- Iowa Dietetic Association. 2007. Simplified dietetic manual 10th ed. Ames: Blackwell.
- 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.
- 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.
- 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 updated | Change |
|---|---|
| Specific menu planning guidelines - Fruit | In Allowed, deleted All canned fruit drained of juice |
| In Allowed, added Canned fruit drained of juice, Portion-control fruit snack pack opened and drained of juice/syrup |