Fact sheetDiet specifications

Published on 1 Aug 2019


Fluid restriction diet - 800ml

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 800mL 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 ice cream. All canned and portion-controlled fruits are served drained.

Patient beverage selections can be edited to conform to the following suggested patterns of drink exchanges (including beverages, thickened fluids, soup and jelly as drink exchanges):

Meal100mL drink exchange200mL drink exchange
Breakfast21
Morning tea00
Lunch21
Afternoon tea11
Dinner21
Supper10

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. In order to meet protein and energy requirements, custard, yoghurt and ice cream are not counted as fluids. Solid food choices are allowed, depending on diet prescription.
  • Water jug or bottled water should not be left by bedside.
  • The patterns above should be modified in accordance with the diet prescription and in consultation with the patient. The treating multidisciplinary team needs to apply caution when combining this diet with thickened fluid diets (mild, moderately and extremely thick) to ensure adequate hydration.
  • The pattern may provide up to 900mL in total volume to accommodate commercial beverage packaging and available fluid content (e.g. thickened fluids, soups).
  • 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 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

  1. Dietitians Association of Australia. Nutrition manual. 9th ed. Canberra: DAA; 2014.
  2. Iowa Dietetic Association. 2007. Simplified dietetic manual 10th ed. Ames: Blackwell.
  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.
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