Fact sheetDiet specifications

Published on 1 Sep 2015


Mineral / electrolyte diet - sodium - 100mmol

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

Aim

To limit total sodium intake to 100mmol (2300mg) per day.

Characteristics

Limits foods high in sodium.

Indications

  • hypertension
  • congestive heart failure
  • acute or chronic renal failure
  • liver disease with ascites.

Nutritional adequacy

Nutritionally adequate.

Precautions

No salt sachets are provided on meal trays.

If more than four slices of bread are served per day, a lower-sodium bread may be needed to meet the daily restriction.

Paediatrics

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

Suggested meal structure

  • Breakfast: < 20mmol (460mg)
  • Morning tea: < 10mmol (230mg)
  • Lunch: < 30mmol (690mg)
  • Afternoon tea: < 10mmol (230mg)
  • Dinner: < 30mmol (690mg)
  • Supper: < 10mmol (230mg)

Specific menu planning guidelines

Allowed Not allowed
Hot main dishes

<15mmol (345mg) sodium per serve

Plain roasted and grilled meat, fish and poultry

Some egg dishes

≥15mmol (345mg) sodium per serve (e.g. bacon, sausages, pies, smoked fish, silverside, some mornays, lasagne, quiche, cheese-based dishes)
Sauces, gravies

Sauces and gravies with <5mmol (115mg) sodium per serve

Apple, mint and cranberry sauces

Commercial sauces mixes
Starchy vegetables / pasta / rice

Plain steamed, roasted or mashed potato (<2mmol (46mg) sodium per serve)

Plain rice and pasta, unsalted noodles

Any rice, pasta, noodle or potato dishes with >2mmol (46mg) of sodium per serve. e.g. Potato wedges, scalloped potato

Fried rice

Vegetables

All others

Any vegetables served with cheese or white sauce or with added salt

Soups<6mmol (138mg) sodium per serve

All other soups

Sandwiches

<20mmol (460mg) sodium per serve

≥20mmol (460mg) sodium per serve (e.g. ham, silverside, cheese sandwiches)

Salads, dressings<18mmol (414mg) sodium per serve including dressing

≥18mmol (414mg) sodium per serve (e.g. ham, silverside, cheese salads)

Canned vegetables

Breads, cereals

All breads ≤400mg sodium per 100g

Breakfast cereals ≤400mg sodium per 100g (e.g. Weet-Bix™, rolled oats, muesli, All-Bran®)

Breakfast cereals >400mg sodium per 100g

Spreads

Regular butter and margarine

Jam, honey, marmalade

Peanut butter with no added salt

Vegemite™, Marmite™, salted peanut butter
Hot breakfast choicesPlain boiled, poached or scrambled eggs and omelettes, prepared with no added salt

Bacon, sausages, canned spaghetti and canned baked beans

Egg dishes prepared with salt

FruitAll fruit-
YoghurtAll Yoghurt-
Desserts

<8mmol (184mg) sodium per serve

Milk-based desserts, ice-cream, jelly

≥8mmol (184mg) sodium per serve (e.g. many commercial desserts and pastries)

Milk and cheese

All milk

Ricotta and cottage cheese

Swiss cheese

Semi-hard and hard cheese (unless within food group and meal limits)

Beverages

Tea, coffee, cordial, soft drinks

Milo powder®, drinking chocolate

Fruit juices

Unsalted tomato or vegetable juice

Salted tomato and vegetable juice
BiscuitsPlain crackers and biscuits with <4mmol (92mg) sodium per serve (e.g. Milk Arrowroot™, Morning Coffee™, rice cakes)

>4mmol (92mg) sodium per serve of two biscuits or portion-control pack (e.g. Jatz™)

Miscellaneous

Herbs, spices, vinegar, lemon wedge

Unsalted nuts, pepper

Sugar, sweetener, cream

Salted nuts, olives

Monosodium glutamate (MSG), salt sachets

Potato crisps, salted popcorn

References

  1. Food Standards Australia New Zealand. NUTTAB Online searchable database: foods that contain sodium. [accessed 13 Aug 2015].
  2. Dietitians Association of Australia. Nutrition manual. 9th ed. Canberra: DAA; 2014.
  3. American Dietetic Association. Nutrition care manual. Chicago: ADA; 2009. [accessed 17 March 2010].
  4. National Heart Foundation of Australia. Position statement: the relationships between dietary electrolytes and cardiovascular disease. 2006.
  5. Queensland Health. Low salt diet. 2015. [accessed 13 Aug 2015].
  6. European Association for the Study of the Liver. EASL clinical practice guidelines on the management of ascites, spontaneous bacterial peritonitis, and hepatorenal syndrome in cirrhosis. Journal of Hepatology 2010 vol. 53: 397–417
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