This information should be used as a resource.  Please be sure to discuss pre and post-surgical protein needs with
your physician and dietician.

The dialysis patient must have a rigorous diet to control the intake of fluid, protein, sodium, potassium, and phosphorus. The specific quantity needed for each of these nutrients is going to be based on the patients blood levels of albumin, sodium, calcium, potassium, phosphorus, and urea which is measured before and then immediately after a dialysis treatment.

The amount of fluids allowed will be based on the amount of urine output and weight gain between dialysis treatments.

The nutrients specifically managed for the dialysis patient are:
PROTEIN: With the start of dialysis, the patient needs much more protein. Those on peritoneal dialysis need even higher amounts of protein due to the large amount lost in the peritoneal fluid discarded. It can be challenging to get enough protein in the diet and the dietitian and/or physician will provide food selections and prescribe supplements as required. Adding Provide® Sugar Free liquid protein as a supplement is an excellent way to meet the nutritional goals for protein.

Typically, doctors and dieticians recommend a minimum of 1.5 to 2 grams of protein per kilogram of ideal body weight, which is "dry weight” without fluid retention.

SODIUM: In an effort to avoid fluid retention, to help avoid elevated blood pressure and to maintain a fluid balance in the body, the sodium content of the dialysis diet is often dramatically reduced. The dietitian and/or physician will provide specific guidelines regarding each individual patient’s sodium requirements.

POTASSIUM: It is important for dialysis patients to control the daily intake of potassium in an effort to avoid too high a level of potassium, called hyperkalemia. Potassium is involved in regulating muscle tissue, and is part of metabolism and digestion, and helps maintain balance between electrical and chemical processes of the body. The doctor and/or dietician will determine the appropriate level of potassium needed on a daily basis.

PHOSPHORUS: It is also important for dialysis patients to control the intake of phosphorus as high levels can damage blood vessels, bones, lungs, eyes and heart. A normal level is between 3.5-5.5mg/dL. The dietitian and/or doctor will provide specific instructions for controlling phosphorus intake.

FLUIDS: As urine output typically stops completely once a patient is on dialysis for more than 6 months, it is important to seriously consider the amount of fluids taken on a daily basis. The specific amounts will be individualized by the physician and/or dietician.

OTHER FACTORS: There are often other conditions/factors present in patients with kidney disease. Nutritional status and specific needs based on individual conditions will be determined by the physician and the dietician. This includes diet protocols, vitamin supplementation and protein supplementation.

Provide® Liquid Protein Products

Included is some general information regarding the products, where patients can purchase, and specific information regarding the levels of potassium and phosphorus. In caring for dialysis patients we realize the need to watch the amount of potassium and phosphorous. Because we use phosphoric acid as a preservative in our Regular formula, we recommend the Sugar Free formula for dialysis patients. To answer specifically how much phosphorus and potassium, our Chief Scientist, Dr. Ed Walker put together the following information:

Provide® Regular:
Phosphorus: 210 mg / 30mL serving
Potassium: 10 mg / 30mL serving

Provide® Sugar Free:
Phosphorus: trace (none added)
Potassium: 9 mg / 30mL serving

Please note that these are calculated values, derived from the raw materials used to manufacture the product.

As you can see our Sugar Free product would be an excellent option for patients that need to watch the amount of phosphorous they intake.
Both products have 15 grams of protein and are excellent supplements for those needing energy and protein.

Sources and Resources:

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www.mayoclinic.org  Mayo Clinic

www.kidney.org National Kidney Foundation