腹透患者优质低蛋白饮食指导英语版

Teaching Materials And References
• ①GeKeou. Chian Dietian Training Materials,IV. People's Medical Publishing House,2012. • ② Zeng Zhiling,Song Tao,Lin Dan. LOW PROTEIN DIET CARE FOR CHRONIC RENAL DYSFUNCTION. Modern Hospital APr 2012 Vol 12 Suppl. • ③You Liming, Wu Ying. Medical Nursing,IV. People's Medical Publishing House,2010.
High Quality Low Protein Diet Duidance For PD Patients
Nephrology Department Constuctor:Zheng Guiqiong Lan Liwen
Tips
• Peritoneal Dialysis=PD 腹膜透析 • Amino Acid=AA=氨基酸 • Essential Amino Acid =EAA=必须氨基酸
What Is High Quຫໍສະໝຸດ Baidulity Low Protein Diet
• Daily Protein Is Limited • 0.5g/kg/d • 25-40g/d(Including Vegetable Protein) • High Quality protein >60%
What Is High Quality Protein
Cooking Tips
• Only With Enough Energy,Protein Can Be Maken Full Use Of • So,PD Patient Can Add More Peanut Oil to Dish When Cooking,Because It Provides Much Energy But Zero Protein.As A Result,You Can Avoid Intaking Too Much Protein but Intake Enough Energy.
Teaching Goals
• Understand The Reason To High Quality Low Protein Diet For PD Patients • Be Familiar With The Food Which Is Full Of High Quality Protein. • Master How To Teach PD patients To Have High Quality Low Protein Diet (Key Point) • Be Familiar With The Best Way To Eat Eggs
Abosortion Rate Of Eggs
Boiled Or Steamed Eggs 100%
Fried Eggs97%
Poached Eggs92.5%
Eggs Cannot Be Eaten Raw Unshelled Boiled Eggs Are Best,Cold Water Pot(凉 水下锅），Cook 3 Minutes After Water Boiling.
Soybean Milk
Bean Curd
Soybean
Soybean Is Best In Vegetable Protein
How To Have A High Quality Protein
• Eat Less Vegetable Protein
Rice
noodles
Frumentum谷类
The Protein Content Of Common Foods
• • • • • • Name Protein 100gLean Meat 20.3g 100g Chicken 19.3g 100g Fish 18.0g 100g Egg 13.3g 100g Milk 3.0g 100g Rice 7.4g 100g Noodles 8.1g 100gBean Burd 12.2g 100g Soybean 33.1g 100gPeanut Oil 0g
• Contain Full Range Of EAA，EAA Is Abundant And Its Proportion(比例) Is Suitable. • Animal Protein Is Better Than Vegetable Protein Because Animal Protein Is Easy To Diget And Absorb. • Digestibility(消化率)Is High： Egg 97%，Milk95%，Corn85%，Rice88%
Summary
• Understand The Reason To High Quality Low Protein Diet Of PD Patients • Be Familiar With The Food Which Is Full Of High Quality Protein • Master How To Teach PD patients To Have High Quality Low Protein Diet (Key Point) • Be Familiar With The Best Way To Eat Eggs
Daily Recipes Of PD Patients
Protide Egg 50g Mlik 100g Lean Meat 50g Bean Curd 50g Tatal protien 6.7g 3.0g 10.2 6.1g 27g 11.4g Staple Food Rice 100g Noodles 50g protein 7.4g 4.0g
Tips
• Sugar Boiled Eggs(糖水鸡蛋) Are Bad For Health Because It Will Form Fructose Amino Acids(果 糖氨基酸),Which Cannot Be Absorbed. • Eggs Cannot Be Eaten Together With Soybean Milk,This Will Reduce Their Nutrition. • Afer Eating Eggs , Tea Or Persimmon（柿子） Should’t Be Eaten Immediately.
Case
• Zhang Shan,35Y, Regular PD For 5 Years. • Chief Complaint:Both Lower Extremities Edema For Two Years ,Aggravated For Two Months. • Diagnosis:Chronic Renal Failure . • Plasma-albumin:25g/L,albuminuria+++ • Question:Why Should Mr Zhang Have A High Quality Protein Diet? What Is High Quality Low Protein Diet？How To Guide Him?
Eggs
• An Egg ’s (50g)Energy ≈ Half An Apple ≈ Half Cup Of Milk ≈ 63kcal ≈ 5%Daily Energy Intake • Eggs Contain :Zn、Fe、Vit D、Vit E、Vit A • Vit B2、Vit B6 • Its AA Composition Is Nearest To Human Tissue,So Its Abosorption Rate Is Up To 97%
Protein Level Of PD Patients
Hypoproteinemia
低蛋白血症(<30g/L）
Case
• Zhang Shan,35Y, Regular PD For 5 Years. • Chief Complaint:Both Lower Extremities Edema For Two Years ,Aggravated For Two Months. • Diagnosis:Chronic Renal Failure . • Plasma-albumin:25g/L,albuminuria+++ • Question:What Kind OF Diet Should Mr Zhang Have?And Why?How TO Guide Him?
How To Have A High Quality Protein Diet
Eat more Animal Protein
Lean Meat
•
–
Milk
Egg
Chicken
Fish Fish Is the Best choice In Animal Protein
How To Have A High Quality Protein • Eat A Few Soybean Products
Function Of High Quality Low Protein Diet
①Delay Renal Damage For It Can Ease Kidney Burden ②Strengthen immunity：Prevent Peritonitis(腹膜炎）And Pulmonary Infection(肺部感染） ③Prevent Trophoedem（营养性水肿） ④Imrove Material Metabolism ⑤Improve PD Quality
What is PD
PD uses peritoneum(腹膜) As dialysis Membrance throuh which dialyzate(腹透液) is brought into enterocoelia(腹腔) and stays for some time in the enterocoelia.By means of PD,useful substance such as Na+、cl-、Ca2+ and hyperonic glucose ect are absorbed and metabolic waste such as creatinine(肌酐) was eliminated.