During his hospitalization, Dean reports anorexia, nausea, and an “unpleasant taste in his mouth.” He provides a recent diet intake. Anthropometric Data:  Weight: 88 kg (194 lbs) Biochemical Data:...

During his hospitalization, Dean reports anorexia, nausea, and an “unpleasant taste in his mouth.” He provides a recent diet intake.

Anthropometric Data:

 Weight: 88 kg (194 lbs)

Biochemical Data:

Sodium 129 (135-145 mEq/L) Creatinine 4.2 (0.4-1.3 mg/dL) Potassium 5.9 (3.6-5.0 mEq/L) Glucose 99 (70-98 mg/dL) Chloride 115 (98-110 mEq/L) Calcium 7.2 (8.5-10.5 mEq/L) Carbon dioxide 19 (20-30 mEq/L) Phosphorus 8.8 (2.7-4.5 mg/dL) Blood urea nitrogen 89 (6-24 mg/dL)

Dietary Data:

24-hour Dietary Recall Breakfast (8 am): 1 banana, 8 oz orange juice Lunch (12 pm): ½ tuna sandwich on whole wheat bread, 12 oz diet cola Snack (3 pm): Small coffee with cream and sugar, 3 oatmeal cookies Dinner (7 pm): 1½ cups pasta with tomato sauce and 1 meatball; 1 cup garden salad with romaine lettuce, carrots, and tomatoes with Italian dressing; 16 oz water Diet Prescription: 2 g sodium and 2 g potassium diet

1. Analyze the Dean’s diet. How does it differ from his initial diet recall 6 months ago? What are your concerns?

2. The renal team is requesting your advice on his diet prescription. What would you recommend?

 3. What specific diet changes do you suggest?