European Guidelines for the 
          Nutritional Care of Adult Renal 
                      Patients 
          
          
          
          
          
          
          
           European Dialysis and Transplantation Nurses 
          Association / European Renal Care Association 
                           
                           
                           
                           
                           
                           
           Dietitians Special Interest Group October 2002 
         
         
              Dietitians’ Special Interest Group of the EDTNA/ERCA , October 2002 
              Index 
                Index.....................................................................................................................................2 
                Introduction..........................................................................................................................5 
              1.0 Guideline General Principles.......................................................................................7 
                Guideline Structure..............................................................................................................7 
                Guideline Implementation...................................................................................................7 
                Guideline Outcomes............................................................................................................8 
              2.0 Introduction to Diet on Haemodialysis......................................................................9 
                2.1 Energy........................................................................................................................10 
                  Objective........................................................................................................................10 
                  Rationale........................................................................................................................10 
                  Implementation..............................................................................................................11 
                  Outcome Measures........................................................................................................11 
                2.2 Protein........................................................................................................................12 
                  Objective........................................................................................................................12 
                  Rationale........................................................................................................................12 
                  Implementation..............................................................................................................12 
                  Outcome Measures........................................................................................................13 
                2.3 Phosphate...................................................................................................................14 
                  Objective........................................................................................................................14 
                  Rationale........................................................................................................................14 
                  Implementation..............................................................................................................14 
                  Outcome Measures........................................................................................................15 
                2.4 Potassium...................................................................................................................16 
                  Objective........................................................................................................................16 
                  Rationale........................................................................................................................16 
                  Implementation..............................................................................................................16 
                  Outcome Measures........................................................................................................17 
                2.5 Sodium and Fluid Management................................................................................18 
                  Objective........................................................................................................................18 
                  Rationale........................................................................................................................18 
                  Implementation..............................................................................................................18 
                  Outcome Measures........................................................................................................19 
                2.6 Vitamins and Minerals..............................................................................................20 
                  Objective........................................................................................................................20 
                  Rationale........................................................................................................................20 
                  Implementation..............................................................................................................20 
                  Outcome Measures........................................................................................................21 
              3.0 Introduction to Diet on Peritoneal Dialysis.............................................................22 
                3.1 Energy........................................................................................................................23 
                  Objective........................................................................................................................23 
                  Rationale........................................................................................................................23 
                  Implementation..............................................................................................................24 
                  Outcome Measures........................................................................................................24 
                3.2 Protein........................................................................................................................25 
                  Objective........................................................................................................................25 
                                            Page 2 
             Dietitians’ Special Interest Group of the EDTNA/ERCA , October 2002 
                Rationale........................................................................................................................25 
                Implementation..............................................................................................................25 
                Outcome Measures........................................................................................................25 
              3.3 Phosphorus.................................................................................................................27 
                Objective........................................................................................................................27 
                Rationale........................................................................................................................27 
                Implementation..............................................................................................................27 
                Outcome Measures........................................................................................................28 
              3.4 Potassium...................................................................................................................29 
                Objective........................................................................................................................29 
                Rationale........................................................................................................................29 
                Implementation..............................................................................................................29 
                Outcome Measures........................................................................................................30 
              3.5 Sodium and Fluid Management................................................................................31 
                Objective........................................................................................................................31 
                Rationale........................................................................................................................31 
                Implementation..............................................................................................................31 
                Outcome Measures........................................................................................................32 
              3.6 Vitamins & Minerals.................................................................................................33 
                Objective........................................................................................................................33 
                Rationale........................................................................................................................33 
                Implementation..............................................................................................................33 
                Outcome Measures........................................................................................................33 
             4.0 Introduction to Diet for the Pre-dialysis Patient....................................................34 
              4.1 Energy........................................................................................................................35 
                Objective........................................................................................................................35 
                Rationale........................................................................................................................35 
                Implementation..............................................................................................................35 
                Outcome Measures........................................................................................................35 
              4.2 Protein........................................................................................................................37 
                Objective........................................................................................................................37 
                Rationale........................................................................................................................37 
                Implementation..............................................................................................................37 
                Outcome Measures........................................................................................................38 
              4.3 Phosphorus.................................................................................................................39 
                Objective........................................................................................................................39 
                Rationale........................................................................................................................39 
                Implementation..............................................................................................................39 
                Outcome Measures........................................................................................................40 
              4.4 Potassium...................................................................................................................41 
                Objective........................................................................................................................41 
                Rationale........................................................................................................................41 
                Implementation..............................................................................................................41 
                Outcome Measures........................................................................................................42 
              4.5 Sodium and Fluid Management................................................................................43 
                Objective........................................................................................................................43 
                Rationale........................................................................................................................43 
                                        Page 3 
             Dietitians’ Special Interest Group of the EDTNA/ERCA , October 2002 
                Implementation..............................................................................................................43 
                Outcome Measures........................................................................................................44 
              4.6 Vitamins & Minerals.................................................................................................45 
                Objective........................................................................................................................45 
                Rationale........................................................................................................................45 
                Implementation..............................................................................................................45 
                Outcome Measures........................................................................................................46 
                                        Page 4