Mrs. Kouassi is a 44-year-old African from the Ivory Coast. Although she was diagnosed with hypertension about eleven ye

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Mrs Kouassi Is A 44 Year Old African From The Ivory Coast Although She Was Diagnosed With Hypertension About Eleven Ye 1 (45.01 KiB) Viewed 41 times

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Mrs. Kouassi is a 44-year-old African from the Ivory Coast. Although she was diagnosed with hypertension about eleven years ago, it was left untreated. A year ago, she was seen in the Emergency Department for fatigue, poor appetite, nausea, and vomiting. She complained of shortness of breath, muscle weakness, and swelling of her lower legs. Her blood pressure reached 220/210. She was hospitalized, diagnosed with end-stage renal disease (ESRD), and started on hemodialysis. She currently goes to a dialysis center four times a week. She has not been working since she was diagnosed, and is receiving disability. Currently, her parathyroid hormone is elevated. Mrs. Kouassi is 5 feet 5 inches tall and weighs 145 pounds. When asked about her diet, Mrs. Kouassi states that she tried to follow the prescribed diet, but it is difficult because she likes to eat African foods such as palm oil and butter, rice, yams, soups, tea, and dishes such as fufu (cooked fine-blended cassava). She also likes fruits and vegetables, especially when they are combined with other foods such as in vegetable pizza.
3. What dietary recommendations are appropriate for Mrs. Kouassi in terms of energy, protein, fat, fluids, sodium, potassium, calcium, and phosphorus? Refer to Table 22-5 for Dietary Guidelines for Chronic Kidney Disease. (Show all calculations)
Food Group Recommended Servings (servings per day except as noted): 1600 kcal 6 Grains and grain products (1 serving 1 slice bread, 1 oz dry cereal or ½ c cooked rice, pasta, or cereal) Vegetables 3-4 (1 serving = ½ c cooked vegetables, 1 c raw leafy vegetables, or % c vegetable juice) Fruits 4 (1 serving 1 medium fruit, ½ c fresh, frozen, or canned fruit; %c dried fruit; or % c fruit juice) Milk products (low fat or fat free) 2-3 (1 serving 1 c milk or yogurt, or 1% oz cheese) Meat, poultry, and fish 3-4 oz or less (1 serving - 1 oz cooked lean meat, poultry, or fish; or 1 egg) Nuts, seeds, and legumes 3-4 per week (1 serving = 1/3 c nuts, 2 tbs peanut butter, 2 tbs seeds, or 1/2 c cooked dry beans or peas) Fats and oils 2 (1 serving=1 tsp vegetable oil or soft margarine, 1/2 tbs mayonnaise, or 1 tbs salad dressing) Sweets and added sugars 3 or less per week (1 serving 1 tbs sugar, jelly, or jam; %c sorbet; or 1 c lemonade) Recommended Servings (servings per day except as noted): 2000 kcal 6-8 4-5 4-5 2-3 6 oz or less 4-5 per week 2-3 5 or less per week Recommended Servings (servings per day except as noted): 2600 kcal 10-11 5-6 5-6 3 6 oz or less 1 <2 Recommended Servings (servings per day except as noted): 3100 kcal 12-13 6 6 3-4 6-9 oz or less 1 4 <2