1. June 2011
Patient Diet Guidelines:
NPO
Nothing by Mouth
Regular Diet
No Restrictions
Carbohydrate Controlled
Avoid Substitute
Sugar Packets Sugar Substitute
Regular Syrup Sugar-free Syrup
Regular Jelly Sugar-free Jelly
Regular Pudding/Jell-O Sugar-free Pudding/Jell-O
Regular Desserts Half portion of dessert or sugar-free
version
*Each meal should have 4-5 carbohydrate servings. Examples of one
carbohydrate serving: 1 slice of bread, 1 dinner roll, 1 piece of fruit, 1
milk carton, ½ cup potatoes, corn, or peas.
No Added Salt (NAS)
Avoid Substitute
Salt Packets/ Table Salt Mrs. Dash
Cardiac
Avoid Substitute
Hot dogs/Sausage/Bacon/Ham
Whole Milk 2%, Skim Milk
Cream Soups Low Salt Soup
Tomato Juice Low Sodium Tomato Juice
Pasta with Cream Sauces Pasta with Marinara
Regular Salad Dressing Low-fat Dressing
Salt Packets/Table Salt Mrs. Dash
High Protein/Renal
Avoid Substitute
Potatoes Whipped/Mashed Potatoes
Tomatoes/ Tomato Juice/Tomato Sauce Other Vegetable
Oranges/Orange Juice Other fruits(no bananas)/ Apple Juice/
Cranberry Juice
Bananas Other fruits (no oranges)
Salt Packets/Table Salt Mrs. Dash
2. Enhanced Foods
Foods to Add on Tray
Enhanced Soup
Enhanced Oatmeal
Enhanced Hot Cereal
Enhanced Pudding
Enhanced Potatoes
Mechanical Soft
Avoid Substitute
Fruits with seeds or skins (grapes, Any other canned fruit
blueberries)
Salad Other cooked vegetable
Corn Other cooked vegetable
Nuts/Seeds
Pretzels/Chips/ Popcorn Crackers- Saltines, Grahams
Regular Meat Ground Meat
Potatoes with skin Potatoes without skin
Pureed
Avoid Substitute
Regular Meat Pureed Meat
Peanut Butter
Fruits with seeds or skins (grapes, Applesauce, any pureed fruits
strawberries, raspberries, blueberries)
Regular Vegetables Any pureed vegetable
Red skin potatoes/Baked potatoes with skin Mashed potatoes/ sweet potato with skin
removed
Cold or dry cereals Cream of wheat
Oatmeal Pureed oatmeal
Nuts/Seeds
Nectar-Thick/Honey-Thick Liquids
Avoid Substitute
Normal-Consistency Beverages Appropriate Thickened Beverages: Milk,
Juice, Water, Coffee, Tea
Soup Appropriate Thickened Soup
Ice cream ,sherbet, Jell-O Pudding or Frozen Nutritional Treat
Ice
3. Fluid Restriction
*See Beverage Worksheet in MAR or Chart in Dietary
Section*
Milk/Coffee/Tea: 8 ounces
Juice container: 6 ounces
Prune Juice: 4 ounces
Avoid Substitute
Jell-O Salad or baked dessert
Ice cream, sherbet, popsicles Pudding or baked dessert
Soup
Vegetable Juice Whole vegetable
Fruit Juice Whole fruit
Clear Liquid
Avoid Substitute
Milk Apple/Cranberry/Grape Juice, Coffee
without Creamer, Tea, Lemonade
Cream Soups/Soups Broth
Desserts Jell-O, Popsicles
Full Liquid
Avoid Substitute
Regular Soups Pureed soups/ broth
Oatmeal Cream of wheat, thinned with milk
Desserts Pudding, Jell-O, Ice cream, Sherbet,
Popsicles
Milk products are allowed: All milk,
creamer, milkshakes, hot chocolate, yogurt
Right to Refuse: Patients may refuse to comply with their prescribed diet,
however, please encourage patients to follow their diet order. If any patient
refuses or is non-compliant with their diet, please let the dietitians, Theresa
or Elizabeth know (ext. 2422).
Those that are on mechanically altered diets (mechanical soft, pureed,
thickened liquids) cannot be liberalized unless ordered by speech therapy or
doctor. It is important that they receive the appropriate consistency of food
for safety reasons. If the patient is refusing a mechanically altered diet,
please contact speech therapy.