This document provides a food exchange list table with the carbohydrate, protein, fat, and calorie content of common food groups. It then shows a sample daily meal plan distributed into breakfast, lunch, dinner, and snacks that meets the prescribed daily macronutrient goals of 336g carbohydrates, 84g protein, and 63g fat for a 45-year-old male patient. The meal plan was created by calculating the macronutrient contributions of each food group and distributing the exchanges across meals to meet the daily totals.

1. FOOD EXCHANGE
LIST TABLE
FOOD
EXCHANGES
CHO g CHON g FAT g ENERGY kcal
Veg 3 1 - 16
Fruits 10 - - 40
Milk Whole 12 8 10 170
Low Fat 12 8 5 125
Non Fat:
Skim;Fat free
12 8 - 80
Rice A: (Low
Protein)
23 - - 92
Rice B:
(Medium
Protein)
23 2 - 100
Rice C: (High
Protein)
23 4 - 108
Meat- Low Fat - 8 1 41
Medium Fat - 8 6 86
High Fat - 8 10 122
Fat - - 5 45
Sugars - - 20

2. Activity:
PatientYeomra is a 45-year-old male patient admitteddue to vomitingand diarrhea. Initially,hisdiet
wasBRAT diet(Banana, Rice,Apple,Tea) since,he is on 4th
day of admissionhis attendingphysician
orderedhim a Dietary Prescriptionof 2, 240 = CHO 336 g CHON 84 g Fat 63 g. Determine the value of
CHO CHON and Fat thendistribute accordingly in Breakfast, Lunch and Dinner with AM PM MN snack.
(50PTS)
FOOD
EXCHANGES
No of
Exchange
s
CHO
g
CHON
g
FAT
g
ENERGY kcal
Veg 4 12 4 - 64
Fruits 4 40 - - 160
Milk Whole 1 12 8 10 170
Low Fat
Non Fat:
Skim;Fat free
Rice A: (Low
Protein)
2 46 0 - 184
Rice B:
(Medium
Protein)
7 161 14 - 700
Rice C: (High
Protein)
2 46 8 - 216
Meat- Low Fat 3 - 24 3 123
Medium Fat 3 - 24 18 258
High Fat - - -
Fat 6 - - 30 270
Sugars 3 15 - - 60
TOTAL 332 82 61 2205
CHO partial sum
Veg 12
Fruits 40
Milk 12
Sugar 15
Total 79
Deduct partial CHO from prescribedCHO
336 – 79 = 257
257/23=11.17 or 11 exchangesof rice
Partial sum of protein
Veg 4
Milk 8
Rice B 14

3. Rice C 8
Total 34
Deduct partial proteinfrom prescribedprotein
84 – 34= 50
50/8= 6.25 or 6 exchangesof meat
Partial sum of Fat
Milk 10
LF meat 3
MF meat 8
Total 31
Deduct partial fat from prescribedfat
63 - 31= 32
32/ 5= 6.4 or 6 exchangesoffat

4. MEAL DISTRIBUTION
FOOD
EXCHANGES
BREAKFAST LUNCH DINNER AM SNACK PM SNACK MIDNIGHT
SNACK
Veg 1 2 1
Fruits 2 1 1
MilkWhole 1
Low Fat
Non Fat:
Skim;Fat free
RiceA: (Low
Protein)
1 1
RiceB:
(Medium
Protein)
3 2 2
RiceC: (High
Protein)
1 1
Meat- Low
Fat
1 1 1
MediumFat 1 1 1
HighFat
Fat 2 1 1 1 1
Sugars 1 1 1