The PowerPoint talks about the appropriate nutrition for kidney transplant patients after transplantation

1. Nutrition After Renal
Transplant
Prepared
By
Cl.ph: Joseph Talaat William
Clinical Pharmacist in Assiut University Hospitals

2. Good nutrition plays a key role in successfully recovering
from kidney transplantation.
Adequate calories and protein are needed for proper
wound healing.
Also, possible side effects of the anti-rejection
medications can increase nutrient requirements.

4. Protein
In the first month following kidney transplantation you
will be recovering from the stress of surgery.
It is important to consume enough protein and total
calories to help your wounds heal.
 You also need added protein to help overcome muscle
breakdown caused by high doses of prednisone.

5. Animal proteins vegetable proteins
Meats (beef, pork, poultry, turkey,
seafood).
Nuts.
Fish. Peanut butter.
Dairy products (mild cheese,
yogurt).
Dried beans.
Eggs (but no more than 3 to 4
yolks per week).
Split peas.
Egg substitutes . Soy products and Tofu.

7. Sugars
Some medications can decrease the body's ability to use
its blood sugar for energy.
 This can cause increased blood sugar (glucose). This
condition is called hyperglycemia or steroid-induced
diabetes.
Avoiding concentrated carbohydrates will help decrease
the side effects of steroid medications.

8. Foods are high in simple sugars
Sugar Puddings
Molasses Soft drinks
Sugar pies Jelly
Fruited yogurt Candy and Ice cream

9. If you develop hyperglycemia, your diet may need to be
changed to adhere to the following guidelines:
Eating three meals per day, consumed at regular and
evenly-spaced times.
Limiting fruit to one serving per meal, and eating fresh
or water-packed canned fruit only (no syrup or added
sugar).
Reading food labels to avoid foods with sugar, honey,
sucrose, dextrose, or corn syrup listed as the first or
second ingredient.

11. Fats
Some medication can increase cholesterols level such as
corticosteroids.
Avoid foods that are high in saturated fats and cholesterol.
They will help reduce your risk for heart disease and excessive
weight gain.
The American Heart Association recommends limiting total
calories from fat to less than 30%. That’s about 65 grams of fat
or less a day if you eat 2,000 calories a day.

14. Sodium (salt)
Limit sodium to help control fluid retention and blood
pressure. Avoid adding salt to foods.
Prednisone can increase sodium and water retention and
increase your blood pressure. Therefore, sodium may
need to be restricted in your diet.

15. Foods that may contain more salt:
Salt seasonings (such as garlic salt, soy sauce, teriyaki
sauce)
Cured meats (such as ham, bacon, sausage)
Lunch meats (such as salami, bologna)
Frozen meals that have more than 600 mg sodium per
serving
Pickles and olives
Canned foods with added salt (such as canned vegetables
and soups) and Fast food and many restaurant foods

17. Potassium
When potassium is too high or too low, problems with
muscle and heart function can develop. Your serum
(blood) potassium level can mandate a change to your
medication and/or diet.
Some drugs (Cyclosporine or Tacrolimus) can increase
the potassium level in your blood. Other drugs
(furosemide) can decrease your potassium level.

18. High-potassium foods include:
Some fruits, including melons, bananas, avocados, oranges
Some vegetables, including potatoes, tomatoes, dark leafy
greens.
Chocolate.
Dried beans, lentils.
Salt substitutes (instead, try Mrs. Dash® or dried herbs).
Peanut butter.

20. Phosphorous and Calcium
As patient new kidney begins to function, your body is
able to rebuild bone mass that might have been lost
during renal failure. While these “hungry bones” are
busy gaining strength, your blood phosphorous levels
could drop quite low.
So dietitian and/or doctor will encourage patient to eat
foods high in phosphorous and Calcium.

24. Fluids
Once patient new kidney starts working, patient no longer
need a fluid restriction. After the transplant patient may
develop dehydration, so patient need to drink plenty of fluid
every day.
KT patient should drink at least two quarts of fluid a day.
Avoid drinks that contain caffeine and/or alcohol may actually
cause you to lose fluids.

26. Food Safety
Transplant drugs can lower your immune system and
increase your risk for food-borne illness. You can reduce
your risk by handling food safely:
Avoid raw and undercooked meats, seafood, and eggs,
and unpasteurized dairy products.
Always wash fresh fruits and vegetables well before
eating.
Keep cold foods cold and hot foods hot.

28. Table I Recommended Nutritional Intakes after Kidney Transplantation
Article Copyright © 2013 Authors, Source DOI: 10.5301/ijao.5000234. See content reuse guidelines at: sagepub.com/journals-permissions

29. REFERANCES
https://columbiasurgery.org/kidney-transplant/nutrition-
after-renal-transplant
www.kidney.org
www.nhlbi.nih.gov
www.win.niddk.nih.gov
Clinical Dietitians, Food & Nutrition Services, UC Davis Medical
Center The Regents of the University of California.