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Diet Prescription for Pediatric Patient

This document provides a low salt, low fat diet prescription for a 9 year old male patient named Patient X weighing 22 kg. The diet prescription outlines 1,400 calories per day distributed as 245g of carbohydrates, 35g of protein, and 31g of fat. A sample menu is then provided meeting the prescribed macronutrient and calorie levels through appropriate food items and portion sizes based on established exchange lists.
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0% found this document useful (0 votes)
205 views5 pages

Diet Prescription for Pediatric Patient

This document provides a low salt, low fat diet prescription for a 9 year old male patient named Patient X weighing 22 kg. The diet prescription outlines 1,400 calories per day distributed as 245g of carbohydrates, 35g of protein, and 31g of fat. A sample menu is then provided meeting the prescribed macronutrient and calorie levels through appropriate food items and portion sizes based on established exchange lists.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Patient's Profile
  • Diet Prescription

Republic of the Philippines

Laguna State Polytechnic University


Province of Laguna

COLLEGE OF NURSING AND ALLIED HEALTH

NUTRITION AND DIET THERAPY LABORATORY

ACUTE GLOMERULONEPHRITIS

Submitted by: Group 3

Submitted to: Mrs. Gloria N. Ramos


Patient’s Profile

Patient’s Name: Patient X

Age: 9

Gender: Male

Educational Status: Elementary student

Occupation: N/A

Height: 4’3 ft/130 cm

Weight: 22 kg.

DIET AS ORDERED: Low Salt, Low Fat Diet


Diet Prescription

DBW for Children


 Desirable Body Weight (DBW):
(Age x 2) + 8
(9 x 2) + 8

DBW = 26 kg

 Total Energy Allowance (TEA): Desirable Body Weight × Activity

26 kg × 35 = 910

TEA = 900 kcal + 500 kcal (weight gaining) = 1400 kcal

 Percentage Distribution

Carbohydrates: (70%) 1400× .70 = 980 kcal ÷ 4 = 245g

Protein: (10%) 1400 × .10 =140 kcal÷ 4 = 35g

Fats: (20%) 1400 × .20 = 280 kcal ÷ 9 = 31.1g

Diet Prescription: 1400 kcal; CHO 245g; CHON 35g; FAT 30g
Diet Prescription

Diet Prescription: 1400 kcal; CHO 245g ; CHON 35g ; FAT 31g
Food No. of CHO (g) CHON (g) FAT (g) Energy
Exchanges (kcal)
Veg., List 1A 2 3 1 -- 16
Veg., List 1B 1 3 1 -- 16
Fruit, List 2 4 40 -- -- 160
Milk , List 3 1 12 8 5 125
Sugar, List 7 7 35 -- -- 140
Partial Sum: 93
228 (Prescribed CHO)
-93 (Partial Sum)
135 ÷ 23 = 5 Rice Exchanges
Rice, List 4 4 92 8 -- 400
Partial Sum: 18
35 (Prescribed CHON)
-18 (Partial Sum)
17 ÷ 8 = 2 Meat Exchanges
Meat, List 5A 2 -- 16 2 82
Partial Sum:
31 (Prescribed FAT)
-7 (Partial Sum)
24 ÷ 5 = 5 Fat Exchanges
Fat, List 6 5 -- -- 24 225
Total: -- 185g 34g 31kg 1164 kcal

List 1A (Vegetables) = 2 Exchanges

List 1B (Vegetables) = 1 Exchange

List 2 (Fruits) = 4 Exchanges

List 3 (Milk) = 1 Exchange

List 4 (Rice) = 4 Exchanges

List 5 (Meat) = 2 Exchanges

List 6 (Fats) = 5 Exchanges

List 7 (Sugar) = 7 Exchanges


Breakfast AM Snack Lunch PM Snack Dinner

- Apple - Pan de sal - Rice - Mango Shake - Ensaladang Ampalaya


(65g) = 1 (20 g/1 ½ (cooked)  Lite low fat - Rice (cooked) (40g –
fruit pc.) = ½ (20g – ¼ cup milk (250g ) ½ cup) = 1 rice
exchange rice rice) = ½ = 1 milk exchange
- Oatmeal exchange rice exchange  ¾ cup Ampalaya
(1/2 cup) - Peanut exchange  Ripe (18.75 g)= ¾ Veg.a
= 1 rice butter (2 - Tilapya Mango 60 g exchange
exchange tsp) = 1 (Fried) (E.P.) (1  ¼ cup tomato
 2 tsp fat  Tilapya slice) = 1 (6.25g)= ¼ Veg.a
sugar = 2 exchange (35g) = 1 fruit exchange
sugar meat A exchange  1 tsp sugar = 1 sugar
exchange exchange  2 tsp sugar = exchange
 Canola oil 2 sugar - Fried Chicken
(1 tsp) = 1 exchange  Breast chicken (30g)=
fat - Pancit Bihon 1 meat A exchange
exchange  Bihon  Canola Oil (1 tsp) = 1
- Corn soup (37.5g – ½ fat exchange
 Corn (32.5 cup)= ½ -
g-1/4 cup)= rice
½ rice exchange
exchange  Petchay (1/4
 Canola oil cup
(1 tsp) = 1 (22.5g)= ½
fat Veg.a
exchange exchange
- Fresh fruits  Carrot
(melon, (1/2cup –45
grapes, g)= 1 Veg.b
pineapple, exchange
apple with  Cauliflower
lemon juice (22.5g – ¼
and honey) = cup)= ½
2 fruit Veg.a
exchange, 2 exchange
sugar  Canola oil
exchange (1 tsp) = 1
fat
exchange

Republic of the Philippines
      Laguna State Polytechnic University
Province of Laguna
COLLEGE OF NURSING AND ALLIED HEA
Patient’s Profile
Patient’s Name:
 Patient X
Age:
9
Gender:
Male
Educational Status: Elementary student
Occupation: 
N/A
Heig
Diet Prescription
Desirable Body Weight (DBW): 
 (9 x 2) + 8
DBW = 26 kg
Total Energy Allowance (TEA): 
26 kg × 35 = 910
TE
Diet Prescription
Diet Prescription: 1400 kcal; CHO 245g ; CHON 35g ; FAT 31g
Food
No. of
Exchanges
CHO (g)
CHON (g)
FAT (g)
Breakfast
AM Snack
Lunch
PM Snack
Dinner
-
Apple 
 
 
(65g) = 1 
fruit 
exchange
-
Oatmeal 
 
 
(1/2 cup) 
 = 1 rice 
exchang

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