Discharge Instructions for Chronic Kidney Disease

Discharge Instructions for Chronic Kidney Disease (CKD)

Chronic kidney disease can happen because of many things. These include infections, diabetes, high blood pressure, kidney stones, circulation problems, and reactions to medicine. Having kidney disease means making many changes in your life. Learn as much as you can about it so that you can better adjust to these changes. It is important to remember that the main goal of treatment is to stop chronic kidney disease (CKD) from progressing to complete kidney failure. Treatments may vary based on the progression of CKD. Always follow your doctor's instructions on how to manage your condition.

Here are some things you can do to help your condition.

Diet changes

Always discuss your diet with your doctor before making any changes.

Salt (sodium) in your diet

  • Based on your condition, you may be told to eat 1,500 mg or less of sodium daily
  • Limit processed foods such as:
    • Frozen dinners and packaged meals
    • Canned fish and meats
    • Pickled foods
    • Salted snacks
    • Lunch meats
    • Sauces
    • Most cheeses
    • Fast foods
  • Don't add salt to your food while cooking or before eating at the table.
  • Eat unprocessed foods to lower the sodium, such as:
    • Fresh turkey and chicken
    • Lean beef
    • Unsalted tuna
    • Fresh fish
    • Fresh vegetables and fruits
  • Season foods with fresh herbs, garlic, onions, citrus, flavored vinegar, and sodium-free spice blends instead of salt when cooking.
  • Don't use salt substitutes that are high in potassium. Ask your doctor or a registered dietitian which salt substitutes to use.
  • Avoiding drinking "softened" water, because of the sodium content. Make sure to read the label on bottled water for sodium content.
  • Avoid over-the-counter medicines that contain sodium bicarbonate or sodium carbonate. Read labels carefully.

Potassium in your diet

  • Based on your condition, you may be told to eat less than 1,500 mg to 2,700 mg of potassium daily.
  • Always drain canned foods such as vegetables, fruits, and meats before serving.
  • Avoid whole-grain breads, wheat bran, and granolas.
  • Avoid milk, buttermilk, and yogurt.
  • Avoid nuts, seeds, peanut butter, dried beans, and peas.
  • Avoid fig cookies, chocolate, and molasses.
  • Don't use salt substitutes that are high in potassium. Ask your doctor or a registered dietitian which salt substitutes to use.

Protein in your diet

  • Based on your condition, your doctor will talk with you about why you should limit protein in your diet.
  • Cut back on protein. Eat less meat, milk products, yogurt, eggs, and cheese.

Phosphorus in your diet

  • Avoid beer, cocoa, dark colas, ale, chocolate drinks, and canned ice teas.
  • Avoid cheese, milk, ice cream, pudding, and yogurt.
  • Avoid liver (beef, chicken), organ meats, oysters, crayfish, and sardines.
  • Avoid beans (soy, kidney, black, garbanzo, and northern), peas (chick and split), bran cereals, nuts, and caramels.

Eat small meals often that are high in fiber and calories. You may be told to limit how much fluid you drink.

Other home care

  • Avoid wearing yourself out or becoming overly fatigued.
  • Get plenty of rest and get more sleep at night.
  • Move around and bend your legs to avoid getting blood clots when you rest for a long period of time.
  • Weigh yourself every day. Do this at the same time of day and in the same kind of clothes. Keep a record of your daily weights.
  • Take your medicines exactly as directed.
  • Keep all medical appointments.
  • Take steps to control high blood pressure or diabetes. Talk with your doctor for advice.
  • Talk with your doctor about dialysis. This procedure may help if your chronic kidney disease is progressing to end stage renal disease.

Follow-up care

Make a follow-up appointment as directed by our staff.

When to seek medical care

Call your doctor right away if you have any of the following:

  • Trouble eating or drinking
  • Weight loss of more than 2 pounds in 24 hours or more than 5 pounds in 7 days
  • Little or no urine output
  • Trouble breathing
  • Muscle aches
  • Fever of 100.4?F or higher, or chills
  • Blood in your urine or stool
  • Bloody discharge from your nose, mouth, or ears
  • Severe headache or a seizure
  • Vomiting
  • Swelling of legs or ankles
  • Chest pain (call 911)