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Data:

Patient Name Rukhsana Gender Female


Age 29 years Weight 70kg
BP 120/80 mmHg
Height 5’2”  62 inches  157.48 cm  1.5748 m

Presenting complaint:
 Hypertension
 Dehydrated
 Vomiting and Pain for 3 days

Type of Surgery
RENAL TRANSPLANT

Calculations

BMI
= wt. (kg) /Ht. (m)2  = 55/ (1.5748)2  22 underweight

IBW
=100 + 5*2  110 lb.  110/2.2  50 kg

BEE
= 655.1 + (9.6 * wt. in kg) + (1.8 * Ht. in cm) – (4.8 * Age)
Wt. = 70 kg, Ht. = 157.4, age = 29
= 655.1 + (9.6 * 70) + (1.85 * 157.4) – (4.8 * 29)
= 1471.22 Kcal

TEE
= BEE * Activity Factor * S.Factor
= 1471.22 * 1.1 * 1.33
= 2103.5 Kcal
AMDR:
Carbohydrate 55% = 55/100 * 2103 = 1156/4 = 289 g/d
Protein 20% = 20/100 * 2103 = 420.6/4 = 105 g/d
Fat 25% = 25/100 * 2103 = 525.7/9 = 58.4 g/d

Food Group Exchange Carbs Protein Fat Kcal

Milk & Milk 3 45 24 9 300


Products
Vegetables 4 20 8 0 100

Fruits 3 45 0 0 180

Starch 11 15*11 = 165 3*11 = 33 1*11 = 11 80*11 = 880

Meat & Meat 5 0 7*5 = 35 7*4 = 28 75*5 = 375


Products
Fats 2 0 0 10 45*2 = 90

Total 28 ex. 275 g 100 g 58 g 1923 kcal

DIET- Serving Carb. Protein Fats kcal


PLAN
Pre- 2 small apples 30 9 0 160
breakfast 2/3 cup yogurt 30 14 6 250
1 tb. Flax seeds 0 7 3 45

Breakfast 1 whole-wheat chapati 24 1 0 94


1 cup lentils
2 whole eggs 15 8 3 120
0 0 5 45

Lunch Brown Rice Cooked 1 30 6 4 160


cup Quiana Rice
3 oz. of Cooked 0 21 4 135
Chicken (lean)
Snack 2 tb. Spoon Raisins 15 0 0 60
6 Almonds 0 0 5 45

Dinner 1 cup cooked brown 30 6 4 160


rice.
1 bowl Chick-pea’s 30 6 2 160
soup
Bedtime Dried Apricots 8 15 0 0 160
halves
2 Waffles (grain) 30 6 2 160
With 1 tb. Spoon 7 8 16 180
peanut butter
256 92 54 1934kcal

Recommendations:
1. Do not take grapefruit juices with cyclosporine or prograft.
2. Do not eat unwashed or raw vegetables and salads.
3. Do not take undercooked meat, poultry, fish, or any other seafood.
4. Milk or Yogurt should be pasteurized. Patient should walk for 30 minutes daily whenever
she is able to walk.
5. Do not eat high salty food or poorly cooked food.

Supplements:

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