CASE PRESENTATION ON THE HOSPITAL ROUTINE DIETS

Names: BALISI, VENER VINCE D.

DE LIMA, JOSHA KYLE
KULANI, FATIMA
KUNTING, FARZANA
TIBIGIN, KIM

Course, Year and Section: BSN-2F

Class Schedule: SATURDAY 1:00-4:00 PM
Date of Submission: DECEMBER 11, 2021

COLD LIQUID DIET

__________________________________________
(DIET ASSIGNED TO YOUR GROUP)

Work Exercise No. 1. Objectives or Aims of the Diet

a. To provide only cold liquids, which are free of irritants or acid properties.
b. To administer food at a proper route.
c. To be able to meet the nutritional requirements of the patient.
d. To rest the organ included
e. To minimize pain in oral cavity
f. To promote rapid wound healing

Work Exercise No. 2. Characteristics of the Diet

Cold liquid diet or also known as Tonsil diet is used commonly for tonsillectomy and
adenoidectomy, post-operation. This must obviously cold, particles are thin and free from
irritants to lessen discomfort of the patient upon feeding.

Work Exercise No. 3. Indication for Use of the Diet

This diet is used following a tonsillectomy and adenoidectomy (T&A). It is also used when only
fluids or soothing foods in liquid form are tolerated. Also, consult a nutritionist or a doctor before
initiating this diet. The cold liquid diet is not nutritionally adequate. Hence, you should not risk
your health without proper medical advice.

Work Exercise No. 4. Foods Allowed and Foods Avoided

FOODS ALLOWED FOODS AVOIDED

 All solid, hard, and hot foods

 Fresh fruit juice – iced or cold  Wine and alcoholic beverages
 Soft drinks  All hot beverages or soups
 Blended fresh fruits – fresh or cold
 Tea and coffee
 Fruit shake – iced or cold
 All chilled milk
 Strong-flavored fruit juices
 Dairy or non-dairy chilled yogurt  Spicy foods
 Cold thin cereal as a rice substitute
 Any cold thin soup
 Plain ice cream
 Popsicles
 Plain sherbet
 Cold soft custard
 Cold gelatin
Work Exercise No. 5. Intervals of Feeding and Administration

Intervals must be 6-8 times a day q2h-q4h through oral administration.

Work Exercise No. 6. Dietary Computation

Hypothetical Data:

Sex: Male
Age: 32 years’ old
Actual Weight: 62 kg
Actual Height: 5 feet and 7 inches
Physical Activity: Bed rest but mobile

A. Compute for the following:

For Full Liquid Diet, Clear Liquid Diet, Cold Liquid Diet and Soft Diet
 Desirable Body Weight
DBW= 112 lbs. + (4 lbs./ inch. + 7 inches)
= 112 lbs. + 28 lbs.
DBW= 140 lbs. or 64 kg.

 Body Mass Index (with BMI classification)

BMI= 62 kg/ 2.89 m2
BMI= 21.45 (NORMAL)

 Total Energy Requirement

TER= 64 kg. x 27.5 kcal/kg.
TER= 1,760 or 1,750 kcal

 Distribution of TER with Diet Prescription (Use either percentage distribution or NPC of
which you think that will apply best)
CHO:
=1,750 kcal x 70%
=1,225 kcal/ 4 kcal/gram
= 306.8 or 305 grams

CHON:
= 1,750 kcal x 10%
= 175 kcal / 4 kcal/gram
=43.75 or 45 grams

Fats:
=1,750 kcal x 20%
=350 kcal/ 9 kcal/gram
= 38.88 or 40 grams
DIET PRESCRIPTION:
Carbohydrates: 305 grams
Protein: 45 grams
Fats: 40 grams

 Translate diet prescription into exchanges


 List
Food No. of Carbohydrate Protein Fat Energy
Exchanges (g) (g) (g) (kcal)

I Vegetable 4 12 3 - 64
II Fruit 5 50 - - 200
III Milk 2 24 16 10 250
VII Sugar 4 20 - - 80

CHO partial sum _________________

106
305
-106
__________________
= 199 (204/23=8.6 or 9 rice exchanges)
IV Rice A 3 69 0 0 276

Rice B 3 69 6 0 300
Rice C 3 69 12 0 324

CHON partial sum __________________

18
45
- 18
________
=27 (27/8= 3.3 or 3 exchanges of meat)
V LF Meat 2 - 16 12 82

MF Meat 1 - 8 10 86
Fat partial sum ____________________
22
40
- 22
_______
18 (18/8=2.25 or 2 exchanges of meat)
VII Fat 2 - - 10 90

TOTAL 313 61 32 1,752

Food Groups Number Breakfast Morning Lunch Afternoon Dinner
of snack Snack
 exchanges
Vegetable 5 1 3 1
Fruit 5 1 2 2 1
Rice Rice A 6 3 3
Rice B 7 4 3
Rice C 5 3 2
Milk 2 1 1
Meat LF 2 2
Meat
MF 4 1 4
Meat
Fat 9 3 5 1
Sugar 3 1 1 1

 Distribution of Exchanges per Meal

 One-day Sample Menu (For Regular Diet and For the Assigned Hospital Routine Diet)

For Full Liquid Diet, Clear Liquid Diet, Cold Liquid Diet and Soft Diet
 One-day Sample Menu (For Regular Diet and For the Assigned Hospital Routine Diet
Sample Format)

MEAL MENU FOR REGULAR DIET MENU FOR CLEAR LIQUID DIET
Breakfast 2 pcs Hotdog
1 pc Sunny side-up
½ C Fried Rice

AM Snack

Lunch

PM Snack

Dinner