renal pts and dark liquids

  1. today i had a pt who is on dyalisis. the wife was at the bedside when the pt who is on a 1800 cc fluid retriction asked for a soda. i notified the pt t hat i would substitue the amout from his fluid allowance and thatvit would be a diet soda. he agreed. but then wife said to me that it must be clear. that a nephrologist had told her that he should not drink anything dark. be it soda coffee tea, etc. now i just got home and am looking online for a rational of why. i have no such luck, so my question is has anybody heard of this and what is the rational? i'd greatly appreciate a answer.
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  2. 3 Comments

  3. by   jnette
    Quote from milicarr
    today i had a pt who is on dyalisis. the wife was at the bedside when the pt who is on a 1800 cc fluid retriction asked for a soda. i notified the pt t hat i would substitue the amout from his fluid allowance and thatvit would be a diet soda. he agreed. but then wife said to me that it must be clear. that a nephrologist had told her that he should not drink anything dark. be it soda coffee tea, etc. now i just got home and am looking online for a rational of why. i have no such luck, so my question is has anybody heard of this and what is the rational? i'd greatly appreciate a answer.
    Dark beverages are high in potassium, and some in phosphorus... both of which are dangerous to the ESRD patient as they can no longer eliminate these from the body. If they accumulate in the body, it can be harmful.. cause cardiac arrythmias, (potassium), and hi phos. will cause bones to become brittle.

    Hope that helps.
  4. by   Fergie
    I have always understood that it was dark colored pop, the colas that were the worst due to the higher k and phosphorus as stated in the earlier post. Renal diet and usually combined with a diabetic diet does not give the patient alot of choices. Fluid restrictions are so tough.
  5. by   jnette
    Quote from Fergie
    I have always understood that it was dark colored pop, the colas that were the worst due to the higher k and phosphorus as stated in the earlier post. Renal diet and usually combined with a diabetic diet does not give the patient alot of choices. Fluid restrictions are so tough.

    Correct.. the dark colas are the culprit. However, coffee is a no-no as well.

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