Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Selection and Preparation of Foods.~--For this reason the so-called
red meat is sometimes boiled instead of roasted, as the latter mode of
preparation increases the formation of purins on the brown outer
surfaces of the meat. Chicken and fish contain less purin bases and
for this reason are often included in the diet when beefsteak and
lamb chops are excluded. Meat soups and broths contain little nutrient
value, consisting as they do chiefly of water, salt, and extractives,
all of which are looked upon with disfavor, and classed with the
offending articles of food in the nephritic diet. Cream soups, except
bean or pea soup,[121] may be given in moderation. They are non-toxic
in character and of high nutrient value, furnishing a valuable
addition to the diet when the gastro-intestinal symptoms permit of
such addition.
CONVALESCENT NEPHRITIC DIET[122]
~Advisable Foods.~--The following foods are used in the formation of
diet for an advanced convalescent nephritic patient when not otherwise
contraindicated:
Cereals, potatoes, rice, green vegetables and salads, fruits, fresh
and stewed, ham, bacon, or beef once or twice a week, chicken, lamb,
or mutton[123] several times a week, simple desserts, such as junket,
prune or fig whip, orange, lemon, grape, pineapple or apricot
gelatin, bread, rice or tapioca pudding, plain vanilla ice
cream.[124]
~Foods to Be Avoided.~--The following foods are avoided except the
meats, which must be given not more than once to three times a week,
as directed by physician:
Meat broths, especially those made from commercial meat extracts,
bouillon cubes, etc.
Strong tea or coffee.
Alcoholic beverages, unless especially prescribed by the physician.
Liver, kidney, sweetbreads.[125]
Meat croquettes and other made dishes.
Rich sauces or gravies.
Condiments and spices of all sorts.
Rich pastries.
The salt must be limited and water and other fluids restricted.
~Sample Diet Sheets.~--The following menus[126] formulated from the
above diet list are suggested:
~No. 1.~--8 A.M. Sliced oranges, cream of wheat with
cream, buttered toast, cocoa.
10:30 A.M. 6 ounces of milk with crackers.
12:30 P.M. Cream of spinach soup, rice, string beans,
orange gelatin, bread and butter.
3 P.M. 6 ounces of buttermilk with crackers.
6 P.M. Cereal and cream, baked potato, apple sauce,
cocoa, bread and butter.
~No. 2.~--8 A.M. Stewed prunes, wheatena and cream,
milk or dry toast with butter, cocoa.
10:30 A.M. 6 ounces of malted milk with crackers or 1
slice of zwieback.
12:30 P.M. Cream of corn soup, mashed potatoes, beet
tops or mustard greens, lettuce salad, dressing made with
lemon juice and olive oil, rice pudding.
3 P.M. 6 ounces of orange or grape juice with crackers.
6 P.M. Cream toast, sliced peaches, cocoa.
~No. 3.~--8 A.M. Half a grapefruit, farina and cream,
toast and butter, cocoa.
10:30 A.M. 6 ounces of buttermilk with crackers.
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