Hospital Diet

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Rivera John Emmanuel D. Jemuel D.

Cortez
BSN 2-6 20/11/2024
Table 4-1. Meal Plan for
Blenderized Feeding
I Based on the total allowances for a normal diet, plan and
prepare a 1,500 kcal blended formula, following the
calculations for normal diet.

Food No. of CHO PRO FAT Energy Meal Distribution


Exchanges Exchanges g g g kcal B L D Snack
I. Veg A 3 9 3 - 48 1 1

Veg B 2 6 2 - 32 1 1

II. Fruits 2 20 - - 80 1 1

III. Milk 2 24 16 - 160 1 1


Non fat

IV. Rice A 3 69 - - 276 1 1

Rice B 2 69 4 - 200 1 1
Rice C 2 60 8 - 216 1 1
V. Meat 2 - 16 2 82 1 1
Low Fat

Medium 3 - 24 18 258 1 1
Fat
High Fat - - - - -
VI. Sugar 2 10 - - 40 1

VII. Fat 3 - - 15 135 1 1

Total: 267g 73g 35g 1535kcal

Breakfast (B):
 Veg A (1 exchange):
o 3g carbs, 1g protein
o 1/2 cup cooked spinach or mixed leafy greens
o Energy: 48 kcal
 Rice A (1 exchange):
o 69g carbs
o 1/2 cup cooked white rice
o Energy: 276 kcal
 Milk (Non-fat) (1 exchange):
o 24g carbs, 16g protein
o 1 cup of non-fat milk
o Energy: 160 kcal
 Fat (1 exchange):
o 15g fat
o 1 tbsp of olive oil or butter
o Energy: 135 kcal
Breakfast Total: 619 kcal

Lunch (L):
 Veg A (1 exchange):
o 3g carbs, 1g protein
o 1/2 cup cooked carrots or zucchini
o Energy: 48 kcal
 Rice B (1 exchange):
o 69g carbs, 4g protein
o 1/2 cup cooked rice with beans or lentils
o Energy: 200 kcal
 Meat (Low Fat) (1 exchange):
o 16g protein, 2g fat
o 2 oz skinless chicken breast
o Energy: 82 kcal
 Fat (1 exchange):
o 15g fat
o 1 tbsp olive oil for cooking
o Energy: 135 kcal
Lunch Total: 465 kcal

Dinner (D):
 Rice C (1 exchange):
o 60g carbs, 8g protein
o 1/2 cup cooked brown rice
o Energy: 216 kcal
 Veg B (1 exchange):
o 6g carbs, 2g protein
o 1/2 cup cooked broccoli or cauliflower
o Energy: 32 kcal
 Meat (Medium Fat) (1 exchange):
o 24g protein, 18g fat
o 2 oz lean ground turkey or lean pork
o Energy: 258 kcal
 Fat (1 exchange):
o 15g fat
o 1 tbsp olive oil or avocado
o Energy: 135 kcal
Dinner Total: 641 kcal

Snack:
 Fruits (1 exchange):
o 20g carbs
o 1/2 cup of mixed berries (such as strawberries, blueberries)
o Energy: 80 kcal
 Sugar (1 exchange):
o 10g carbs
o 2 tsp of honey or maple syrup
o Energy: 40 kcal
Snack Total: 120 kcal

Meal Distribution Breakdown:


 Breakfast (B): 619 kcal
 Lunch (L): 465 kcal
 Dinner (D): 641 kcal
 Snack: 120 kcal
Total kcal: 1535 kcal
Carbohydrates: 267g
Proteins: 73g
Fats: 35g
Total kcal: 1535Kcal
Carbohydrates: 267g Proteins: 73g Fats: 35g
Amount of formula before dilution: 1535ml
Amount of water added to get right consistency: 3.070ml
2. Divide into 2 the amount of each food item computed. This constitutes the
morning and afternoon preparation. Prepare the blended formula for morning
preparation only. During preparation. Discuss the characteristics of tube feeding
diet.
Morning and Afternoon Preparation:
- Morning Preparation: Prepare half of the total food exchanges calculated
above for the morning tube feeding.
- Afternoon Preparation: Prepare the remaining half for the afternoon tube
feeding.
Table 5-6. Characteristics of Tube feeding Diet
Diet Indications Characteristics Food Selections
Suitable for Customizable Vegetables
people who can using complete (carrots, peas,
House Formula stomach whole foods. spinach)
food mixes. Blend carefully to Fruits
Ideal for people create a smooth (apples, bananas,
who have normal consistency for berries)
digestion and tube feeding. Grains (rice, oats)
absorption but Whole ingredients Protein (lean
require tube provide more fiber meat, tofu,
feeding. and minerals. chicken)
Healthy fats
(olive oil,
avocado)
Suitable for Tube feeding usually consists of
people who are supplies are pre- specific
Commercial unable to tolerate packaged and formulations that
Formula or process full frequently offer a regulated
food mixtures. sterilized. combination of
Frequently used More consistent macronutrients
for people with and easy to and
more complicated administer. micronutrients,
eating Designed to give such as Glucerna,
requirements (e.g., complete nutrition Ensure, or
malabsorption, without the need Peptamen.
particular nutrient for preparation.
requirements).

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