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KGH List of Acceptable Diet Orders and Modifications
(Effective February 2015)
Diet Order Name Diet Order Description
House Diets (may be ordered in combination with Adult or Pediatric diets unless
otherwise stated)
1. Regular For patients that do not require a therapeutic diet. Not
suitable for infants or toddlers.
2. Maternal For pre/post natal patients. Not suitable for infants or
toddlers.
3. Six Small Meals 3 small meals plus 3 snacks daily.
4. Vegetarian Diet suitable for lacto-ovo, lacto, or vegan vegetarians.
Excludes meat, fish, poultry, eggs or milk products as
well as their by-products as appropriate.
5. Kosher Diet designed to respect religious observances of Jewish
patients.
6. Halal Diet designed to respect religious observances of
Muslim patients.
Pediatric Diets (0-18 years)
7. Adolescent For children aged 9-18 years of age.
8. Pediatric For children aged 4-8 years of age.
9. Toddler Pediatric bite-size for children aged 13 months – 3 years
inclusive.
10. Infant Minced For children aged 9-12 months.
11. Infant Baby Food For children aged 6 to 9 months requiring baby food.
12. Infant Formula Formula to be specified.
13. Pediatric Diabetic Diet suitable for diagnosis of impaired glucose tolerance
or diabetes mellitus. Consistent levels of carbohydrate
and 1 snack provided throughout the day.
14. Pediatric Ketogenic Diet suitable for epilepsy/intractable seizures, Glut – 1
deficiency, and pyruvate dehydrogenase deficiency.
Dietitian will individualize diet based on patient’s
specific needs.
15. Pediatric Low Fat Total fat < 20g/day.
Therapeutic Diets (may be ordered in combination with Adult or Pediatric diets
unless otherwise stated)
Adverse Reaction Diets
16. Gluten free Does not allow any food sources of gluten. Suitable for
patients with Celiac Disease.
17. Low Lactose Allows foods with small amounts of lactose, e.g. hard
cheese, cream, and yogurt. Suitable for patients with
mild-moderate lactose intolerance
18. Lactose Free Does not allow any food sources of lactose. Suitable for
patients with severe lactose intolerance.
Renal Diets
19. Chronic Kidney Chronic Kidney Disease provides 40-70g protein, 800-
Disease 1000mg phosphorus, 2.3g sodium daily
20. Hemodialysis Hemodialysis provides 60-85g protein, 2.0-3.0g
potassium, 2.3g sodium, 800 - 1000mg phosphorus,
1000 mL fluid daily.
21. Acute Renal Failure Acute Renal Failure provides 46-84g protein, 2.0-3.0g
potassium, 1.0-2.0g sodium, 800-1200mg phosphorus,
750-1500ml fluid daily.
22. Peritoneal Dialysis Peritoneal Dialysis provides 68-91g protein, 3.0-4.0g
potassium, 2.3g sodium, 800-1000 mg phosphorus.
23. Renal Transplant Renal transplant provides 74-105g protein, 2.3g sodium,
and 1200-1500mg phosphorus daily.
24. Low Potassium 2.3 g day potassium restriction.
Fluid Diets
25. Clear Fluids Only clear liquids allowed. Diet is not nutritionally
adequate. Designed for <48 hours in duration.
26. Full Fluids For patients requesting or requiring a short-term fluid
diet due to facial, oral or gastrointestinal complications.
Diabetic Diets
27. Diabetic Diet suitable for diagnosis of impaired glucose tolerance
or diabetes mellitus. Consistent levels of carbohydrate
and 1 snack provided throughout the day. Not suitable
for infants or toddlers (see Pediatric Diabetic).
28. Maternal Diabetic Diet suitable for pre/post natal women with diagnosis of
impaired glucose tolerance, gestational diabetes, or
diabetes mellitus. Consistent levels of carbohydrate and
3 snacks provided throughout the day. Not suitable for
infants or toddlers (see Pediatric Diabetic).
Sodium Restricted Diets
29. Low Sodium 2 g /day sodium restriction.
Fibre Diets
30. Low fibre Total insoluble fibre <10 g/day distributed evenly
throughout the day. Provides sources of soluble fibre
that may help reduce diarrhea.
31. High Fibre Total Fibre 25-38 g/day. Not suitable for infants or
toddlers.
32. Phase 1, Diet for For patients with severe abdominal pain, cramps, and
Narrowed Bowel distention with or without nausea, early satiety, and/or
heartburn.
33. Phase 2, Diet for For patients with moderate, persistent abdominal pain,
Narrowed Bowel cramps, and distention.
34. Phase 3, Diet for For patients with mild, occasional abdominal cramps,
Narrowed Bowel gas, and distention.
Surgery Diets
35. Dumping Syndrome Provides small, frequent meals and reduced sugars and
sugar alcohols to manage symptoms of dumping
syndrome. Suitable for post gastrectomy and
esophagogastrectomy.
36. Esophageal Surgery Provides small, frequent meals consisting of soft, moist,
and/or minced foods. Suitable for post esophagectomy
and fundoplication.
Miscellaneous Therapeutic Diets
37. High Calorie, High Allows high calorie and protein foods.
Protein
38. Low Fat Total fat <50 g /day. Not suitable for infants or toddlers
(see Pediatric Low Fat).
39. Anti- Reflux Diet to treat gastroesophageal reflux. Excludes caffeine
and fatty, acidic, and gassy foods.
40. Tyramine Restricted For patients requiring a tyramine restriction due to
medication interactions, e.g. MAOI’s,
procarbazine…etc.
41. Heart Healthy Total Fat less than 35%; saturated fats less than 7%;
trans-fat less than 1%; less than 2.3g sodium; less than
300 mg/day Cholesterol; less than 400 mg/day Caffeine.
42. 1200 Calorie Provides 1200 kcal/ day. Not suitable as a substitute
for diabetic diet.
43. 1500 Calorie Provides 1500 kcal/ day. Not suitable as a substitute
for diabetic diet.
44. Metabolic Disorders For patients with disorders of amino acid and
carbohydrate metabolism and urea cycle. Dietitian will
individualize diet based on patient’s specific needs.
Test Diets (may be ordered in combination with Adult or Pediatric diets)
45. Fecal fat test Total fat as follows:
Greater than 20 g/day for children aged 0-2 years
Greater than 40-50 g/day for children aged 3-12 years
Greater than 70-80 g/day for children aged 13-18 years
100 g/day for Adults greater than 18 years
Fecal Fat Orders –Inpatient (Adult and Pediatric)
order set must be completed prior to initiation of diet.
Non-Oral Diets (may be ordered in combination with Adult or Pediatric diets)
46. Enteral Nutrition Gastric or intestinal tube feeding. Enteral formula, rate,
and infusion time to be specified.
47. Parenteral Nutrition Parenteral feeding. Parenteral solution, lipids, additives,
rate, and infusion time to be specified.
48. NPO Nil per Os (no oral intake). Allows enteral and
parenteral diets.
Diet Order Modifications (must be ordered in combination with a therapeutic or
house diet order)
Fluid Restrictions
49. 750 mL Fluid Restricts fluids and high fluid foods to 750 mL/day.
Restriction
50. 1000 mL Fluid Restricts fluids and high fluid foods to 1000 mL/day.
Restriction
51. 1500 mL Fluid Restricts fluids and high fluid foods to 1500 mL/day.
Restriction
Texture Modifications
52. Pureed For patients with moderate to severe chewing and/or
swallowing difficulty, with poor oral phase abilities
and/or pharyngeal swallowing problems. No bread or
mixed consistencies allowed.
53. Minced For patients with mild to moderate oral and/ or
pharyngeal swallowing difficulty. Minimal chewing
required to breakdown small lumps that are round and
.
soft No bread or mixed consistencies allowed.
54. Soft For patients with mild oral and/or pharyngeal
swallowing problems. Adequate dentition and
mastication are required.
55. Bite-size For self-feeding patients who manage meals with one
hand. Foods consist of bite-size pieces or finger foods.
56. No Bread Products For patients with mild oral and/or pharyngeal
swallowing problems who are unable to tolerate
crumbly or sticky foods.
57. No Solids For patients requiring a liquid only diet secondary to
impairment/difference of swallow physiology and
anatomy. Modification is not nutritionally adequate.
Designed for <48 hrs. in duration. Can be ordered in
combination with nectar and honey thick fluids. Not
compatible with pudding thick fluids.
Fluid Consistencies
58. Nectar Thick Fluids For patients with reduced tongue control, and/or delay in
pharyngeal swallow, and/or poor ability to protect
airway.
59. Honey Thick Fluids For patients with reduced tongue control, and/or delay in
pharyngeal swallow, and/or poor ability to protect
airway.
60. Pudding Thick Fluids For patients with reduced tongue control, and/or delay in
pharyngeal swallow, and/or poor ability to protect
airway.
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