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Children’s Dietitians The Department of Dietetics and Nutrition Queen’s Medical Centre Campus Derby Road Nottingham NG7 2UH

Department of Dietetics and Nutrition © June 2013. All rights reserved. Nottingham University Hospitals NHS Trust. Review June 2016. Ref: xxxx/v1/0411/CR.

How much potassium is in the foods

I eat?

Information For Children with Kidney Disease

Department of Dietetics and Nutrition

This document can be provided in different languages and formats. For more information please contact:

Nottingham Children’s Hospital Queen’s Medical Centre Campus

D Floor, East Block

Children’s Dietitian: Ruth Prigg/Emma Kelly

Contact number: (0115) 924 9924 Ext: 62066

Notes

Notes Contents

Why is a potassium restriction needed? ……… 4 The main principles of a low potassium diet … 5 Vegetables …………………………………….. 6-7 Fruit ……………………………………………… 8-9 Meat and Fish ……………………………….. 10-11 Carbohydrates ………………………………. 12-13 Dairy …………………………………………….. 14 Drinks …………………………………………… 15 Snacks ……………………………………… 16-17

Why is a potassium restriction needed?

You have been advised to restrict the potassium in your diet, as you have increased levels of potassium in your blood. High blood potassium levels can be dangerous and can be harmful to the heart. The foods are colour coded as traffic lights. This system indicates the amount of potassium in the foods you eat. Foods lower in potassium: can have daily

Foods moderate in potassium: have twice a week

Foods highest in pottasium: have once a week

4

More than 3 mmol - high

Twix (2 finger bar) (56g) 3.4

Plain Chocolate (50g) small bar 3.8

Lion/Picnic bar 4.2

White chocolate (50g) small bar 4.4

Mars Bar (65g) 4.5

Bounty bar (57g ) regular bar 4.6

Milk chocolate (50g) small bar 5.7

Chocolate Muffin 6.3

Liquorice allsorts (56g bag) 8.6

19

Less than 1 mmol - low

Polo tube / marshmallows (40g) trace

Turkish delight (no chocolate) (15g) trace

Fruit pastilles (tube) 0.03

Refreshers/Love hearts 0.05

Fruit gums (tube)(40g) / Boiled sweets (tube) 0.08

Chewy sweets (tube) 0.10

Confectionary

1 - 3 mmol - moderate

Milky way 1.2

Crème egg 1.5

Chocolate covered animal biscuits (small bag)

1.5

Toffees (50g) 1.7

Kit Kat (2 finger bar)/Blue Riband 1.9

Crunchie 2.5

Smarties (tube) 2.6

White chocolate buttons x 1 bag 3.0

18

The main principles of a low potassium diet: Encourage fruit and vegetables but limit to 2

servings of each a day (try to pick from the green section).

Boil all vegetables rather than using a steamer,

microwave or pressure cooker and discard all vegetable water. Do not use the water in soups or gravy.

All potatoes must be peeled and cut into small

pieces before cooking and boiled until cooked, throwing away the cooking water.

Limit milk to half a pint a day. Limit milk based desserts, eg. Yogurts/ ice-cream/custards. Avoid salt substitutes because they contain

potassium e.g. LoSalt, Ruthmol or Solo.

5

Vegetables

Less than 2.5 mmol - low

Beansprouts (60g) 0.7

Cucumber (30g) 1.2

Swede (boiled, 60g) 1.3

Tomato sauce (20g) 1.4

Onions (boiled) / Pickled onions (60g) 1.6

Chick peas (canned, 60g) 1.7

Gherkins (4 pickled, 60g) 1.7

Marrow (60g) 1.7

Pesto (Green, 40g – 1/4 jar ) 1.8

Green pepper (60g) 1.8

Runner beans (boiled, 60g) 2.0

Frozen mixed veg (boiled, 60g) 2.0

Onions (raw)/ Leeks (boiled, 60g) 2.3

Spring greens (boiled, 60g) 2.4

Carrots (boiled, 60g) 2.5

2.5 - 4 mmol - moderate

Cabbage (boiled, 60g) 2.6

Peas (frozen/mushy, 60g) 2.7

Green beans (60g) 2.7

Houmous (60g) 2.9

6

More than 3 mmol - high

Scone (Plain, 48g) 3.3

Peanut Butter (20g, thickly spread on 1 slice) 3.5

Eccles cakes (45g) 4.9

Mixed nuts (30g) 5.3

Fruit cake (slice) 5.9

Bombay mix (30g) 5.9

Christmas pudding (100g) 8.7

Chocolate Fudge Cake (98g) 8.9

Potato crisps (30g) 10.1

Bread and butter pudding (122g) 11.6

17

1-3 mmol - moderate

Flapjack (50g) 2.6

Apple crumble (117g, white flour) 2.7

Twiglet (small bag) 2.9

Hot cross bun 2.9

Danish Pastry 3.0

Less than 1 mmol - low

Jelly made with water 0.10

Prawn crackers (30g) 0.10

Jam Tart (34g) 0.60

Ginger nut biscuit x 2 0.70

Treacle tart (slice) 0.80

Jaffa cake x 2 0.9

Jam swiss roll (30g slice) 1.0

Plain digestive biscuit x 2 1.6

Snacks

1-3 mmol - moderate

Lemon meringue pie x 1 slice 1.4

Sweet pancakes (crepe 43g) 1.9

Iced madeira/lemon drizzle (40g) 2.0

Iced bun 2.1

Apple pie (100g) 2.2

Jam Doughnuts (75g) 2.2

Tortilla Chips (30g) 2.2

Chocolate éclair 2.3

Chocolate digestive x2 2.3

Corn snacks 2.5

16

More than 4.0 mmol - high

Tofu (steamed/fried, 90g) 4.1

Asparagus (boiled, 3 spears, 75g) 4.2

Squash (Baked-60g) 4.2

Brussel sprouts (boiled, 60g) 4.7

Canned tomatoes (95g)/Tomatoes (90g) 5.1

Spinach (baby, raw, 60g) 5.2

Parsnips (boiled, 60g) 5.3

Mushrooms (raw, 60g) 5.8

Butter/kidney beans (canned, 60g) 6.2

Sweet potato (boiled, 90g) 6.9

Tomato puree (30g) 9.6

7

2.5 - 4 mmol - moderate

Beetroot (pickled, 60g) 2.9

Onions fried (60g) 2.9

Broad beans (boiled, 60g) 3.0

Broccoli/ Courgette (boiled 60g) 3.2

Cauliflower (boiled, 60g) 3.3

Lettuce/Sweetcorn (60g) 3.3

Radishes (60g) 3.7

Aubergine (fried, 90g) 3.9

Spring onions (60g) 4.0

Fruit

Less than 2.5 mmol - low

Mandarins (canned in juice) 1.6

Raspberries 10 (40g) 1.7

Clementines/Satsumas (60g– one) 2.0

Apple (small) 2.1

Cherries 10 (40g) 2.2

Grapefruit (120g, canned in juice) 2.2

Pear (small) 2.3

Blackberries 12 (60g) 2.5

2.5 - 4mmol - moderate

Apricot (40g) 2.8

Pineapple (1 slice, no skin - 80g) 3.2

Plum (55g) 3.4

Peach (canned in syrup-120g) 3.4

Strawberries 5 (80g) 3.5

Orange (medium) 3.5

Grapes 10 (65g) 3.6

Mango – small bowl (80g) 3.7

Raisins/sultanas – small box (15g) 3.8

Grapefruit (1/2) (80g) 4.0

8

Less than 1.5 mmol - low

Squash/cordial (200ml) (Less than <10% fruit juice from concentrate)

0.3

Ovaltine (23g) with water 0.9

Lemonade (330ml) 1.3

Tea (200ml) black 1.4

Drinks

1.5-3 mmol - moderate

Coffee (2g) instant black 1.9

Pineapple juice (150ml) 2.0

Grape juice (150ml) 2.1

Drinking Chocolate (18g - with water) 2.3

Fanta/tango(330ml) 2.3

More than 3 mmol - high

Apple Juice (150ml) 3.4

Fresh Orange Juice (150ml) 6.3

Tomato juice (160ml) 9.4

Milkshake-Take away (250ml) 10.9

Horlicks made with milk (200ml) 10.9

15

Milk is an important source of calcium in your child’s diet however it is high in potassium. Total milk intake should be limited to 300ml/day

Less than 1 mmol - low

Double cream (tablespoon 30g) 0.5

Single cream (tablespoon 15g) 0.5

1 - 4 mmol - moderate

Crème fraiche (60g) 1.2

Petit filous (60g) 2.7

Soya yoghurt (120g) 2.8

Custard (120ml) 4.0

Yoghurt (fruit) per 100g 4.3

Yoghurt (plain) per 100g 4.3

Rice pudding (140g) 4.6

More than 5 - high

Ice cream (120g) 5.0

Condensed milk 9.2

Evaporated milk per 100ml 12

Dairy

14

More than 4.0 mmol - high

Kiwi (60g) 4.5

Watermelon (200g) 5.1

Nectarine/Peach 5.7

Honeydew (1 slice - 150g) 5.8

Galia melon (1 slice - 150g) 5.8

Rhubarb (Fresh ,stewed no sugar) (100g) 5.9

Figs (25g) (ready to eat) 6.2

Canteloupe melon (1 slice - 150g) 8.0

Bananas (small ) 8.5

Avocado (½ - 75g) 8.6

Dates (dried) (50g) 9.0

9

More than 14 mmol - high

Mackerel (160g) 16.0

Less than 8mmol - low

Bacon (1 rasher) 1.9

Gammon slice– Boiled (45g) 2.9

Fish fingers x 2 3.5

Beef (minced) stewed (100g) 4.2

Beef stew (90g) 6.2

Roast chicken (80g) 6.7

Haddock in breadcrumbs 7.0

Roast Lamb (90g) 7.6

Meat and Fish

10

8-14 mmol - moderate

Roast turkey (70g) 8.0

Chicken nuggets (90g) 8.0

Lamb chop (60g) 8.0

Steak (Rump 5oz) 9.2

Vegetable Chilli (170g ) 10

Salmon steak (100g) 10.5

Lasagne (225g) 12.5

Pork chop (120g) 13.1

11

Less than 5 mmol - low

Rice Noodles (140g cooked) 0.1

White long grain rice (100g cooked) 0.4

White pasta (140g cooked) 1.4

Egg Noodles (90g cooked) 1.5

Brown rice (100g cooked) 2.5

Couscous (140g cooked) 4.3

5-10 mmol - moderate

Potato croquettes x 3 6.0

Mashed potato (120g) 10

More than 10 mmol - high

Potato waffles x 2 10.8

New potatoes x 4 (130g) Also fried to make chips.

12.5

Oven Chips (100g) 16.3

Jacket potato (medium) no skin (160g) 14.7

Roast potatoes x 4 14.5

Chips frozen and fried (100g) 18.4

Jacket potato (medium) with skin (160g) 24.5

Carbohydrates