r off the tray and exclude bacon, ham, and other salty
foods from the dietary.
~Limiting the Amount of Food.~--It must be kept in mind that the
nephritic condition makes it imperative to fall below rather than
exceed the food requirements of the individual.
WIDAL'S DIET[120]
Salt-free bread 200 gm.
Meat (beef, chicken, or mutton) 200 gm.
Vegetables (beans or rice), salt-free 250 gm.
Butter, salt-free 50 gm.
Sugar 40 gm.
Contains 60 grams of protein, 1 to 2 grams of NaCl, and furnishes
approximately 1500 calories.
Strouse and Perry arranged a dietary from the above diet as follows:
8 A.M. Bread, 60 grams; lamb chop, 50 grams; butter,
10 grams; rice, 100 grams; sugar, 40 grams.
12 M. Bread, 60 grams; roast beef, 100 grams; butter,
20 grams; beans, 150 grams.
5 P.M. Bread, 80 grams; butter, 20 grams; chicken, 50
grams.
HALPIN'S SALT-FREE NEPHRITIC DIET
Milk, 1500 to 2000 c.c., white salt-free bread, 400 to 500 grams;
salt-free butter, 40 grams; eggs, 4 to 6. This diet contains from 5 to
6 grams of salt.
KARELL CURE
Karell has devised the milk cure, which is used possibly more than any
other diet. It not only furnishes a dietary regime, which is used in
nephritis, but it is likewise advocated in organic diseases of the
heart and blood vessels.
~Methods of Administering the Karell Cure.~--The cure is begun by
giving from 3 to 6 ounces of milk three or four times a day. Karell
makes a point of using small quantities to begin with and having the
milk skimmed. The milk is given at regular intervals, is warmed in
winter and given at room temperature in the summer. It may be given
plain or diluted with limewater. After a week if the stools remain
solid, the daily allowance of milk is increased to two quarts.
Constipation is an indication of the agreement of this diet and the
patient's utilization of the milk. If, however, he manifests
gastro-intestinal disturbances, resulting in diarrhea, the amount must
be temporarily reduced. Karell advocates boiling the milk and
relieving the constipation with enemas or mild laxatives. The addition
of small quantities of coffee to the morning portion of milk, or of
stewed prunes or a baked apple to the afternoon feeding, also tends
to overcome the condition.
~Thirst.~--The extreme thirst may be relieved by adding plain water,
limewater, or seltzer t
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