There are many components to the renal diet that are important when educating end-stage renal disease (ESRD) patients requiring hemodialysis. Intake of the correct amount of fluids on a daily basis is crucial to stabilizing your kidney patient and reducing potential symptoms associated with fluid overload including shortness of breath, headaches, abdominal bloating, hypertension, heart failure, and edema.1,2 Limiting fluid consumption is a complex part of the renal diet as there are many factors that play into patient acceptance of this restriction.