Proceso de atención nutricional en paciente femenino de 68 años con insuficiencia cardiaca y diabetes.
Heart failure is a condition in which the heart loses the ability to pump blood with enough oxygen to the whole body and does not cover all its needs. According to the World Health Organization, there are about 26 million people with heart failure. In Ecuador, the prevalence of this disease affects...
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| פורמט: | bachelorThesis |
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2024
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| נושאים: | |
| גישה מקוונת: | http://dspace.utb.edu.ec/handle/49000/17575 |
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| סיכום: | Heart failure is a condition in which the heart loses the ability to pump blood with enough oxygen to the whole body and does not cover all its needs. According to the World Health Organization, there are about 26 million people with heart failure. In Ecuador, the prevalence of this disease affects between 1% and 2% of adults and in people between 75 and 80 years of age it represents 10%. The general objective of this study was to determine the nutritional care process in a 68-year-old female patient with heart failure and diabetes. The line of research was human health, nutrition and healthy eating. The clinical case is a 68-year-old female patient with a diagnosis of heart failure who is in the ICU area, on her fifth day in better conditions. NPO for 5 days. Enteral nutrition 2 days ago. Good tolerance to current diet by SNG. APP: Diabetes mellitus II, hypertension. Labs altered as glycosylated hemoglobin of 6.05%, fasting glucose of 176 mg/dl, total protein of 5.2 g/dl. Anthropometric indicators showed that he was obese, dietary assessment showed that he had a suboptimal enteral nutrition. After this, we proceeded to the intervention with progressive incorporation of increased calories and nutrients where a nasogastric tube diet was prescribed, hypocaloric, hyperproteic and hyposodic + polymeric formula, normoproteic, isocaloric. Divided into 5 intakes. The respective follow-up and monitoring showed unintentional weight loss due to the clinical picture of the patient, since weight loss was not one of the objectives, improvement in protein levels, although still in hypoalbuminemia, and a good adaptation to the prescribed diet. |
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