Proceso de atención nutricional en paciente masculino de 40 años de edad con insuficiencia renal estadio 5.

This clinical case describes the nutritional care process in a 40-year-old male patient diagnosed with stage 5 chronic kidney disease (CKD), with a history of type 2 diabetes mellitus and eating disorders. The patient presents uncontrolled arterial hypertension, persistent fatigue and edema in the lower limbs. Biochemical tests reflect elevated levels of serum creatinine (8.5 mg/dL), urea nitrogen (95 mg/dL) and hyperkalemia (5.9 mEq/L), as well as elevated anemia (hemoglobin 9.8 g/dL) and marked proteinuria. Based on the anthropometric, biochemical and dietary evaluation, protein-energy malnutrition in the early phase and excessive consumption of sodium, food and protein were identified. A personalized diet plan was designed, with sodium restriction (<2000 mg/day), nutritional and potassium control, and adjustment of protein intake (0.8 g/kg/day), promoting sources of high biological value. In addition, a nutritional education program was implemented to improve adherence to treatment. Subsequently, there was an improvement in biochemical parameters, with a reduction in creatinine (6.8 mg/dL), urea nitrogen (70 mg/dL) and serum potassium (5.2 mEq/L) levels. The patient lost 2.5 kg of weight, reduced his abdominal circumference by 3 cm and improved his mood and energy. Adherence to the dietary plan reached 85%, reflecting the effectiveness of nutritional intervention to control the progression of renal enzymes and optimize the patient's quality of life.

• 1. Verfasser: Muñoz Minda, Mayely Daniela (author)
• Format: bachelorThesis
• Veröffentlicht: 2025
• Schlagworte: Insuficiencia renal crónica; Estadio 5; Nutrición; Intervención Dietética; Enfermedad; Nutrición y Dietética
• Online Zugang: http://dspace.utb.edu.ec/handle/49000/18548