Paciente masculino de 69 años de edad con diabetes mellitus tipo ii, hipertension arterial y secuelas de accidente cerebrovascular.
Diabetes mellitus, high blood pressure and stroke are chronic non-communicable diseases that affect a person's nutritional status causing multiple conditions that complicate their health. The following clinical case deals with a 69-year-old male patient, with type II diabetes mellitus, arterial...
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| Formato: | bachelorThesis |
| Publicado em: |
2021
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| Assuntos: | |
| Acesso em linha: | http://dspace.utb.edu.ec/handle/49000/10351 |
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Adicionar Tag | Resumo: | Diabetes mellitus, high blood pressure and stroke are chronic non-communicable diseases that affect a person's nutritional status causing multiple conditions that complicate their health. The following clinical case deals with a 69-year-old male patient, with type II diabetes mellitus, arterial hypertension and sequelae of cerebrovascular accident, according to the general data provided by the patient's relatives, it indicates that he is married, has 6 children, his levels of studies carried out were until elementary school, he is dedicated to agriculture and is of Ecuadorian nationality. An anthropometric assessment was performed where the following data were obtained: weight 79.54kg, height 170cm, waist 106.5cm, hip 99cm, arm circumference 30.5cm, calf circumference 34cm and wrist circumference 18cm; Analyzing these data, the patient is overweight, which is evidenced by the BMI of 27.52kg / m2 and a high risk of suffering from cardiovascular diseases, which was assessed by the ICC of 1.07. In the same way, his blood pressure was taken 150/105 mmHg, which is elevated; According to the biochemical parameters, both glucose (190mg / dl) and triglycerides (210) are above normal values, with respect to the clinical evaluation the mouth and the extremities were asymmetric due to the sequelae of the cerebrovascular accident and due to Lastly, the dietary evaluation showed elevated amounts of carbohydrates and fats as reflected in the 24-hour recall. He was prescribed a dash diet for semi-solid diabetics of 1900kcal divided into 5 times of daily meals with a sodium intake of 1500mg, this nutritional intervention aims to provide the necessary nutrients through a healthy diet to reduce high levels of glucose and blood pressure in order to avoid health complications. |
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