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Proceso de atención nutricional en paciente masculino de 68 años de edad con insuficiencia renal crónica más otras comorbilidades colaterales.
| dc.contributor.advisor | Campoverde Celi, Wilma Guilermina | |
| dc.contributor.author | Santana Cox, Francisco Fernando | |
| dc.date.accessioned | 2022-05-19T04:07:49Z | |
| dc.date.available | 2022-05-19T04:07:49Z | |
| dc.date.issued | 2022 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/11660 | |
| dc.description | The present clinical case is based on a 68-year-old male patient with a history of obstructive uropathies, who presented with a clinical picture characterized by nausea and vomiting of food content from two weeks ago. It is diagnosed of chronic renal failure plus other diseases such as hepatic steatosis grade III, bilateral hydronephrosis and prostatic hyperplasia grade IV, which developed from the underlying disease, the objective of this clinical case is to improve and reduce complications of the nutritional condition. and quality of life of the patient. Through nutritional assessment: anthropometry, biochemistry, clinical signs, food consumption, it is evident that he is overweight with a BMI of 25.17 kg/m2 with gynecoid-type cardiovascular risk, biochemistry reported anemia, hyperkalaemia and kidney failure due to urea values. and creatinine altered outside normal ranges. Clinically, a large abdominal tumor was demonstrated without edema, cachexia, mouth and dry skin. There is inadequate food intake with excess protein intake for his kidney condition and other macronutrients. A balanced dietary prescription of 2205 kilocalories was proposed with a contribution of 56 grams of protein, 330.5 grams of carbohydrates and 73.22 grams of lipids, adequate to demand with frequent monitoring control planning. | es_ES |
| dc.description | The present clinical case is based on a 68-year-old male patient with a history of obstructive uropathies, who presented with a clinical picture characterized by nausea and vomiting of food content from two weeks ago. It is diagnosed of chronic renal failure plus other diseases such as hepatic steatosis grade III, bilateral hydronephrosis and prostatic hyperplasia grade IV, which developed from the underlying disease, the objective of this clinical case is to improve and reduce complications of the nutritional condition. and quality of life of the patient. Through nutritional assessment: anthropometry, biochemistry, clinical signs, food consumption, it is evident that he is overweight with a BMI of 25.17 kg/m2 with gynecoid-type cardiovascular risk, biochemistry reported anemia, hyperkalaemia and kidney failure due to urea values. and creatinine altered outside normal ranges. Clinically, a large abdominal tumor was demonstrated without edema, cachexia, mouth and dry skin. There is inadequate food intake with excess protein intake for his kidney condition and other macronutrients. A balanced dietary prescription of 2205 kilocalories was proposed with a contribution of 56 grams of protein, 330.5 grams of carbohydrates and 73.22 grams of lipids, adequate to demand with frequent monitoring control planning. | es_ES |
| dc.description.abstract | El presente caso clínico está basado en un paciente masculino de 68 años de edad con antecedentes de uropatías obstructivas, acude por presentar un cuadro clínico caracterizado por náuseas y vomito de contenido alimenticio de hace dos semanas. Es diagnóstico de insuficiencia renal crónica más otras enfermedades como la esteatosis hepática grado III, hidronefrosis bilateral e hiperplasia prostática grado IV, que se fueron desarrollando a partir de la enfermedad de base, el objetivo de este caso clínico es mejorar y disminuir complicaciones de la condición nutricional y calidad de vida del paciente. Mediante la valoración nutricional: antropometría, bioquímica, signos clínicos, consumo alimentario, se evidencio que presenta sobrepeso con un IMC de 25,17 kg/m2 con riesgo cardiovascular de tipo ginecoide, la bioquímica reporto anemia, hiperpotasemia e insuficiencia renal por valores de urea y creatinina alterados fuera de los rangos normales. Clínicamente se observó gran tumoración a nivel abdominal sin edema, caquexia, boca y piel seca. Hay una ingesta de inadecuado de alimento con un exceso de ingesta de proteína para su condición renal y demás macronutrientes. Se planteo una prescripción dietética equilibrada de 2205 kilocalorías con una aportación de 56 gramos de proteína, 330,5 gramos de carbohidratos y 73,22 gramos de lípidos, adecuada a demanda con planificación de control monitoreo frecuente. | es_ES |
| dc.format.extent | 62 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2022 | es_ES |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | * |
| dc.subject | Insuficiencia Renal Crónica | es_ES |
| dc.subject | Sobrepeso | es_ES |
| dc.subject | Esteatosis Hepática | es_ES |
| dc.subject | Hiperplasia Prostática | es_ES |
| dc.subject | Dieta | es_ES |
| dc.title | Proceso de atención nutricional en paciente masculino de 68 años de edad con insuficiencia renal crónica más otras comorbilidades colaterales. | es_ES |
| dc.type | bachelorThesis | es_ES |
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