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Paciente masculino de 64 años de edad con enfermedad pulmonar obstructiva crónica.
| dc.contributor.advisor | Velásquez Paccha, Karla | |
| dc.contributor.author | Monar Chica Luis Estefano | |
| dc.date.accessioned | 2020-10-20T17:22:51Z | |
| dc.date.available | 2020-10-20T17:22:51Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8911 | |
| dc.description | The present clinical case is a 64-year-old male patient who reports a clinical picture that began approximately 3 months ago characterized by a productive cough of moderate intensity, mucous appearance (whitish) plus mild pain in the chest that increases with coughing, reports that at night he feels that he wheezes when breathing and has discomfort in the throat in the morning that is alleviated with the expulsion of phlegm, he refers to mild fatigue and tiredness but that increases in intensity when performing activities of effort. that causes respiratory distress and dyspnea on maximal exertion, reports that food consumption has decreased and has noticed weight loss, the doctor performs a spirometry examination resulting in an obstructive pattern FVC> 96% FEV1 / FVC <62 decreased by which it is diagnosed with chronic obstructive pulmonary disease. Nutritional status is assessed with anthropometric parameters, presenting a severe weight loss percentage of 8.5% in 3 months, body mass index of 18.5kg / m2 and a cut-off point of the triceps fold with risk of malnutrition, in the Biochemical evaluation presents leukocytosis and its ingestion through the 24-hour recall presented a hypocaloric and hypoproteic diet, then through nutritional intervention with the aim of maintaining a nutritional state and avoiding complications, a hypercaloric hyperproteic diet with carbohydrate control is prescribed divided into 5 meal times, where it is evident that through the established plan a favorable response is observed when obtaining a weight gain and a stable state of the patient. | es_ES |
| dc.description | The present clinical case is a 64-year-old male patient who reports a clinical picture that began approximately 3 months ago characterized by a productive cough of moderate intensity, mucous appearance (whitish) plus mild pain in the chest that increases with coughing, reports that at night he feels that he wheezes when breathing and has discomfort in the throat in the morning that is alleviated with the expulsion of phlegm, he refers to mild fatigue and tiredness but that increases in intensity when performing activities of effort. that causes respiratory distress and dyspnea on maximal exertion, reports that food consumption has decreased and has noticed weight loss, the doctor performs a spirometry examination resulting in an obstructive pattern FVC> 96% FEV1 / FVC <62 decreased by which it is diagnosed with chronic obstructive pulmonary disease. Nutritional status is assessed with anthropometric parameters, presenting a severe weight loss percentage of 8.5% in 3 months, body mass index of 18.5kg / m2 and a cut-off point of the triceps fold with risk of malnutrition, in the Biochemical evaluation presents leukocytosis and its ingestion through the 24-hour recall presented a hypocaloric and hypoproteic diet, then through nutritional intervention with the aim of maintaining a nutritional state and avoiding complications, a hypercaloric hyperproteic diet with carbohydrate control is prescribed divided into 5 meal times, where it is evident that through the established plan a favorable response is observed when obtaining a weight gain and a stable state of the patient. | es_ES |
| dc.description.abstract | El presente caso clínico se trata de un paciente de sexo masculino de 64 años de edad que refiere cuadro clínico que inició hace aproximadamente 3 meses de evolución caracterizado por tos productiva de intensidad moderada, aspecto mucoso (blanquecino) más dolor en el pecho de leve intensidad que aumenta con la tos, refiere que por las noches siente que silba al respirar y presenta molestias en la garganta por la mañana que se alivian con la expulsión de flema, refiere fatiga y cansancio leve pero que aumenta en intensidad al realizar actividades de esfuerzos lo que le causa dificultad respiratoria y disnea de máximos esfuerzo, refiere que el consumo de alimentos ha disminuido y ha notado pérdida de peso, el médico realiza examen de espirometría resultando un patrón obstructivo FVC >96% FEV1/FVC <62 disminuido por el cual es diagnosticado con enfermedad pulmonar obstructiva crónica. Se valora el estado nutricional con parámetros antropométricos presentando un porcentaje de pérdida de peso severa de 8,9% en 3 meses, índice de masa corporal de 18,5kg/m2 y un punto de corte del pliegue tricipital con riesgo de desnutrición, en la valoración bioquímica presenta leucocitosis y su ingesta mediante el recordatorio de 24 horas presentó una alimentación hipocalórica e hipoproteica, luego a través de la intervención nutricional con el objetivo de mantener un estado nutricional y evitar complicaciones se prescribe dieta hipercalórica hiperproteica con control de carbohidratos fraccionada en 5 tiempos de comida, donde se evidencia que a través del plan establecido se observa una respuesta favorable al obtener una ganancia de peso y un estado estable del paciente. | es_ES |
| dc.format.extent | 37 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2020 | 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 | Enfermedad Pulmonar Obstructiva Crónica - EPOC | es_ES |
| dc.subject | Desnutrición | es_ES |
| dc.title | Paciente masculino de 64 años de edad con enfermedad pulmonar obstructiva crónica. | es_ES |
| dc.type | bachelorThesis | es_ES |
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