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Paciente masculino de 69 años de edad con hipertensión arterial, obesidad grado 1 y evento cerebrovascular.
| dc.contributor.advisor | Salcedo Tejena, Martin | |
| dc.contributor.author | Moreno Mejía, Galo Enrique | |
| dc.date.accessioned | 2020-10-20T17:54:59Z | |
| dc.date.available | 2020-10-20T17:54:59Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8916 | |
| dc.description | The present clinical case is about a 69-year-old patient who resides in Babahoyo, was diagnosed with arterial hypertension 10 years ago and a cerebrovascular event 2 years ago, in the family history his mother died of arterial hypertension and his father of diabetes, the nutritional assessment is carried out in which it refers a body mass index of 32.35 kg/m2 which is interpreted as obesity grade I; In addition, laboratory tests were performed in which he presented low levels of HDL and high levels of HDL, cholesterol, and triglycerides, which are interpreted respectively as hypercholesterolemia and Hypertriglyceridemia, this due to his diet high in saturated fat and simple carbohydrates in addition to her caregiver did not provide her with enough vegetables and fruits, the physical examination revealed difficulty walking due to her cerebrovascular event and excess weight. A food plan is made according to the nutritional needs of the patient, which consists of a low sodium diet of 2.5 to 4 g per day of sodium, low in saturated fat which will be divided into 5 meals a day, that is, three main meals and two snacks at times appropriate for the patient, this meal plan will be based on the most frequent intake of vegetables and fruits. Through follow-up and monitoring, improvements are observed in the patient, his biochemical tests improved notably, decreasing cholesterol, LDL and triglyceride values, and increasing HDL values. | es_ES |
| dc.description | The present clinical case is about a 69-year-old patient who resides in Babahoyo, was diagnosed with arterial hypertension 10 years ago and a cerebrovascular event 2 years ago, in the family history his mother died of arterial hypertension and his father of diabetes, the nutritional assessment is carried out in which it refers a body mass index of 32.35 kg/m2 which is interpreted as obesity grade I; In addition, laboratory tests were performed in which he presented low levels of HDL and high levels of HDL, cholesterol, and triglycerides, which are interpreted respectively as hypercholesterolemia and Hypertriglyceridemia, this due to his diet high in saturated fat and simple carbohydrates in addition to her caregiver did not provide her with enough vegetables and fruits, the physical examination revealed difficulty walking due to her cerebrovascular event and excess weight. A food plan is made according to the nutritional needs of the patient, which consists of a low sodium diet of 2.5 to 4 g per day of sodium, low in saturated fat which will be divided into 5 meals a day, that is, three main meals and two snacks at times appropriate for the patient, this meal plan will be based on the most frequent intake of vegetables and fruits. Through follow-up and monitoring, improvements are observed in the patient, his biochemical tests improved notably, decreasing cholesterol, LDL and triglyceride values, and increasing HDL values. | es_ES |
| dc.description.abstract | El presente caso clínico se trata de un paciente de 69 años de edad que reside en Babahoyo, fue diagnosticado con hipertensión arterial hace 10 años y evento cerebro vascular hace 2 años, en los antecedentes familiares su mamá falleció de hipertensión arterial y su papá de diabetes , se realiza la valoración nutricional en la cual refiere un índice de masa corporal de 32,35 kg/m2 que se interpreta como obesidad grado I; además se le realizo exámenes de laboratorio en el cual presento niveles bajo de HDL y niveles altos de HDL, colesterol, y triglicéridos que se los interpreta respectivamente como hipercolesterolemia y una Hipertrigliceridemia esto debido a su alimentación alta en grasa saturada y en carbohidratos simples además que su cuidador no le proporcionaba suficientes vegetales y frutas, en la exploración física nos revela dificultad para caminar debido a su evento cerebrovascular y un exceso de peso. Se le realiza un plan de alimentación de acuerdo a las necesidades nutricionales del paciente la cual consiste en una dieta hiposódica de 2.5 a 4 g al día de sodio, baja en grasa saturadas la que estará fraccionada en 5 comidas al día es decir tres comidas principales y dos refrigerios en horarios adecuados para el paciente, este plan de alimentación se basara en la ingesta más frecuente de vétales y frutas. A través del seguimiento y monitoreo se observan mejorías en el paciente, sus exámenes bioquímicos mejoraron notablemente disminuyendo los valores de colesterol, LDL y los triglicéridos, y aumentando los valores de HDL. | 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 | Hipertensión Arterial | es_ES |
| dc.subject | Hipercolesterolemia | es_ES |
| dc.subject | Hipertrigliceridemia | es_ES |
| dc.subject | Obesidad | es_ES |
| dc.title | Paciente masculino de 69 años de edad con hipertensión arterial, obesidad grado 1 y evento cerebrovascular. | es_ES |
| dc.type | bachelorThesis | es_ES |
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