Paciente masculino de 71 años con insuficiencia renal crónica.
| dc.contributor.advisor | Velásquez Paccha, Karla Gisella | |
| dc.contributor.author | Herrera Merchán, Madeleine Lucia | |
| dc.date.accessioned | 2021-10-22T20:04:09Z | |
| dc.date.available | 2021-10-22T20:04:09Z | |
| dc.date.issued | 2021 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/10331 | |
| dc.description | The present clinical case is an adult over 71 years of age, has 3 children, is retired, lives in the Mocache canton, reports that for 1 year he was diagnosed with arterial hypertension and takes 50 mg losartan for treatment. He does not present Allergies with respect to medicines or food, nor a surgical history. Within the family pathological history, his father is hypertensive. The patient comes to the office due to symptoms such as muscle cramps and blood pressure that is difficult to control, he is referred to the nephrologist and is diagnosed with stage 3 chronic renal failure. Vital signs, heart rate: 90 beats per minute, blood pressure: 160 / 90 mmHg, respiratory rate: 19 per minute. The comprehensive nutritional assessment is carried out. Weight: it is 79 Kg, Height: 1.62 m his reflex BMI 30.2 Kg obesity type 1. Within the nutritional background, he refers that he regularly consumes fried foods, sausages and meat products in only three meal times (the main ones), very little water intake. The type of diet that will be prescribed to the patient is a low sodium, normoprotein hypocaloric and low-fat diet, divided into 5 meal times (3 main and 2 snacks), this is a diet that will help control blood pressure values, obtain a weightloss. | es_ES |
| dc.description | The present clinical case is an adult over 71 years of age, has 3 children, is retired, lives in the Mocache canton, reports that for 1 year he was diagnosed with arterial hypertension and takes 50 mg losartan for treatment. He does not present Allergies with respect to medicines or food, nor a surgical history. Within the family pathological history, his father is hypertensive. The patient comes to the office due to symptoms such as muscle cramps and blood pressure that is difficult to control, he is referred to the nephrologist and is diagnosed with stage 3 chronic renal failure. Vital signs, heart rate: 90 beats per minute, blood pressure: 160 / 90 mmHg, respiratory rate: 19 per minute. The comprehensive nutritional assessment is carried out. Weight: it is 79 Kg, Height: 1.62 m his reflex BMI 30.2 Kg obesity type 1. Within the nutritional background, he refers that he regularly consumes fried foods, sausages and meat products in only three meal times (the main ones), very little water intake. The type of diet that will be prescribed to the patient is a low sodium, normoprotein hypocaloric and low-fat diet, divided into 5 meal times (3 main and 2 snacks), this is a diet that will help control blood pressure values, obtain a weightloss. | es_ES |
| dc.description.abstract | El presente caso clínico se trata de un adulto mayor de 71 años, tiene 3 hijos, es jubilado, vive en el cantón Mocache refiere que desde hace 1 año fue diagnosticado con hipertensión arterial y toma losartan de 50 mg para su tratamiento. No presenta Alergias con respecto a medicamentos ni alimentos, tampoco antecedentes quirúrgicos, Dentro de los antecedentes patológicos familiares su padre es hipertenso. El paciente acude a consulta por presentar síntomas como calambres musculares, y la presión arterial difícil de controlar, es referido al nefrólogo y es diagnosticado con insuficiencia renal crónica en estadio 3. Señales de vida: Ritmo cardiaco: 90 latidos por minutos, tensión arterial: 160/90 mmHg, índice respiratorio: 19 por minutos. Se realiza la valoración integral nutricional. Peso: es de 79 Kg, Talla: 1,62 m su IMC reflejo 30.2 Kg obesidad tipo 1. Dentro de los antecedentes nutricionales refiere que consume habitualmente frituras, embutidos y productos cárnicos en solo tres tiempos de comida (los principales), muy poca ingesta de agua. El tipo de dieta que se prescribirá al paciente es una dieta hiposódica, normoproteica hipocalórica y hipograsa, fraccionada en 5 tiempos de comidas (3 principales y 2 colaciones), esta es una alimentación que ayudara a controlar los valores de la presión arterial, obtener una pérdida de peso. | es_ES |
| dc.format.extent | 34 p | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2021 | 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 | Obesidad | es_ES |
| dc.subject | Hipertensión | es_ES |
| dc.subject | Insuficiencia renal crónica | es_ES |
| dc.subject | Calambres | es_ES |
| dc.subject | Normoproteica | es_ES |
| dc.title | Paciente masculino de 71 años con insuficiencia renal crónica. | es_ES |
| dc.type | bachelorThesis | es_ES |
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