Proceso de atención nutricional en paciente femenino de 68 años con insuficiencia cardiaca y diabetes.
| dc.contributor.advisor | Rodríguez Díaz, Carmen Dominga | |
| dc.contributor.author | Morales Troya, Angelica Stefania | |
| dc.date.accessioned | 2024-10-19T05:07:30Z | |
| dc.date.available | 2024-10-19T05:07:30Z | |
| dc.date.issued | 2024 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/17575 | |
| dc.description | Heart failure is a condition in which the heart loses the ability to pump blood with enough oxygen to the whole body and does not cover all its needs. According to the World Health Organization, there are about 26 million people with heart failure. In Ecuador, the prevalence of this disease affects between 1% and 2% of adults and in people between 75 and 80 years of age it represents 10%. The general objective of this study was to determine the nutritional care process in a 68-year-old female patient with heart failure and diabetes. The line of research was human health, nutrition and healthy eating. The clinical case is a 68-year-old female patient with a diagnosis of heart failure who is in the ICU area, on her fifth day in better conditions. NPO for 5 days. Enteral nutrition 2 days ago. Good tolerance to current diet by SNG. APP: Diabetes mellitus II, hypertension. Labs altered as glycosylated hemoglobin of 6.05%, fasting glucose of 176 mg/dl, total protein of 5.2 g/dl. Anthropometric indicators showed that he was obese, dietary assessment showed that he had a suboptimal enteral nutrition. After this, we proceeded to the intervention with progressive incorporation of increased calories and nutrients where a nasogastric tube diet was prescribed, hypocaloric, hyperproteic and hyposodic + polymeric formula, normoproteic, isocaloric. Divided into 5 intakes. The respective follow-up and monitoring showed unintentional weight loss due to the clinical picture of the patient, since weight loss was not one of the objectives, improvement in protein levels, although still in hypoalbuminemia, and a good adaptation to the prescribed diet. | es_ES |
| dc.description | Heart failure is a condition in which the heart loses the ability to pump blood with enough oxygen to the whole body and does not cover all its needs. According to the World Health Organization, there are about 26 million people with heart failure. In Ecuador, the prevalence of this disease affects between 1% and 2% of adults and in people between 75 and 80 years of age it represents 10%. The general objective of this study was to determine the nutritional care process in a 68-year-old female patient with heart failure and diabetes. The line of research was human health, nutrition and healthy eating. The clinical case is a 68-year-old female patient with a diagnosis of heart failure who is in the ICU area, on her fifth day in better conditions. NPO for 5 days. Enteral nutrition 2 days ago. Good tolerance to current diet by SNG. APP: Diabetes mellitus II, hypertension. Labs altered as glycosylated hemoglobin of 6.05%, fasting glucose of 176 mg/dl, total protein of 5.2 g/dl. Anthropometric indicators showed that he was obese, dietary assessment showed that he had a suboptimal enteral nutrition. After this, we proceeded to the intervention with progressive incorporation of increased calories and nutrients where a nasogastric tube diet was prescribed, hypocaloric, hyperproteic and hyposodic + polymeric formula, normoproteic, isocaloric. Divided into 5 intakes. The respective follow-up and monitoring showed unintentional weight loss due to the clinical picture of the patient, since weight loss was not one of the objectives, improvement in protein levels, although still in hypoalbuminemia, and a good adaptation to the prescribed diet. | es_ES |
| dc.description.abstract | La insuficiencia cardiaca es padecimiento del corazón pierde la capacidad de bombear sangre con suficiente oxígeno a todo el cuerpo y no cubre todas sus necesidades. Según la Organización Mundial de la Salud, existen alrededor de 26 millones de personas con insuficiencia cardiaca. En Ecuador la prevalencia de esta enfermedad afecta entre el 1% y 2% de los adultos y en las personas entre 75 y 80 años representa un 10%. El objetivo general de este trabajo fue determinar el proceso de atención nutricional en paciente femenino de 68 años con insuficiencia cardiaca y diabetes. La línea de investigación fueron salud Humana nutrición y alimentación saludable. El caso clínico se trata de una paciente femenina de 68 años de edad con diagnóstico de insuficiencia cardiaca que se encuentra en el área de UCI, cursando su quinto dia en mejores condiciones. NPO por 5 días. Nutrición enteral hace 2 días. Buena tolerancia a dieta actual por SNG. APP: Diabetes mellitus II, hipertensión. Laboratorios alterados como hemoglobina glicosilada de 6.05%, glucosa en ayunas de 176 mg/dl, proteínas totales de 5,2 g/dl. en los indicadores antropométricos se observó que estaba en obesidad, la valoración dietética demostró que tenía una nutrición enteral inferior a la óptima. Luego de esto se procedió a la intervención con incorporación progresiva del aumento de calorías y nutrientes donde se prescribió una dieta para sonda nasogástrica, hipocalórica, hiperproteica e hiposódica + formula polimérica, normoproteica, isocalórica. Dividida en 5 tomas. Se realizo el respectivo seguimiento y monitoreo se evidencio pérdida de peso no intencionada debió a cuadro clínico del paciente ya que perder peso no era uno de los objetivos, mejoría en los niveles de proteínas, aunque sigue en hipoalbuminemia, y una buena adaptación a la alimentación prescrita. | es_ES |
| dc.format.extent | 53 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2024 | es_ES |
| dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
| dc.subject | Insuficiencia cardiaca | es_ES |
| dc.subject | Diabetes | es_ES |
| dc.subject | Proceso de Atención Nutricional | es_ES |
| dc.subject | Nutrición | es_ES |
| dc.subject | Hiposódica | es_ES |
| dc.subject | Hipocalórica | es_ES |
| dc.subject.other | Nutrición | es_ES |
| dc.title | Proceso de atención nutricional en paciente femenino de 68 años con insuficiencia cardiaca y diabetes. | es_ES |
| dc.type | bachelorThesis | es_ES |
Files in this item
This item appears in the following Collection(s)
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 United States