Case 1,2,3,4,5
Case-1
Presentation;
Razia Sultana 82 year old female belongs to middle class family admitted in hospital with active complaints of Asthma, Coughing and
fainted.
PATIENT PROFILE:
Weight: 75kg Height: 5’5’’ BMI: 29 (Overweight)
GOALS:
⮚ To maintain optimal nutritional status
⮚ To achieve IBW of 57 kg
⮚ To restore increase energy requirement
⮚ To overcome dehydration
ENERGY REQUIREMENTS:
⮚ TEE: 1466 Kcal/day (Must Consume)
⮚ CONSUMPTION: 784Kcal/day (According to 24-hr Dietary Recall)
Nutrition Assessment Diagnosis MNT Intervention
Anthropometric measurements Medical diagnosis TEE:1466Kcal/day Provision of
energy dense and
Razia sultana Age= 82years Active Complaints: CHO:45%,137g nutrient dense
food to
Pro:30%,91g
Ht=5’5’’ Wt= 75kg ● fainting overcome
Fat:25%,33g fainting
UBW= 59kg IBW= 57kg ● cough Provision of
Fluid:7-8 glasses fiber rich diet to
BMI= 29 ● Lethargy normalize bowl
Micronutrients movements
Wrist circumference= 19 cm Current Diagnosis Eat 3-5 servings
Vitamin C, D, A, Iron, Zinc Diet
of fruits and
% weight change= Yes ● Asthma
Order vegetables daily.
Choose whole
Biochemical data Procedure Balanced diet enriched with fiber fruit instead of
juice.
Test name Result ● Medication Food Groups Exchanges Milk: Try to have a
3 Fruits: 3 Vegetables: 4 Meat:3 whole grain as
Hb(g/dl) 11 ● Diet cereals
Starches: 6 Fats:2 Intake of 7-8
Clinical sign & symptoms Nutrition diagnosis glasses of water
Foods Recommended to prevent
Hydration status: Dehydrated Lips: dark PES: dehydration and
Skin: acne, Dry Nails: Soft Eyes: blur vision Eat protein rich food, Fruits, constipation
1. Inadequate mineral vegetables, Omega-3, Vit C & D,
Bowel frequency: abnormal appetite: High Dietary Fibers
(iron)
Foods Restricted
Diet history 2. low fiber diet
Avoid sulphites
Case-2
Presentation;
Baharay khan 50 years old man admitted to hospital with active complaint of prolonged cough, chest pain and weight loss. The doctor
diagnosed Tuberculosis.
PATIENT PROFILE:
Weight: 60kg Height: 5’7’’ BMI: 22 (Normalweight)
GOALS:
⮚ To maintain optimal nutritional status
⮚ To achieve IBW of 66kg
⮚ To restore increase energy requirement
⮚ To improve the oral intake of patient
ENERGY REQUIREMENTS:
⮚ TEE: 1600 Kcal/day (Must Consume)
⮚ CONSUMPTION: 862 Kcal/day (According to 24-hr Dietary Recall)
Nutrition Assessment Diagnosis MNT Intervention
Anthropometric measurements Medical diagnosis TEE:1600 Kcal/day Provision of whole
Baharay khan Age= 50years cereals,millet and
Active Complaints: CHO:55%,223g pulses.
Ht=5’7’’ Wt= 60kg
● Weakness Pro:25%,97g Raw fruit, vegetables,
UBW= 55kg IBW= 66kg some seeds.
● Dry lips and mouth Fat:25%,45g
BMI= 22 Eat lean meats and
Current Diagnosis Fluid:7-8 cups whole egg
Wrist circumference= 18 cm
● TB Micronutrients Drink plenty of waters:
% weight change= Yes Eat nuts, use seed oils.
Drug Nutrient Vitamin E, A,C, Iron, Zinc
Biochemical data interactions:- Try to have a fruit or
Diet Order
vegetable with each
Test name Result Isanoid:- interact with
Eat Carbohydrate, meal or snack.
B3,B12,B9 vitamins
Vegetables, Fruits, Meat and Try to be physically
Hb(g/dl) 12
MAOIs:- interact with dairy products active, physical
tyramine containing foods activity helps food
Clinical sign & symptoms
Food Groups intake to be converted
Nutrition diagnosis into muscle mass and
Hydration status: Dehydrated Lips: Dry, Skin: Exchanges Milk: 3 Fruits: it improves appetite.
acne, Dry Nails: Soft Eyes: Yellowish Bowel PES:
frequency: normal appetite: normal 3 Vegetables: 3 Meat:3
1. Inadequate energy
Diet history intake Starches: 7 Fats:2
2. Inadequate iron intake
3. Involuntary weight loss Foods Recommended
4. Inadequate iron intake
Fruits, vegetables, Omega-3,
Vit C & E, Dietary Fibers
Case-3
Presentation;
Aroosa age 20 years old housewife, belongs to middle class family admitted in hospital with active complaint of difficulty in
breathing, chronic cough and diagnosis with COPD.
PATIENT PROFILE:
Weight: 54kg Height: 5’1” BMI: 22.8 (Normal weight)
ENERGY REQUIREMENTS: ⮚ TEE: 1000 Kcal/day (Must Consume)
⮚ CONSUMPTION: 843 Kcal/day (According to 24-hr Dietary Recall)
GOALS:
⮚ To maintain optimal nutritional status
⮚ To achieve IBW of 47 kg
⮚ To treat COPD
⮚ To prevent tiredness and lethargy
Nutrition Assessment Diagnosis MNT Intervention
Anthropometric measurements Medical diagnosis TEE:1000 Kcal/day Provision of whole
Baharay khan Age= 20years cereals,millet and
Active Complaints: CHO:50%,125g pulses.
Ht=5’1’’ Wt= 54kg
● Weakness Pro:25%,50g Raw fruit, vegetables,
UBW= 52kg IBW= 47kg some seeds.
● Difficulty in breathing Fat:30%,30g
BMI= 22 Eat lean meats and
Current Diagnosis Fluid:7-8 cups whole egg
Wrist circumference= 18 cm
● TB Micronutrients Drink plenty of waters:
% weight change= Yes Eat nuts, use seed oils.
Drug Nutrient Vitamin D, A,C, Iron, Zinc
Biochemical data interactions:- Try to have a fruit or
Diet Order
vegetable with each
Test name Result Bronchodilators:- interacted
Eat Carbohydrate, meal or snack.
by caffeine
Vegetables, Fruits, Meat Try to be physically
Hb(g/dl) 12
Corticosteroids:- increase active, physical
urinary loss of vitamin K , Food Groups activity helps food
Clinical sign & symptoms
vitamin C , selenium , and intake to be converted
Exchanges Milk: 2 Fruits: into muscle mass and
Hydration status: Dehydrated Lips: Dry, Skin: zinc
it improves appetite.
acne, Dry Nails: Soft Eyes: Yellowish Bowel 3 Vegetables: 3 Meat:4
Nutrition diagnosis
frequency: normal appetite: normal Provison of vitamin D
Starches:5 Fats:2 rich food like organ
PES:
meat and ,animal liver
1.Inadequate energy intake Foods Recommended
2.Inadequate nutrient intake Fruits, vegetables, Omega-3,
Vit C & E, Dietary Fibers
3.Poor food choice
Foods restricted
Trans fats and saturated fat.
Case-4
Presentation;
Azra 40 year old has recently admitted in hospital with complain of sudden weight loss and
diagnosed as Lung Cancer patient .
PATIENT PROFILE:
Weight: 60 kg Height: 5’4’’ BMI: 22.9 (Normalweight)
GOALS:
⮚ To maintain optimal nutritional status
⮚ To maintain healthy weight
⮚ To restore increase energy requirement
⮚ To improve the oral intake of patient
ENERGY REQUIREMENTS:
⮚ TEE: 1600Kcal/day (Must Consume)
⮚ CONSUMPTION: 908 Kcal/day (According to 24-hr Dietary Recall)
Case no. 4
Nutrition Assessment Diagnosis MNT Intervention
Anthropometric measurements Medical diagnosis TEE:1600Kcal/day
Azra Age= 40years Active Complaints: CHO:45%,180g Give them liquid diet for
2-3 days such as meat
Ht=5 Wt= 60kg Sudden weight loss Pro:25%,100g broth, Tea, Soup
Fat:35%,53g After 3 days soft diet
UBW= 56kg IBW= 52kg Current Diagnosis
Fluid:7-8 cups such as bread, Boiled rice,
BMI= 22.9 ●Lung Cancer Half boiled egg, Sweet
Micronutrients potato
Wrist circumference= 17.6 cm Drug Nutrient interactions:-
Vitamin B-12, DHA, After 12 days start their
Imatinib:- Bioavailibity increased
% weight change= Yes Choline, Vit D regular diet to fulfill the
by Vitamin D
energy requirement
Biochemical data Grape fruit:-interact bwith Diet Order
anticancer Drugs Eat a varied diet high in
Provision of high caloric
Test name Result fruits and vegetables and
Nutrition diagnosis and high protein diet
low in red and processed
Hb(g/dl) 11 meats and processed
Food Groups
PES: sugar to help you maintain
Clinical sign & symptoms Exchanges Milk: 3 a healthy body weight and
1. inadequate energy intake
blood sugar levels.
Hydration status: Dehydrated Lips: Dry, 2. inadequate nutrient Fruits:3 Vegetables: 4
Skin: acne, Dry Nails: Soft Eyes: Yellowish in6take Try to get your nutrients
3. poor nutritional status Meat:3 Cereals: 5
Bowel frequency: normal appetite: from your diet and not
normal Fats:2 from supplements.
Diet history Foods Recommended
908 Kcal/day ( 24-hr Dietary Recall) Yogurt, meat, fish, beans
Case-5
Presentation;
Malik Dil sher 55years old, come to the pulmonary ward with problem with breathing and
Diagnosed as Pneumonia patient.
PATIENT PROFILE:
Weight: 94kg Height: 5’8” BMI: 31(Overweight)
GOALS:
⮚ To maintain optimal nutritional status
⮚ To achieve IBW of 70kg
⮚ To restore increase energy requirement
⮚ To normalize weight
ENERGY REQUIREMENTS:
⮚ TEE: 1759 Kcal/day (Must Consume)
⮚ CONSUMPTION: 2183 Kcal/day (According to 24-hr Dietary Recall)
Nutrition Assessment Diagnosis MNT Intervention
Anthropometric measurements Medical diagnosis TEE:1759 Kcal/day Provision of whole
Dil sher Age= 55years Ht=5’1’’ cereals,millet and
Active Complaints: CHO:45%,197g pulses.
Wt= 94kg
●Overweight Pro:25%,98g Raw fruit, vegetables,
UBW= 90kg IBW= 70kg some seeds.
● Difficulty in breathing Fat:30%,30g
BMI= 31 Eat lean meats and
Current Diagnosis Fluid:7-8 cups whole egg
Wrist circumference= 21 cm
● TB Micronutrients Drink plenty of waters:
% weight change= Yes Eat nuts, use seed oils.
Drug Nutrient interactions:- Vitamin D, A,C, Iron, Zinc
Biochemical data Try to be physically
Fluoroquinolones:- Diet Order
active, physical
interacted by dairy
Test name Result activity helps food
products Eat Carbohydrate,
intake to be converted
Vegetables, Fruits, Meat into muscle mass and
Hb(g/dl) 12 Antibiotics:-
it improves appetite.
Food Groups
Clinical sign & symptoms interacted by dairy products Provison of vitamin D
Exchanges Milk: 3 Fruits: rich food like organ
Hydration status: Dehydrated Lips: Rough, Nutrition diagnosis meat and ,animal liver
Skin: oily, Dry Nails: Soft Eyes: Yellowish 3 Vegetables:4 Meat:4
Bowel frequency: normal appetite: normal PES:
Starches:6 Fats:2
1. unbalanced diet
Foods Recommended
2.Inadequate nutrient intake
Fruits, vegetables, Omega-3,
3.Poor food choice Vit C & E, Dietary Fibers
Foods restricted
Trans fats and saturated fat.
