Case Study - Chronic Obstructive Pulmonary Disease Mrs. Hemandez is a 72-year-ol

Question

Case Study - Chronic Obstructive Pulmonary Disease Mrs. Hemandez is a 72-year-old, underweight, African-American patient with a history of hypertension, depression, and chronic obstructive pulmonary disease (COPD). She was recently seen by her primary health care provider for signs of ilness: fever, loss of appetite, fatigue, chills, and dyspnea. She was diagnosed with bronchitis and started on a bronchodilator and corticosteroid nebulizer treatments as well as an oral antibiotic. However, she continued to feel ill without improvement, and became very confused with increased shortness of breath. She was taken to the hospital by ambulance and admitted with a diagnosis of pneumonia, and then started on 2 liters of oxygen via a nasal cannula and intravenous antibiotics. Mrs. Hernandez was placed on a regular diet. However, she ate sparingly and was not receiving the nutrients she needed. 1. What are the main goals of medical nutrition therapy for patients with COPD? 2. What factors interfere with food intake for patients with COPD? hdee meamnedeed is her hospitalization? 4. Why should fluids be encouraged?

Explanation / Answer

1) low salt diet for hypertension

Avoid fatty diet

Protien diet for weight

Vitamins and especially vitamin C because vit. C is very useful in lung disease

Oxygen supplements

Calories

2) some hormone level disturb in copd so loss of apeptite because cytokines ,adipokines irregulate in copd because bronchodilators effected hormones balance and regulation and develop loss of apeptite

3) low fatty diet

low salt diet

antioxidants

calories diet

Protein diet

4) for prevent dehydration in this pateint

For body water balance

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