Major Case Study

Page 1

MNT in a Patient with Diabetes Status Post Myocardial Infarction MEGAN SOLLOWAY University of Maryland Dietetic Intern March 31, 2015


ST-elevated Myocardial Infarction (STEMI) ▪ Blood clot blocks blood flow ▪ Death of heart tissue downstream

▪ ST-elevation in echocardiogram


ST-elevated Myocardial Infarction (STEMI) ▪ Treatment – Restore blood flow ▪ Surgical removal of clot ▪ Stent placement ▪ Angioplasty

▪ Increase risk – hx of diabetes, hyperlipidemia, hypertension, obesity


Dietary Interventions ▪ Comfort care immediately post-STEMI ▪ Small frequent meals

▪ Transition to Therapeutic Lifestyle Changes (TLC) once stable ▪ Nutrition counseling strategies ▪ Goal Setting ▪ Self-monitoring ▪ Problem solving

▪ Follow-up with an outpatient clinic for cardiac rehab


Non-Traditional Treatment ▪ Nutrition supplements ▪ Magnesium ▪ Carnitine ▪ Co-enzyme Q10

▪ Amino Acids ▪ Arginine ▪ Taurine

▪ Herbal Medications ▪ Hawthorn ▪ Berberine ▪ Taurine (cardio-preventative)


Nutrition Assessment MEET RK!


General Information ▪ 56 year-old white female

▪ Admitted September 15th, 2014 ▪ 2 days in CCU and 2 days in PCU ▪ Discharged September 18th, 2014

▪ Symptoms ▪ ▪ ▪ ▪ ▪ ▪

Sub-sternal chest tightness Bilateral shoulder pain Tingling in fingers Diaphoresis N/V Headache


Medical Data ▪ Medical hx ▪ ▪ ▪ ▪ ▪ ▪ ▪

Obstructive Sleep Apnea Hypertension Hyperlipidemia (w/ statin intolerance) Hypothyroidism Fibromyalgia Chronic Fatigue Syndrome Rheumatoid Arthritis

▪ Recent Type 2 Diabetes dx ▪ No food allergies or major surgical history


Anthropometrics and Nutrition-Focused Physical Findings ▪ Notable labs

Current height

5’3”

Current weight

183 lb (83 kg)

▪ No change in appetite PTA

Ideal Body Weight

115 lb (52.3 kg)

▪ Intentional 34 lb wt loss over 6 years (“First Diet”)

% IBW

159%

▪ Hgb A1C – 10.4% ▪ Blood Glucose – 246-340 mg/dl

▪ Stable over past 6 months

▪ Modified diet to improve blood glucose control w/Type 2 diabetes dx ▪ No RD instruction (personal internet research)

Adjusted body weight 132 lb (60kg)

% UBW

102%

BMI

30.5


Food and Nutrition Related History ▪ Outpatient Medications – Lantus, Glimepride, Benicar, Janjumet, K-Dur

▪ Inpatient Medications – Novolog, Lantus, Benicar, Crestor, Plavix, Lovenox, Lopressor, ▪ Married w/no children ▪ No smoking or EtOH abuse history ▪ Retired school teacher ▪ Receives social security and supplemental disability benefits

▪ Food Prep ▪ RK does the food shopping and cooking ▪ Does not use a salt shaker

▪ Limited Physical Activity r/t Chronic Fatigue


Nutrition Diagnosis “Food and nutrition related knowledge deficit related to lack of prior nutrition related education (cardiac/diabetes) as evidence by recent STEMI�


Intervention NUTRITION EDUCATION!


Estimated Nutrient Needs ▪ Comfort care for first few days ▪ Small, frequent meals

▪ TLC Diet (NCM) once stable ▪ <7% of energy from saturated fat and no trans fats ▪ <200mg cholesterol/day ▪ 25-35% of calories from fat ▪ 50-60% of calories from carbohydrate and 15% from protein ▪ 25-30g fiber/day, with 50% coming from soluble fiber ▪ Moderate exercise to expend 200 calories per day

Source

Kcal

Facility 1200 kcal Standards (BEEx1.2, 500 kcal for 1 lb weight loss/week) Evidence Analysis Library (EAL) Online (NCM)

Protein

Fluid

60-72 g (1.0-1.2 g/kg Adjusted Body Weight)

1500-2400 ml/d (25-40 ml/kg Adjusted Body Weight/d) 1391 No No kcal/d conclusive conclusive (Mifflin St. recommend recommen ations dations Jeor)2 1395 kcal 52 g protein 1395 ml/kcal (15% of calories)1 (1ml/kcal)1


Nutrition Education ▪ MD Consult for Cardiac & Diabetic Diet

▪ 3 handouts provided ▪ Carbohydrate Counting for People with Diabetes ▪ Heart Healthy Nutrition Therapy ▪ Physical Activity with Chronic Fatigue Syndrome

▪ No prior diet education ▪ Discussed food/mood diary for emotional eating ▪ MD interruption


Nutrition Goals ▪ Weight loss (1 lb/week)

▪ Improved HgbA1c (<6%) ▪ Improved lipid panel (total cholesterol < 200 mg/dl, LDL < 70 mg/dl, HDL > 60 mg/dl, triglycerides < 150 mg/dl).


Monitoring and Evaluation WEIGHT, HGBA1C, LIPID PANEL


Implications of Findings to Dietetics ▪ RD’s play a large role in dietary counseling of patients with CVD and diabetes ▪ Goal setting ▪ Problem solving ▪ Self-monitoring

▪ Small, meaningful changes ▪ Meet the patient where they are!

▪ Watch for potential herbal-drug interactions


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