CASE-1

∙ PRESENTATION

Ammara 34 years old female with active complaint Abdominal cramps or pain vomiting and blotting. The doctor diagnosed

diarrhea

PATIENT PROFILE:

Weight: 60kg Height: 5.4 (BMI: 22kg/m2 (underweight)

GOALS:

⮚ To maintain optimal nutritional status

⮚ To is preventing dehydration or appropriately rehydrating persons presenting with dehydration.

⮚ To viral, bacterial, parasitic, or non- infectious

ENERGY REQUIREMENTS:

⮚ TEE: 1800k cal/day (Must Consume)

⮚ CONSUMPTION: 1000Kcal/day (According to 24-hr Dietary Recall)

 Nutrition Assessment Diagnosis MNT Intervention

Anthropometric measurements Medical diagnosis TEE:1800Kcal/day  Focus on BRAT

CHO:58%,261g Diet (Banana, Rice,
Ammara Age=34years Active Complaints: Pro:18%,81g Apple, Toast0
Ht=5’4’’ Wt= 60kg Blotting Fat:24%,54g
UBW= 45kg IBW= 60kg Vomiting Fluid:2500ml (7  Provision of fiber
BMI= 176kg/m2 Nausea glasses) rich diet: Examples
%IBW= 60% Micronutrients of foods that
%UBW= 106% Vitamin B3,B6, contain soluble
% weight change= 6.25%( severe) B9,B12, Iron, vit C, fiber include oats,
Current Diagnosis
omega 3 fatty acids beans, legumes,
Diet Order sweet potatoes,
Biochemical data  Diarrhea
Moderate calorie, onions, and fruits
moderate carbohydrate. such as apples,
Test name Result  Vomiting
mod protein,moderate bananas, and pears.
fat, high fiber diet  Examples of foods
Hb(g/dl) 13 Procedure
Food Groups that contain
Exchanges Milk: 2 insoluble fiber
MCV(fL) 93  Diet include wheat bran,
Fruits: 3 Vegetables: 4
Meat: 6 Starches: 11 nuts, seeds, and
Clinical sign & symptoms  Medication skins on vegetables
Fats: 5
and fruits.
Hydration status: STT >2 sec dehydration Nutrient To Focus  Drink plenty of
Lips: normal, Skin: normal. Nails: Pale, Vitamin D,C Foods Recommended
whole grains, legumes, liquids:
mottled (zinc and iron deficiency). Eyes: Pale, Vitamin E  Eat 3-5 servings of
(iron, vitamin B12 & B9 deficiency). Bowel Vitamin B6 such as lentils, black
beans, kidney beans, fruits and
frequency: constipation (inadequate fibre Vitamin B9
fruits, (berries, apples vegetables daily.
intake) Vitamin B12
with the skin on, oranges,
Diet history Nutrition diagnosis and pears) vegetables
(carrots, broccoli, peas)
BREAK FAST: partha with salan 1. Imbalanced nuts
Foods Restricted
SNACK TIME:soft drink. Electrolytes Chips, fast food, meat,
LUNCH TIME:pizza with soft drink prepared foods, such as
DINER:roti with salan some frozen meals.

CASE-2

PRESENTATION:

Shahid 31year old men admitted to hospital with active complain a headache,general aches and pain, a cough a constipation. . The doctor
diagnosed typhoid.

PATIENT PROFILE:

Weight: 45 kg Height: 5.7 BMI: 18 (normal)

GOALS:

⮚ To maintain optimal nutritional status

⮚ To provide intensive, individualized rehabilitation

⮚ To provide extensive training

⮚ To restore hydration status and electrolyte balance

⮚ To reduce the risk of infections

⮚ To improve the oral intake of patient

ENERGY REQUIREMENTS:
 ⮚ TEE: 18850Kcal/day (Must Consume)

⮚ CONSUMPTION: 600Kcal/day (According to 24-hr Dietary Recall)

Nutrition Assessment Diagnosis MNT Intervention

Anthropometric measurements Medical diagnosis TEE:1850Kcal/day 

CHO:55%,254g  Examples of foods
Shaid Age= 33years Active Complaints: Pro:19%,87g that contain
Ht=5’7’’ Wt= 45kg Fever,headache,a Fat:26%,54g insoluble fiber
UBW= 82kg IBW= 73kg cough Fluid:2500ml (6 glasses) include wheat bran,
BMI= 18kg/m2 Micronutrients nuts, seeds,and
%IBW= 54% Current Diagnosis Vitamin B1,B3, B6,B9, skins on vegetables
%UBW= 80% Iron, vit C, omega 3 fatty and fruits.
∙ Typhoid
% weight change= 18%( severe) acids  Drink plenty of
Diet Order liquids: Fluid helps
Biochemical data Moderate calorie, your body process
moderate carbohydrate. fiber without
Test name Result Procedure mod protein,moderate discomfort.
fat, high fibre diet  Eat 3-5 servings of
Hb(g/dl) 12.7(normal) Diet and medication Food Groups fruits and
Exchanges vegetables daily.
MCV 85.2 Drug nutrient interaction: Milk: 2 Fruits: 3  Choose whole fruit
Vegetables: 4 Meat: 6 instead of juice.
HCT 38.7 Medicines with  Eat the skins and
Starches: 11 Fats: 5
Foods Recommended seeds for extra
Clinical sign & symptoms  Vitamins A
whole grains, legumes, fiber.
Hydration status: STT>2 sec dehydration  Vitamins B complexes such as lentils, black  Try to have a fruit
Lips: Dry, chapped (dehydration, B2 def.), beans, kidney beans, or vegetable with
 Iron
Skin: Dry, Rough ,.Bowel frequency: fruits, (berries, apples each meal or
 Calcium snack.
constipation (inadequate fibre intake) with the skin on, oranges,
 Diet history Nutrition diagnosis and pears) vegetables  Try to include
(carrots, broccoli, peas) exercise or
Breakfast : chai+cake 1.Inadequate Nutrient intake nuts physical activity in
Snack : juice 2. Inadequate Energy Intake Foods Restricted your daily routine.
Lunch ; Fruit chart 3. Inadequate Fluid intake Chips, fast food, meat,
Dinner : soup of vegetables prepared foods, such as
some frozen meals and
snack foods, processed
foods

CASE-3

PRESENTATION:

Arena 22 years old female with active complaint fever and flu-like illness, including shaking chills, headache, muscle aches, and tiredness.
The diagnosed malaria.

PATIENT PROFILE

Weight: 50kg Height: 5.1 (BMI: 20kg/m2 (underweight)

GOALS:

⮚ To maintain optimal nutritional status

⮚ To is preventing dehydration or appropriately rehydrating persons presenting with dehydration.

⮚ To prevent viral, bacterial, parasitic, or non- infectious

⮚ To reduce the number of malaria-related cases and deaths

ENERGY REQUIREMENTS:

⮚ TEE: 1700k Cal/day (Must Consume)

⮚ CONSUMPTION: 500Kcal/day (According to 24-hr Dietary Recall)

Nutrition Assessment Diagnosis MNT Intervention

Anthropometric measurements Medical diagnosis TEE:1700Kcal/day  Examples of foods

CHO:55%,254g that contain
Arrena Age=22years Active Complaints: Pro:20%,85g insoluble fiber
Ht=5‖1’’ Wt= 60kg fever and flu-like Fat:25%,47g include wheat bran,
UBW= 45kg IBW= 60kg illness shaking chills, Fluid:2500ml (7 nuts, seeds, and
BMI= 176kg/m2 headache, muscle glasses) skins on vegetables
%IBW= 60% Micronutrients and fruits.
%UBW= 106% Vitamin B3,B6,  Drink plenty of
% weight change= 6.25%( severe) B9,B12, Iron, vit C, liquids: Fluid helps
omega 3 fatty acids your body process
Biochemical data Current Diagnosis Diet Order fiber without
Moderat calorie, discomfort. A good
Test name Result  Malaria moderate carbohydrate. starting goal is
mod protein, moderate eight 8-ounce
Hb(g/dl) 14 fat, high fibre diet glasses of fluid per
Food Groups day.
MCHC(g/dL) 31 Procedure Exchanges Milk: 2  Add soups in your
Fruits: 3 Vegetables: 4 Diet
Clinical sign & symptoms Nutrition diagnosis Meat: 6 Starches: 11  Add Broths
Fats: 5  Add honey and
Hydration status: STT >2 sec dehydration 1. Inadequate Nutrient lemon
Lips: normal, Skin: normal. Nails: Pale, intake
mottled (zinc and iron deficiency). Eyes: Pale, 2. Inadequate fluid intake Foods Recommended
(iron, vitamin B12 & B9 deficiency). Bowel whole grains, legumes,
3. Inadequate Nutrient
frequency: constipation (inadequate fibre such as lentils, black
Intake
intake) beans, kidney beans,
fruits, (berries, apples
Diet history with the skin on, oranges,
and pears) vegetables
BREAK FAST: partha with salan (carrots, broccoli, peas)
SNACK TIME:soft drink. nuts
LUNCH TIME:pizza with soft drink Foods Restricted
DINER:roti with salan Chips, fast food, meat,

CASE-4
PRESENTATION:

Rashid 55 year old men admitted to hospital with active complain fever,fatigue,blood in your stool,vomiting . The doctor diagnosed
Covid 19.

PATIENT PROFILE:

Weight: 55 kg Height: 5.4 BMI: 19 (normal)

GOALS:

⮚ To maintain optimal nutritional status

⮚ To provide intesnsive,individualized rehabilitation

⮚ To provide extensive training

⮚ To restore hydration status and electrolyte balance

⮚ To reduce the risk of infections

 ⮚ To improve the oral intake of patient

ENERGY REQUIREMENTS:

⮚ TEE: 1556Kcal/day (Must Consume)

⮚ CONSUMPTION: 600Kcal/day (According to 24-hr Dietary Recall)

Nutrition Assessment Diagnosis MNT Intervention

Anthropometric measurements Medical diagnosis TEE:1556Kcal/day  Provision of fiber

CHO:55%,213g rich diet: Examples
Rashid Age= 55years Ht=5’4’’ Active Complaints: Pro:25%,97g of foods that
Wt= 55kg Fever,headache,a Fat:20%,34g contain soluble
UBW= 82kg IBW= 73kg cough Fluid:2500ml (6 fiber include oats,
BMI= 18kg/m2 glasses) beans, legumes,
%IBW= 54% Current Diagnosis Micronutrients sweet potatoes,
%UBW= 80% Vitamin B1,B3, B6,B9, onions, and fruits
∙ Corona Iron, vit C, omega 3 fatty such as apples,
% weight change= 18%( severe)
acids Diet Order bananas, and pears.
Biochemical data Nutrition Drug Interactions: Moderate calorie,  Drink plenty of
moderate carbohydrate. liquids: Fluid helps
Test name Result Antiviral with Alcohol mod protein, mod fat, your body process
high fiber diet fiber without
Hb(g/dl) 12.7(normal) Procedure Food Groups discomfort. A good
Diet Exchanges Milk: 2 starting goal is
Fruits: 3 Vegetables: 4 eight 8-ounce
HCT 38.7 Medication Meat: 6 Starches: 11 glasses of fluid per
Clinical sign & symptoms Current Diagnosis Fats: 5 day.
 Eat 3-5 servings of
Hydration status: STT>2 sec 1. Inadequate energy Foods Recommended citrus fruits like
dehydrationLips:Dry, chapped (dehydration, intake whole grains, legumes, Guava,Orange and
B2 def), Skin:Dry,Rough,.Bowel frequency: such as lentils, black vegetables daily.
2. Inadequate nutrient
constipation (inadequate fibre intake) beans, kidney beans,
intake
fruits.
3. Pooe Immunity Foods Restricted
Ice creams, Cold coffees
Diet history

Breakfast : chai +cake

Lunch : salan +roti+salad
Dinner : soup+egg+chappati