Académique Documents
Professionnel Documents
Culture Documents
Nutrition
Therapy
for
Pulmonary
Disease
Patient
Anggun Rindang Cempaka, S.Gz, Dietisien
Overview Pulmonary System
Micronutrient
Ca, Mg, P, K respiratory
muscle function
Vit C collagen formation
Water, electrolytes mucus
subtances
Nutrition & Pulmonary System
Protein
Macro-
Hb carrying O2 levels
Pulmonary edema nutrient
Malnutrition
Surfactant
Hypoproteinemia, Immune system
Anemia
Micronutrient
Ca, Mg, P, K respiratory
muscle function
Vit C collagen formation
Water, electrolytes mucus
subtances
Adverse
Effects of
Lung
Disease on
Nutrition
Status
ASTHMA
A disease of bronchial
hyperresponsiveness and
airway chronic inflammation
(primary problem mediated
by Ig-E), leading to airflow
obstruction
Inflammation
Hypersecretion of mucus
Airway Muscle Constriction
Swelling bronchial membranes
Slowly
tobacco smoking,
Definition progressive Risk Factors
environmental air
obstruction of
pollution, genetic
the airways
Categories
Nutritional
Assessment
Objectives of Nutrition Interventions
Promote a nutrient-dense food
Prevents excessive weight loss,
choice. Ensure adequate flavor
especially in underweight
patients
of foods because appetite is
often minimized
Prevent or correct
Alleviate difficulty in chewing
dehydration thickens
or swallowing
muccus
Dietary
- Diet history
Clinical
- Food intake
- Temperature
Biochemical (fever, chills)
- WBC - RR, BP
Anthropometry - pCO2, pO2 - Bronchoscopy
- Height - Na,K, Ca, Mg - Productive
- Weight - Albumin cough
- BMI - Transthyretin
- CRP
- serum Fe
- BUN, creatinine
Intervention - Objectives
Avoid additional infections; prevents sepsis and multiple organ dysfunction syndrome
Anthropometry
Height, Weight, BMI
Dietary
Dietary history, food intake
Intervention Objectives
Maintain weight (or pervent losses)
Reduce fever
Replace nutrient losses from lung hemmorhage
Promote healing the cavity
Counteract neuritis from isoniazid (INH) theraphy
Stimulate appetite
Prevent dehydration
Prevent lung inflammation, infections and complications
Intervention Nutrient Needs
Fat : 20-25 % TE
Energy: 35-45 kcal/kg BW Protein: 2,0-2,5 gr/kg BB
Add more omega 3 FA improve
(if weight loss has been food intake, restore normal eating
significant) Carbs : 55-65% TE
patterns, prevent body weight
loss