Title |
Nutritional management of a patient with obesity and pulmonary embolism: a case report
|
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Published in |
Nutrition Journal, October 2016
|
DOI | 10.1186/s12937-016-0202-9 |
Pubmed ID | |
Authors |
Maria Luisa Fonte, Lauren Fiechner, Matteo Manuelli, Hellas Cena |
Abstract |
The aim of this case report is to discuss the issue of nutritional therapy in patients taking warfarin. Patients are often prescribed vitamin K free diets without nutritional counseling, leading to possible health consequences. A 52-year-old woman with obesity and hypertension was prescribed a low calorie diet by her family doctor in an effort to promote weight loss. After a pulmonary embolism, she was placed on anticoagulant therapy and on hospital discharge she was prescribed a vitamin K free diet to avoid interactions. Given poor control of her anticoagulant therapy, she was referred to our Nutritional Unit outpatients' service. This case illustrates the importance of a thorough medical nutrition assessment in the management of patients with obesity and the need for a change in the dietary approach of nutritional therapy in the management of vitamin K anticoagulant therapy. In patients taking warfarin, evidence suggest that the aim of nutritional therapy should be to keep dietary intake of vitamin K constant. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 64 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 8 | 13% |
Researcher | 7 | 11% |
Student > Master | 6 | 9% |
Student > Postgraduate | 5 | 8% |
Student > Ph. D. Student | 4 | 6% |
Other | 13 | 20% |
Unknown | 21 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 23 | 36% |
Nursing and Health Professions | 11 | 17% |
Psychology | 2 | 3% |
Agricultural and Biological Sciences | 1 | 2% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 2% |
Other | 2 | 3% |
Unknown | 24 | 38% |