Nutritional management of a patient with obesity and pulmonary embolism: a case report

Nutrition Journal

Case Report

Lauren Fiechner¹  Matteo Manuelli²  Hellas Cena²  Maria Luisa Fonte² 

[1] Department of Pediatrics, Division of Pediatrics GI and General Academic Pediatrics Mass General Hospital for Children, Boston, Massachussets, USA;Department of Public Health, Experimental and Forensic Medicine, Unit of Human Nutrition, University of Pavia, Via Bassi, 21, 27100, Pavia, PV, Italy;

关键词: Obesity;    Pulmonary embolism;    Nutrition;    Vitamin K;    Nutritional assessment;    Diet;   

DOI  :  10.1186/s12937-016-0202-9

 received in 2016-06-29, accepted in 2016-09-22,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThe 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.Case presentationA 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.ConclusionsThis 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.

【 授权许可】

CC BY   
© The Author(s). 2016