文章基本信息

标题：Nutritional management of a patient with obesity and pulmonary embolism: a case report
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作者：Maria Luisa Fonte ; Lauren Fiechner ; Matteo Manuelli 等
期刊名称：Nutrition Journal
印刷版ISSN：1475-2891
电子版ISSN：1475-2891
出版年度：2016
卷号：15
期号：1
页码：90
DOI：10.1186/s12937-016-0202-9
语种：English
出版社：BioMed Central
摘要：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.
关键词：Obesity ; Pulmonary embolism ; Nutrition ; Vitamin K ; Nutritional assessment ; Diet