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# c

c
c
c
c
c
c
c
c

 ccccccccccccc
    c  c

c
  ccccccccccccccc
c
   ccccccccccccccc  c cc
cccccccccccccccccccccccccccccccccc c  c c
cccccccccccccccccccccccccccccccccc c  c c
cccccccccccccccccccccccccccccccccc c! "c#\$ c
cccccccccccccccccccccccccccccccccc  c %  c!  c
cccccccccccccccccccccccccccccccccc&cc' c
c
 cccccccccccccccccccccccc&c
c
( cccccccccccccccccccccc#c) c c   c c
c
c
c  ccccccccccccccccccc)*+c

#-c0122,c

c
INTRODUCCION

## 3 % c cc    ccc c%  c  c c %  c c c

c c   %  c cc 4 %  c % c%3c%\$c  c
c 5cc   c c 6c

## c  c c  c c c c  c c c  c c

   c \$ c c  %  c  c c c  c  c  c \$  c  %  c c
%  c   3 c  c c 7% c 3 8% c  c  c % c   c c
 % c c  c cc9c c   c c c % c c c c
 c  c  % c c  c 4 % c c c    c  c \$ % 3 % c c
   c  c   c   c 4c c 4 c   % c c
   c    c  c   c  c  c  c : c 9c %;  c  c
 cc % c c c  6c

/<!#(&/c

## §c - c  c c  % c  c c c c   c  c c  c  c

  c c\$  " c
§c #c c  c  c c c  c  c %  c  % c ;c
3 8% 6c

c
c

## (RESULTADOS DEL CASO CLINICO: PACIENTE G.U.M

§c CONTEXTURA:
(c%=6c%: cc%c
2>2=2>?10.1cc
  7 medianac
c
§c PESO IDEAL:
D,2@0A72610B5>c
D2>2,2@0A72610B5>?78 Kg.

## §c PPI cD  c=  cA7211c

>5=C>7211c
PPI=108% ( %c Ac
c
§c PPUcccD  c=  cA7211c
>5=D57211c
PPU=89.4% (desnutrición leve)
c
§c PCPccD  c,  c=  cA7211c
DD5,>5=D5A7211c
PCP=11% (grave)
c
§c Indice de Peso(Talla
D  c c=  c  c ccA7211c
D>5=C>A7211c
108.3% (normal)
c
§c IMC
 cc=c(Ec
>5=26>2Ec
25.6 kg/mt² (sobre peso)
c
§c % PCTcD c 3  = cA7211c
D20=206@A7211c
D@?96% (normal)c
c
§c CMBcD c 3  = c A7211c
D0560=0@6+A211c
D@6C?c96% (normalA

## ccccp  p

 p 

c
  p  
c

c c 
c
    
c  
c

 
 
c  
c

   
  
c  


   
c
 
c   
 
 
c  
c 
 

c  
c 
   
 
c  
c      
 

## c   V c   

 
c 
c p  p  '' c   

 
c 
c p   'c   
  
c 
c
c  9c c  cc c   c   cc c  6c
c -c c  c  c  c \$c   c c  c  9c c 8 c
 c c%3 c c  6c
c -c  c% c;cc c  c c c %6c
c c %3 c  9c  c  c 3 8% c   c c  c
%  6c
c c    c  c   c c \$c 4 c  c c c c  c \$c
  c  c c  c   8c;c6c
c #c   c   c3c  c c  6c
CUESTIONARIO

## 1. Realizada la evaluación del estado nutricional de G.U.M. ¿Cuál es el

diagnostico nutricional?

F c

##  c  c c c c % c c   c %; c  c  c  c

c %c c %; 8c  c  c %  c c c  %c c  c c c
c 6c#c   c   cc c c c%  cc
  c  9c  c c 3 8% c c  c  c  c   c  c  3 c  3c
c%  c  c   cc 4 c  c  c c
 cc  c3 8% 6c

## 2. ¿Qué otros métodos de evaluación nutrición complementarían su

c
c G c
 cD c;c c c c%% Ac
c ' % c %  c

## 3. G.U.M. es un paciente hipercatabolico debido al trauma múltiple y la

infección. Describa las limitaciones en los diferentes métodos de
evaluación nutricional en este caso.

## -c%  c c c4   c%  c c c c c   c

 c% cc c cc % 8c cc%  c 4"c c c
c cc %  c ccc   c  c c  c c c   c
 c c  c c c    c  c \$ % 3 % c  c   c  c  c c
   c4  c %c c c c  8c c %  c% 4 c 3 cc
 c % 3 c c  c  cc  c   c  c % c  c ;c   "c
 c c  % c  c   c  c c  c % c 4c c  c  c
 c  c   c c % c  %c c %  c " c c c
   c  c c c  6c #c c  c %  c  c ;cc
 % :c cc3 8% 6c

## H  cD2DC@Ac\$c  c3 c c    c% 3 c c  c c c; c;cc

6c #c %  c  c  c    c  c  c \$;c ; c D c c
Ac c c   c %" c c c  c    c c  %   c
4  c  c c   c % 3c c %c ;c c c c   c
 8c% 3c%;c4   ccc c; c c c c %6c
#c ; c  c  "c c \$ % 3 % c c   c  c   8c c
 c c c c%c\$;c\$ % 3 % c;cc   c%6IccD  : c!6c
-   c
c6c 6c2JDA6c
c

TRABAJO EN CASA:

## PACIENTE: Ethel Porras Juárez



 !"

#\$

%#\$


§c &'()'*+c    c
c  
c
 
w® 

§c
(,-(.
jc */(+-c'Vcc ccc

## §c ' cc'Vcc cccfc Vcc

§c  Vc'c
§c èccc-cV 'c
§c  VccV '-cVc

c
® ®
§c o&-,!(
cc-c  !!c

§c -ccc'c-c'Vc

® 

§c

01cccc-cc  !!c
® 



`c -ccc'c-cc
c
c
® 

"® 

§c

01c-c  !!c
® 



`c -ccccccc'c-cc

c
¥® 

§c

01c-  !!c
#

`c -ccc'c-c'Vc

c
®  %
§c -c  \$

&%
c'  '  c-cV 'c
c
c

§c  2  
§c

cfc 
c

c
§c

## cfcc  c!"c

§c o&-,!(-(3(3+.'..fc 
c
§c cfc 
c
§c

f#
"c
c
c
pp  p p 


Mujer: = 84.88 ± (0.24 x Edad años) + (1.83 x altura de Rodilla


..45655708691:05;96<61f 5!"

c
c

TRABAJO EN CASA:

A. CONTEXTURA:

§c   



c
c
B. PESO IDEAL:
c
c

# -Ac

c cc
c

## Mujer: = 84.88 ± (0.24 x Edad años) + (1.83 x altura de Rodilla cm)

(c?c>56>>cLcD1605K02AcBcD26>+K5+Acfc2@>6@%6c

c

c c @16+c
c
c

§c %PPU
c

## cccccccc ccccKc211c @0ccK211cc?c215Mc)/ -c

cccccccc cc cc@1c
c
c
c
§c IMC
c

c
c

TRABAJO EN CASA

A. CONTEXTURA:

## (=c6c: cc 2@C=25c?ccc2260c

§c  c 
c
c
c
B. PESO IDEAL:
c
c

##    cD(,2@0AK16>>cBc5@c D2@C,2@0AK16>>B5@cc?c5Dc

c 5DNNNNNN6211Mc
cccccccccccccccccccccccccccccccc FNNNNNNN@Mccccccccc cc06@cc
c

c c c5DcLc06@c?c5CccD #/c
# -Acc

## Mujer: = 84.88 ± (0.24 x Edad años) + (1.83 x altura de Rodilla cm)

cccc(c?c>56>>cLcD1605K01AcBcD26>+K5+Acfc2@>6CC%c

c
c

c

c c 5Cc
c

## E. Calcular: Peso ideal: %PPI, % PPU, IMC, CB,PCT,CMB.

c
ccccK2 c @0cK211ccc?cccc21+c %c c
c c 5Cc
c

§c %PPU
c

## cccccccc ccccKc211c @0ccK211cc?c211Mc)/ -c

cccccccc cc cc@1c
c
c
c
§c IMC
c

## ccccc =(0c @0=cD2@Cc0Ac?c016>c=%EcD) %Ac

) '-&*'+,!,&.&+".

c
 cc 
c

 
c c c   c

Ê  

   

##      

§c  
c

 

§c hc c

  !""#\$ 

c c

§c hhcc

  !

%& !

§c cc"#\$ c

\$'!

%&'ccccc(c

§c c

'(

)*
c("c c c

c
)  c)c  +) c

## §c -c #c  c c   c   c  c c    c  c

\$ % 3 % c c  % 8c  c   c   c  c  c
 c  c    c c %  c  c c 3 8% c %  c c
    c c  cc cc c   6c
§c #c    c 4  c c c  c  c c \$ % 3 c c 4   c c c
   c  c ; c c   c c   c c %3 c   %c c
c%; c c  c c% c c cc    c\$ % 3 cc
 c  c  c  8c     c  c c   8c  c c  c \$c  c
 % c   c  c c 3 8% 6c #c   c   c c
 c%  c c c c  c c%  c % 6

>  c   c   cc c   c ccc   c
 c c   c  c c  c c c c c
  c  c c   c  c  c   c c  c   c  c c
 c c   c  c  c   c   c c  c      c  c
  c  c c  c  c   c  c
ccc  cc c  cccc c c
cccc

## c   c    c c   !c  c c  c   c

  c c  c     c  " c c   c c   #
   c c   !c c c  c c c   c   \$c
D  : c!6c-   c
c6c 6c2JDA6c

c
 + , -.c

## §c : c!6c-   c c86c#6cc % c0111c

§c   c  c  c (  c  6c (  c  6c  c
% c011C6c