Nutrional assessment

Case
Name: Mr. Purisima
Age: 59 y/o
Sex: Male
Height: 5ft 7in 1.7018m
Weight:160 lbs- 73 kgs
Diagnosis: Liver Cirrhosis

PSHx :
Smoker
Alcoholic (stopped 3 months ago)
 Body Mass Index
BMI
Wt/ht
= 73kgs /( 1.7018)2
=73kgs/2.90m
=25
overweight
 Total energy allowance

TEA= 73kgs x 35
= 2555kcal/day
 Caloric distribution

CHO = 70%
Protein = 15%
Fat = 15 %
CHO= 2555gms x.7 /4 = 447 gms
Protein = 2555gms x .15/4 =96gms
Fat=2555 gms x .15/9 =43 gms
 Diet Prescription
CHO- 447 gms
Protein 96 gms
Fat 43 gms
 Rice exchange
Food group # Exchanges CHO
Vegetable A 4 6 gms
Vegetable B 1 3 gms
Fruit 6 60 gms
Sugar 5.5 27.5 gms
Partial sum 96.5 gms
Of CHO

Prescribed CHO - Partial Sum of CHO

447 gms - 96gms =351 gms

351 gms / 23 gms = 15 Rice exchange

 Meat exchange
Food grp exchanges Protein

Vegetable A 4 2
Vegetable B 1 1
Fruit 6 -
Sugar 5.5 -
Rice 15 30
Partial Sum of Protein 33

Prescribed Protein - Partial Sum of Protein

96gms - 33gms =63 gms

63/ 8 gms = 8 meat exchange

 Fat exchange
Food Group # exchanges Fat
Vegetable A 4 -
Vegetable B 1 -
Fruit 6 -
Sugar 5.5 -
Rice 15 -
Meat Low Fat 7 7
Meat Med Fat 1 6
Partial Sum of Fat 13 gms

Prescribed Fat- Partial Sum of Fat

43gms - 13gms =30 gms

30/ 5 gms = 6 fat exchange

 Total
Prescribed 447- 96-43
Food Exchange Carb (gms) Protein Fat (gms) Energy
item96- (gms) (cal)
Veg a 4 6 2 0 32

Veg b 1 3 1 0 16

Fruit 6 60 0 0 240

Sugar 5.5 27.5 110

Rice 15 345 30 0 1500

Meat low 7 0 56 7 287

fat
Met med 1 0 8 6 86
fat
Fat 6 0 30 270

Total 441.5 97 43 2541

 Food Exchang Carb Protein Fat Energy Breakfast Morning Lunch Snack Dinner midnight
item e (gms) (gms) (gms) (cal) snack snack
Veg a 4 6 2 0 32 1 cup 1 cup
cooked cabbage
kangkong (cooked)
Veg b 1 3 1 0 16 Steamed
carrots
1/2cup
Fruit 6 60 0 0 240 1pc. Banana 1 cup 2 slices 1apple
Lakatan buko ripe
water papaya
(10x6x2
cm)
Sugar 5.5 27.5 110 mango
juice 200
ml
Rice 15 345 30 0 1500 1 1/2cup rice Cassava 1 1/2cup Mamon 1 Cup 4 slice
cake (1 rice; 2 tostado rice whole
whole 15 potato (3 pcs) wheat
x3x2 bread
cm)
Meat low 7 0 56 7 287 Chicken(4 Lean beef Steamed
fat matchbox (3 tilapia
size -laman) matchbox (12x5 cm
size - 2 pcs)
5x3.5x1.5
cm)
Met med 1 0 8 6 86 1 slice of
fat cheeese
Fat 6 0 30 270 4 Tsp 2 tbsp
cooking oil sandwich
spread
Total 441.5 97 43 2541
 Breakfast
1 pc Banana Lakatan
1 cp rice
1 cup fried kangkong
4 fried Chicken (MBS)
Morning Snack
Cassava cake (1 whole 15 x
3 x 2 cm)
1 cup Buko water
Lunch
Nilagang Baka ( 1 cup
cabbage cooked,2 potatoes
, 3 MBS lean beef)
1 cup rice
2 slices papaya ripe
Afternoon Snack
Mango juce 1tetra brick
200 ml)
Mamon tostao (3 pieces)
Dinner
cup steamed carrots
Steamed Tilapia ( 2pcs
12x5)
1 cup rice
1 apple
Midnight Snack
4 slice whole bread
1 slice of cheese
2Tbsp Sanwich spread