ANDRES BONIFACIO COLLEGE

SCHOOL OF NURSING
College Park, Dipolog City

Case Study Presentation

Presented by: Presented to:
Mary Kristle Orbeta Ms. Althea Eunice Sun
Dyvi Mariah Carmelle Durante Dr. Ronald Edu Gurdiel
Subject:

49-year-old FEMALE, 5’8, 80 kg,

diagnosed with urosepsis and is
also hypertensive.
Urosepsis
Urosepsis is a type of sepsis caused by
an infection of the urinary tract. It is a
complication often caused by urinary
tract infections (UTIs) that are not
treated quickly or properly.
Hypertension
Hypertension, or commonly known
as high blood pressure, is a condition
in which the long-term force of the
blood against your artery walls is high
enough that it may eventually cause
health problems.
Risk Factors
Urosepsis Hypertension
o Advanced age o Age
o Children o Race
o Women o Family history
o Immunocompromised o Being overweight or obese
o Fecal incontinence o Not being physically active
o Immobility o Use of tobacco or cigarette
o Incomplete bladder emptying or smoking
urinary retention o Too much sodium in diet
o Pregnancy o Too little potassium in diet
o Surgeries in the urinary tract o Drinking too much alcohol
o Urinary tract obstruction o Stress
o Use of invasive devices o Certain chronic conditions
Signs and Symptoms
Urosepsis
o Fever
o Pain on the lower sides of the back
o Nausea and vomiting
o Extreme tiredness
o Decreased urine output
o Inability to think clearly
o Difficulty in breathing
o Abnormal heart function
o Abdominal pain
o High or low body temperature
o Dyspnea
Hypertension
o Severe headaches
o Nosebleed
o Fatigue or confusion
o Vision problems
o Chest pain
o Difficulty in breathing
o Irregular heartbeat
o Blood in the urine
o Pounding in the chest, neck, or
ears
01. BODY MASS INDEX (BMI)
BMI=WT (kg) x HT (m²)  
  BMI = 80 kg/1.7272 m²
Conversion: = 80 kg/2.9832 m²
= (5 ft x 12 in) + 8 in = 26.82
= 68 in x 2.54 cm Classification (FAO/WHO):
= 172.72 cm/100 cm BMI = 26.82
= 1.7272 m *OBESE GRADE I
 DESIRABLE BODY WEIGHT
02.
(DBW)
Tannhauser’s Method = 72.72 kg
 
2.1
= (5 ft x 12 in) + 8 in
= 68 in x 2.54 cm 2.3
= 172.72 cm DBW = 72.72 kg – (10%)
  = 72.72 kg – 7.272 kg
2.2 = 65.448 kg or 65 kg
DBW = 172.72 cm – 100
 TOTAL ENERGY REQUIREMENT
03.
(TER)
Subject:
Female 65 kg DBW, Judge (Light PA)

NDAP Method

TER = DBW (kg) x PA kcal

= 65 kg x 35
= 2, 275 kcal/day
 Nutrition
Intervention
Identify Appropriate Diet
DIET MODIFIED IN COMPOSITION

HIGH PROTEIN DIET

A high-protein diet is a diet in which 20% or more of the total daily
calories comes from protein. Most high protein diets are high in
saturated fat and severely restrict intake of carbohydrates. 
Rationale of the Chosen Diet
o To provide a change in the constituents of the diet.
o To maintain, restore, or correct nutritional status.
o To avoid sepsis-induced protein loss.
o To help control and lower blood pressure.
FOODS ALLOWED
o Eggs o Greek yoghurt o Lentils
o Almonds o Milk o Brussels sprouts
o Chicken breast o Broccoli o Peanuts
o Oats o Lean beef o Beans
o Cottage cheese o Tuna o Legumes

FOODS TO AVOID
o products that contain refined sugar, such as candy, baked goods, and sodas
o highly processed foods
o foods that manufacturers market as “diet” products, as they often contain excessive
amounts of artificial sweetener
 One-day Sample Meal Plan
Breakfast Lunch Dinner
● 1 Scrambled eggs ● Chicken breast ● Tuna
● 1 cup Brown Rice ● 1 cup Brown Rice ● 1 cup Brown Rice
● 1 glass of Milk ● 1 glass of Water ● 1 glass of Protein shake
Thank you!