Solution-Evaluate peter johnsons laboratory data and blood

Heart Disease Case Study

Patient Data: (Peter Johnson)
68 year old male
Height: 6′ 1″
Weight: 190 pounds
Body Fat: 29%
Blood Pressure: 180/98

Total cholesterol: 330 mg/dl Triglycerides: 350 mg/dl HDL: 23 mg/dl LDL: 112 mg/dl

Social: Divorced, 4 grown children, 7 grandchildren, retired, likes to read and do woodworking

Medical: Had a heart attack at age 45 and bypass surgery at age 52

He has diabetes, high blood pressure, and high cholesterol. He rarely takes his medications
for these conditions.

He does not exercise currently.

He smokes 1 pack of cigarettes daily and drinks two 3 ounce scotch’s a night.

He adds about a half of a teaspoon of salt to his lunch and dinner.

Food Record:

MEALS/Portions

FOODS/BEVERAGES

Food Group(s)

# servings

Kcal (approx)

BREAKFAST

3 cups

Rice Krispies

2 cups

2% milk

3 slices

Bacon

1 cup

Regular black coffee

LUNCH

2 cups

Split pea soup

6

Saltine crackers

1 cup

Regular black coffee

SNACK

1

Small orange

DINNER

3 ounces

Bratwurst

1 cup

Corn

½ cup

Cooked broccoli

2 teaspoons

Butter

1 cup

Regular black coffee

SNACK

1 medium

Plain cake doughnut

1 cup

Regular black coffee

QUESTIONS

1) Evaluate his anthropometric data. What is his BMI? What is his body fat category? What does each one tell us?

2) Evaluate his laboratory data (cholesterol measures) and blood pressure. What should his goal levels be compared to what they are?

3) Analyze his food consumption. A. How many servings of each food group is he getting compared to what he should be?USE MYPLATE TO ASSESS. B. How many kcal is he getting? (Estimate using metrics handout) How many should he be getting (for his age and activity level)?

4) How much fiber do you think he is getting? Which specific foods are contributing? Look up their fiber content.

5) Check the saturated fat content of his meat choices and his butter. (Look it up) Compare to the recommended amount.

6) Discuss his beverage choices and fluid intake.(8-9 cups/day of non-alcoholic fluid is recommended. Each alcoholic beverage should be matched with an equal or larger amount of non-alcoholic fluid).)

7) What is your opinion about his sodium consumption and added salt habit? How could he improve in this area? *

8) What are the factors that put him at risk for having another heart attack?

9) Write up a sample menu for Mr. Johnson (1500-1700 kcals). Be sure to meet the minimum food group recommendations.

10) Counsel Mr. Johnson with your evaluations and recommendations as if you were his dietitian. Point out and describe the relationships between LDL and HDL cholesterol levels and a. saturated fatb. exercise and c. fiber.

*Excess salt can be an aggravating factor for people with elevated blood pressure. 1 tsp of salt ~ 2300 mg. Look up the DV and UL for salt (can be found in the cover material of your text)

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