Review Mrs. Washington's labs upon admission. Identify any that ...

[wenmo]

Review Mrs. Washington's labs upon admission. Identify any that are abnormal. For each abnormal value, explain the reason for the abnormality and describe the clinical significance and nutritional implications for Mrs. Washington.
 
  What will be an ideal response?

Question 2

The RDN plans to talk about the Mediterranean diet with Mr. Garcia and his wife.
 
  What are the basic principles of the Mediterranean diet? What does the literature say in regards to the relationship between Mediterranean dietary principles and future heart health?

[mcinincha279]

Answer to Question 1

Each of the following abnormal labs results from her hyperlipidemia, is consistent with cardiac risk, and requires nutrition therapy:
 Cholesterol (ref. < 200 mg/dL, pt 210 mg/dL)
 HDL (ref. > 59 mg/dL, pt 40 mg/dL)
 LDL/HDL ratio (ref. <3.22, pt 3.
 LDL (ref <130 mg> Triglycerides (ref. 35-135 mg/dL, pt 198 mg/dL)

Additionally, her GFR is 56 mL/min (ref. > 60 mL/min) and her serum creatinine is 1.2 mg/dL. These may be indicative of renal insufficiency associated with her history of hypertension.

Answer to Question 2

 high consumption of vegetables, fruits, legumes, nuts, and olive oil
 moderate consumption of fish and alcohol
 low consumption of red and processed meats and whole-fat dairy products
 Associated with lowered overall CVD-related mortality
 Research results suggest a prevention of premature death from CVD
 Higher content of fiber is associated with reductions in lipid levels and chronic inflammation, in addition to its ability to aid with weight control, blood glucose, and blood pressure levels.
 Long-chain -3 fatty acids from fish and MUFAs from olive oil provide cardiovascular protection by promoting endothelial function and reducing inflammation and thrombosis and increasing HDL, respectively.

[wenmo]

Thank you!

[mcinincha279]

Always glad to help...