Case study: nutritional monitoring of individual bearer of acute myocardial infarction due to use injectable anabolic/Estudo de caso: acompanhamento nutricional de individuo portador de infarto agudo do miocardio devido uso de anabolizantes injetaveis

Nutritional monitoring was conducted with adult patients admitted with a framework of Acute Myocardial on duration of use of injectable steroids. The objective of this study was to contribute through individualized dietary treatment in order to assist in the recovery of the patient's nutritional status and promote better quality of life for the same. For this, we collected dietary history was known through an interview to the patient throughout the hospitalization period, through 24-hour recall of dietary habits and history. Also, we performed subjective global assessment, anthropometry, and biochemical analysis for determining the nutritional diagnosis and establishment of nutritional requirements. Adjustment was performed on hospital diet for better patient acceptance and made suggestions aimed at avoiding high-calorie supplement the depleted muscle and reach the protein-energy needs of the patient. Improvement of acceptance of the feed supplied and increased appetite by the patient, thus justifying the importance of monitoring a continuous nutrition since, after nutritional guidance as to the importance of food for maintenance and/or improved treatment, the same received discharged with a satisfactory outcome. Key words: Anabolic steroids, acute myocardial infarction, Nutrition Monitoring. Foi realizado acompanhamento nutricional com paciente adulto internado com um quadro de Infarto Agudo de Miocardio, em vigencia do uso de anabolizantes injetaveis. O objetivo deste trabalho foi contribuir por meio tratamento dietoterapico individualizado, a fim de auxiliar na recuperacao do estado nutricional do paciente e promover maior qualidade de vida para o mesmo. Para isso, foi coletada a historia dietetica foi conhecida atraves de entrevista realizada ao proprio paciente durante todo o periodo de internacao, atraves de recordatorio 24 horas e historico dos habitos alimentares. Tambem, foi realizada avaliacao subjetiva global, antropometria e analise dos exames bioquimicos para a determinacao do diagnostico nutricional e estabelecimento das necessidades nutricionais. Foi realizada adequacao na dieta hospitalar para melhor aceitacao do paciente e feita sugestao de suplemento hipercalorico objetivando evitar a deplecao muscular e atingir a necessidade energetico-proteica do paciente. Houve melhora da aceitacao dos alimentos fornecidos e aumento do apetite pelo paciente, justificando-se desta forma a importancia de um acompanhamento nutricional continuo, visto que,