Tiago M MendesAlto Minho Local Health Unit , Portugal
Title: COVID-19 and Clinical Outcome: a case highlighting the value of integrated nutritional intervention
An 81-year-old man, with confirmed COVID-19 pneumonia, was hospitalised due to hypoxemic respiratory failure and severe hypovolemic hypernatremia. During pre-hospital emergency care, the patient was successfully managed with adenosine, for supraventricular tachycardia. At the Emergency Department (ED), he exhibited an altered mental status varying from comatose to agitated, if stimulated. Further investigations confirmed SARS-CoV-2 infection and COVID-19 pneumonia (chest X-ray) with hypoxemic respiratory failure. Biochemistry indicated acute kidney failure with severe hypovolemic hypernatremia. At the designated internal medicine COVID-19 ward, comfort measures were initiated, but the patient remained stable. Therefore, a nasogastric tube was placed
to correct hydration status. At the same time, the patient was identified as at a higher nutritional risk, warranting a nutritional assessment by the COVID-19 team nutritionist, followed by the implementation of a tailored nutritional care plan. A timely integration, within the comprehensive clinical care, of a proactive and specialised nutrition intervention,
duly implemented and monitored by the multidisciplinary team, elicited that the patient condition was progressively improved.
To be updated...