NUTRITIONAL ASSESMENT FORM

Ward name: A& E date:26-3-23

Rank Name Age Weight BMI IBW

Hav Aqeel Ahmad 40 years 65 kg

Medical Diagnosis: DLBCL

GI FUNCTION:

Appetite Nausea Vomiting Anorexia Diarrhea Constipation Others

Suppressed

PHYSICAL EXAMINATION:

Edema Muscle Wasting Ascites Urine output

BIOCHEMICAL FINDING:

Hb Sugar albumin urea creatnine potassium ALT Bilirubin sodium

11.9 50 4.1 38.7 5.0 46 09 140

NUTRITION ROUTE:

Enteral Parenteral

TYPE OF DIET:

Clear Full Soft diet Diabetic Low salt Uremic Low fat High Normal
liquid liquid diet diet diet diet protein diet
diet diet diet
yes

DIETARY PLAN:

Calories required calculated: 1500-2000 kcal

PLAN:

TIME INTAKE CALORIES

Breakfast 1 c porridge topped with 6 Almonds + 1 banana + 1 tbsp Flax seeds 385 kcal
+ 1 boiled egg

Mid morning 1 Apple + 1 cup green tea 60 kcal

Lunch 1 chapatti + 1 cup yakhni + 1 cup steamed vegetables 405 kcal

Mid evening 3/4 cup yogurt + 1 tbsp flax seeds 195 kcal

Dinner 4 oz grilled fish + 1 cup salad + half chapatti + 1 cup soup 350 kcal

Bed time 1 cup fat free milk added with 1 tsp turmeric 120 kcal

Extra nutritional
strategy

Total calories 24 hrs. 1515 kcal

Disease:

Diffuse large B cell lymphoma (DLBCL) is a type of non-Hodgkin lymphoma (NHL). NHL is a cancer of the
lymphatic system. It develops when the body makes abnormal B lymphocytes. These lymphocytes are a
type of white blood cell that normally help to fight infections.

Causes:

Certain viruses, including Epstein-Barr virus, human immunodeficiency virus (HIV), hepatitis B and
hepatitis C.

Immunosuppressant drugs taken after organ transplants.

Autoimmune disorders.

Immunodeficiency.

Increased body mass index in young adults.

Agricultural pesticides.
Signs & Symptoms:

The first sign of DLBCL is often a quickly growing, non-painful mass that is typically an enlarged lymph
node in the neck, groin, or abdomen. People may also experience fever, weight loss, drenching night
sweats.

Diagnosis:

Lymph node biopsy

Treatment:

the treatment is chemotherapy (chemo), usually with a regimen of 4 drugs known as CHOP
(cyclophosphamide, doxorubicin, vincristine, and prednisone), plus the monoclonal antibody rituximab
(Rituxan).

MNT:

Mediterranean Diet.

Frequent, Small Meals

High protein and calorie-dense foods

Low sodium

Low Microbial Foods

Raw Fruits and Vegetables

cruciferous vegetables

selenium, vitamin d, vitamin c supplementation

2 l fluid (including broths, fruit juices, nutritional supplement drinks, herbal teas, and even fluid-
containing foods, such as soups or gelatins)

Eggs

Full-fat dairy products, such as yogurt, whole milk, and cottage cheese
Nuts, seeds, and nut butters

Whole grains such as oats, quinoa, and brown rice, whole-wheat bread and whole-wheat pasta

Foods to Avoid:

sugar, processed or fatty meats, lard and butter, and refined grains such as white rice, pasta, and bread.

A ketogenic diet high in fat and protein and low in carbohydrates should be avoided. (it can cause kidney
problems, unwanted weight loss, or other health issues for patients undergoing DLBCL treatment)

Nutraceuticals:

zinc, lutein, and zeaxanthin