Introduction
  Evaluation
  Short of breath
  Too tired
  The dwindles
  Weight loss
  Healing
  Chemotherapy
  Mom to be
  Very sociable
 
   Thanks To
   Quiz
 
 
 
 Mark W. Braun, MD
 braunm@indiana.edu

 
   Nutrition and Diagnosis-Related Care

 

 
 

The American Dietetic Association recommends between 3 and 6 medical nutrition visits per year for a person with Stage 2 HIV/AIDS. So what are the goals they will shoot for?
  • Improve nutrition-related immune function.
  • Enhance response to therapy and insure optimal medication levels.
  • Maintain body weight and reduce fatigue.
  • Prevent weight loss by fever, oral pain, infection, nausea and diarrhea.
  • Support depleted levels of nutrients, such as vitamins, linoleic acid, selenium, etc.
  • Advise judicious intake of fats as complications of retroviral therapy include significant elevations of cholesterol and triglycerides.
    • Fats not to exceed 30% of daily caloric intake
    • Saturated fats not to exceed 7% of fatty acid intake.
    • Cholesterol less than 300mg/day
    • Lipodystrophy associated with protease inhibitors.
  • Adjust diet regimen to account for renal and/or hepatic impairment.
  • Promptly address nutritional effects of fatigue, anemia, anorexia, depression and dyspnea
  • Be honest about crackpot alternative therapies, megavitamin and herbal remedies, none of which have been shown to be of any particular benefit.

Great, so how do you do this?

 
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