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NU 246 (EXAM 3)-DIET THERAPY FOR HIV + CLIENT

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ASSESSMENT
1.EVALUATION OF PROTEIN STATUS-MONTITOR ALBUMIN AND BUN LEVELS
2.EVALUATION OF CHOLESTEROL LEVEL-HYPOCHOLESTEROLEMIA IS ASSOCIATED WITH ADVERSE OUTCOMES
GOAL OF NUTRITIONAL THERAPY
-PREVENT OR DELAY WASTING AND LOSS OF LEAN BODY MASS
-PROVIDE A WELL BALANCED,NUTRIENT-DENSE DIET TO PRESERVE
CALORIES
35 CAL PER KG
-CALORIE NEED IS INCREASED DUE TO INCREASED ENERGY DEMAND AND SHOULD BE EVEN HIGHER IF FEVER IS PRESENT
PROTEIN
1.0-2.0 GM PER KG
-INCREASED TO PROTECT AND PREVENT LEAN MUSCLE LOSS
VITAMINS AND MINERALS
FAT SOLUABLE VITAMINS
-SHOULD BE TAKEN AT RDA REQUIREMENT
WATER SOLUABLE VITAMINS
-SHOULD BE TAKEN AT 2-5 TIMES THE RDA REQUIREMENT
DIETARY CHOICES
-BOILED OR BOTTLED WATER ONLY
-NO RAW MEATS OR VEGETABLES
-NO UNPASTURIZED DAIRY PRODUCTS
-NO RAW EGGS
CALORIE BOOSTING
-AVOID LOW CALORIE,LOW NUTRIENT FOODS
-IF HAVING NO GI PROBLEMS,BOOST CALORIES WITH BUTTER,MAYONNAISE,SOUR CREAM SWEETS,ICE CREAM,HONEY
PROTEIN BOOSTING
PEANUT BUTTER
HARD BOILED EGGS
**MAY SUPPLEMENT DIET WITH A MULTIVITAMIN BUT SHOULD BE USED WITH CAUTION
PATIENT TEACHING FOR ANOREXIA
-EAT SMALL MEALS AT SET INTERVALS
-CHOOSE NUTRIENT RICH FOODS
PATIENT TEACHING FOR CHANGES IN TASTE
-AVOID METAL UTENSILS AND CANNED FOODS
-USE SUGAR FREE CANDY TO COUNTERACT TASTE OR GUM
-COLD FOODS AND TART FOODS WORK
PATIENT TEACHING FOR NAUSEA AND VOMITING
-AVOID GREASY,HIGH FAT,SPICEY OVERLY SWEET FOOD AND FOODS WITH STRONG AROMA
-COLD FOODS AND DRY CRACKERS
-CLEAR LIQUIDS BETWEEN BUT NOT WITH MEALS
-REST
PATIENT TEACHING FOR DIFFICULTY SWALLOWING
-EAT SOFT,HIGH CALORIE,HIGH PROTEIN FOODS LIKE CUSTARD OR BLENDERIZED/MASH
FOOD,EVEN BABY FOOD
-AVOID ROUGH OR ACIDIC FOODS
MEGACE-MEGESTROL
MEDICATION FOR APPETITE STIMULANT
-STIMULATES APPETITE,PROMOTES WT.GAIN,AND INCREASES LEAN BODY MASS
-WORKS IN 8-12 WEEKS
S/E:DIARRHEA,FLATULENCE,AND IMPOTENCE
WHAT ARE NUTRITIONAL SUPPLEMENTS FOR HIV
-ELECTROLYTE BEVERAGES
-LACTOSE FREE SUPPLEMENTS
-COMPLETE ELEMENTAL SUPPLEMENTS
-MEDIUM LIPID SUPPLEMENT
ELECTROYTE BEVERAGES
GATORADE AND PEDIALYTE
LACTOSE FREE SUPPLEMENTS
PROVIDE 1 CALORIE PER ML
-SUSTACAL,ENSURE,RESOURCE,1.0 NUTREN
-ADVERA WAS FORMULATED FOR HIV PTS AND PROVIDES 1.26 CALORIES PER ML
WHAT PROVIDES MORE CALORIES PER ML
-ENSURE PLUS
-1.5 NUTREN
-RESOURCE PLUS
COMPLETE ELEMENTAL SUPPLEMENTS
ARE MORE EXPENSIVE AND HAVE AN UNPLEASANT TASTE
-VIVONEX TEN
MEDIUM LIPID SUPPLEMENT
LIPISORB AND PEPTAMEN

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