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H5Content
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BMI level of less than 16 kg/m2 in men and less than 14 kg/m2 in women pose a threat to life, irrespective of other co-existing conditions. 
Assess

  • Look for History of unintended weight loss, appetite, and oral intake, dietary assessment, vital signs, anemia, pedal edema, medical condition, socioeconomic condition, Family History.

     

Advise

  • For Outpatient Care: If an assessment is met with normal clinical parameters.
  • For Inpatient Care: If an assessment is met with high-risk clinical parameters where referral is required.

     

Manage

  • Manage underlying active TB with effective treatment under close supervision and in consultation with Medical Officer DTC / DRTB Center.
  • Access hydration & electrolytes (including potassium, magnesium). Prevent hypoglycemia, manage appropriately if present.
  • Correct dehydration if present.
  • Correct Vitamin and Minerals deficiencies with supplements as per clinical protocol.
  • Do not expect weight gain in the first week, which is for the patient to stabilize. If required, initiate the slow calories intake accordingly.
  • Increase feeding as appetite returns, aiming at weight gain from around 2 weeks.
  • After successful discharge, follow up for 2 months.

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Reviewer