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Management of TB Patient - Severely Underweight
Learning Objectives-
H5Content
Content
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
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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.
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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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