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Linked Node
Management of TB Patient - Mild and Moderate Underweight
Learning Objectives-
H5Content
Content
BMI level of less than 18.4 kg/m2 to 16 kg/m2 pose significant effect on disease progression, 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
- Outpatient Care: If ALL following criteria are met: Oral intake is good, ambulatory, vital signs stable, and no medical complication.
- In-Patient Care: If ANY of the criteria are met: Poor oral intake, pedal edema, bedridden, unstable vital signs (pulse rate >100/min, BP < 100 mmHg systolic, respiratory rate >24/min, oxygen saturation <94 percent), medical complications.
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Refer the patient to the nearest CHC or District Hospital for physician consultation.
Manage
- Manage underlying active TB with effective treatment under close supervision and in consultation with Medical Officer DTC / DRTB Center
- Counsel for the balanced diet, and medication dosage. Access hydration & electrolytes (including potassium, and magnesium). Prevent hypoglycemia, and manage appropriately if present.
- Provide Medications other than Anti-TB if comorbidities present.
- Healthy lifestyle: Advice patient to be active as possible. It improves appetite and muscle mass.
- Smoking and alcohol are harmful to TB patients and should be avoided.
- Later, when normal appetite returns, advise 3 meals and at least 2 snacks
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