Content Status
Type
Linked Node
Management of TB Patient - Overweight/Obese
Learning Objectives-
H5Content
Content
The patient is overweight/obese and thus require additional care
Assess
Evaluate the patient for diabetes. Advise an appropriate balanced diet and lifestyle modifications if diabetic
Advise
Diet
- Adequate and balanced
Cereals and Pulses
Milk
Oils and Nuts
Fruits and Vegetables
Eggs, Flesh Foods
- Patients should be advised to restrict their intake of calories and fat and increase activity levels as permissible to bring the BMI to below 25kg/m2 eventually
- Frequent feeds initially when appetite is likely to be poor
- Later, when normal appetite returns, advise 3 meals and at least 2 snacks
Supplements
- Costlier foods and nutritional supplements are not necessarily better than locally available foods
- A multivitamin pill is adequate to meet micronutrient requirements if intake is very poor
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
Monitor
Weight Gain
- Weigh every month
- If follow up BMI is > 25kg/m2 advise restriction of calories and increase activity levels
- If patients lose weight after returning from work, and BMI falls below 21 kg/m2, advise extra intake of calories and proteins
Drug Toxicity
- Assess patient for drug toxicity if, after initial improvement, appetite decreases or if there is vomiting
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