Aids/HIV information, Symptoms, treatment

Goals

• Preserve lean body mass
• Provide adequate levels of nutrients
• Minimize malabsorption symptoms

General Recommendations

1. Provide nutrition education-early
2. Nutrition assessment-continual
   • Diet history
   • Nutrient intake calculation
   • Anthropometric measurements
   • Lab tests-blood count for anemia
     • serum albumin for PCM
     • retinol binding protein
     • prealbumin
   • Functional tests of muscle strength-handgrip power
3. Small, frequent feedings
4. Patients consuming inadequate diet should take a 100% RDA vitamin pill.
5. Antifolate drug treatment for infection may increase patient’s folic acid requirements.
6. Measure intestinal absorption using D-xylose.
7. Stools should be cultured
8. With ulcers, avoid acidic, hard foods. Use cold foods, straws, medications.
9. Decrease caffeine-intestinal stimulant
10. If steatorrhea may require A D E K
11. Washing fruits/vegetables with warm soapy water and rinsing to avoid enteric infections. Avoid raw or undercooked eggs, soft ripe cheeses.
12. Use bleach to wipe kitchen surfaces.
13. Enteral support should be given, when needed
    • Oral
    • Transnasal
    • Percutaneous Endoscopic Gastrostomy
14. Parenteral support when GI tract totally non-functional.

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