Worksheet Hiv Aids Each Question Is Worth 1 Point 1 What Type Of Vitamin And Mineral Supplementation Is Recommended F 1 (69.99 KiB) Viewed 52 times
Worksheet Hiv Aids Each Question Is Worth 1 Point 1 What Type Of Vitamin And Mineral Supplementation Is Recommended F 2 (62.57 KiB) Viewed 52 times
Worksheet: HIV/AIDS Each question is worth 1 point. 1. What type of vitamin and mineral supplementation is recommended for AIDS patients? 2. HIV infects what two types of cells? 3. How would you advise a pregnant woman who is HIV+about breastfeeding? 4. Why are persons with AIDS more susceptible to foodborne pathogens? 5. What types of foods should be served to an AIDS patient who is having trouble breathing? 6. Which types of medications are associated with the development of lipodystrophy? 7. What is Kaposi's sarcoma? Would you recommend increased energy intake with this diagnosis, why or why not? 8. Identify and define the opportunistic infections associated with HIV/AIDS. Lab note: Total lymphocyte count ranges from 1500 to 3000/mm3. Normal T-cell count ranges from 1400-2700/mm3 (68-75% of total lymphocytes). Normal B-cell count ranges from 270-620/mm3. Normal labs vary among lab settings. Progressive depletion of CD4 T lymphocytes is associated with an increased likelihood of clinical complications from AIDS; if CD4 cell count exceeds 500 cells/mm3 in the past 6 months, there is a low probability that these symptoms result from opportunistic infections. Elevated levels are associated with myeloma, infectious mononucleosis, chronic and viral infections. Decreased levels are found with chronic and acute lymphocytic leukemias, HIV, immunoglobulin deficiency disease and congenital T-cell deficiency disease Scenario 1: Gary is a 41 YOM, HIV+ patient who also has hepatitis C and recently had shingles. His current HIV antiretroviral regimen is Atripla which he takes once a day on an empty stomach. His last viral load was 250,000; his CD4+ cell count was 14, and his serum triglycerides were 890 mg/ dL. He lives alone and gets one meal per day from a community meal provider. He has chronic diarrhea, with 4-5 loose stools per day. He has recurrent heartburn and bloating after meals. He is on disability and has no extra money to join a gym. Gary smokes 1 pack of cigarettes per day and is in an outpatient alcohol recovery program. He is s'10" and weighs 150 lbs. His dietary intake as shown from a recent 24-hour recall is 1650 kcal with 40 grams protein. Nutrition Diagnosis: Inadequate protein-energy intake related to heartburn and bloating after meals as evidenced by 24-hour recall of 1650 kcal and 40 g of protein. 1. Calculate Gary's kcal and protein needs. 2. What recommendations would you make to his meal provider? 3. What other laboratory tests would you recommend? 4. What exercise recommendations would you make given his limited funds?
5. List any nutrition related side effects commonly experienced on the patient's current medication 6. Write an intervention and monitoring/evaluation statement for the above diagnosis (Dx) Scenario II: Miguel is a 34 YOM infected with HIV for over 10 years. His current viral load is undetectable at below 50 and his CD4+ count is 563. He is 6 tall and weighs 202 lbs. He has been on antiretroviral therapy for 8 years and currently takes Complera. Miguel drinks two alcoholic drinks per week and works out at a gym twice a week, where he walks on a treadmill for 30 minutes and weight trains for 1 hour. Over the last year he has noticed that his body composition has changed with an increasing abdominal girth. His last fasting lipid profile was abnormal with a total cholesterol of 280 mg/dL, triglycerides 455 mg/dL, HDL 29 mg/dL, and LDL 148 mg/dL. He has a positive family history for both CVD and DM. He states that he has never been educated about NCEP guidelines. Nutrition Diagnosis: Abnormal nutrition-related laboratory values related to knowledge deficit about lipodystrophy and current cholesterol management guidelines, as evidenced by elevated lipid panel and lack of prior education on that topic. 1. Calculate Miguel's kcal and protein needs. 2. What risk factors does he have for DM and CVD? 3. What do you recommend for his diet, exercise, and lifestyle? 4. List any nutrition related side effects common with his medication. 5. Write a new PES statement 6. Write an intervention statement.
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