FINAL OBRIGADA SENHOR

Question 1

What is used to tell if HIV med is working?

Answer 1

HIV RNA

Question 2

What is a marker of HIV disease progression

Answer 2

CD4, the lower the CD4 the worse the disease

Question 3

In HIV when do you need the most energy and protein?

Answer 3

Acute infection or when

CD4 is low

Question 4

In HIV when do you need the least energy?

Answer 4

Clinical latency / Asymptomatic HIV

Question 5

CD4 below what level is opportunistic for infection?

Answer 5

200

Question 6

In HIV when do we use TPN?

Answer 6

when diarrhea is severe enough - malabsorption, fever, weight loss

Question 7

Medications for HIV patients

Answer 7

Common to be on 3 different medications

Question 8

Medications HIV patients dietitians role

Answer 8

Either take med with food or away from food and follow direction

Question 9

ART is associated with risk of

Answer 9

obesity and CVD

Question 10

When is the best time to work with a dietitian, HIV?

Answer 10

As soon as diagnosed

Question 11

HIC WASTING SYNDROME what is

Answer 11

weight loss of >10% of baseline weight and

chronic diarrhea or weakenes and documented fever >30 days

Question 12

HIV - diarrhea is a result

Answer 12

Its a common thing and a result from med side effect , may lead to malabsorption
low albumin also contributes do diarrhea

Question 13

HIV Wasting syndrome medication MEGACE

Answer 13

Reduces testosterone and increases body fat

used for tx of anorexia, cachexia, weight loss and promotes weight gain

Question 14

HIV Wasting syndrome anabolic agents

Answer 14

oxandrolone nandrolone
can promote protein building and weight gain
has to be in conjunction with adequate calories

Question 15

Physical changes with HALS

Answer 15

Increase in total colesterol LDL tg and reduce HDl
lipodystrophy - body shape changes
lipoatrophy - loss of subcutanous fat
lipohypertrophy - gain truncal fat

Question 16

HIV energy and fluid requirements which weight to use

Answer 16

pre-illness weight