Physical examination: Normal, healthy 28-year-old gravid female. She is overweight with a body mass index of 28.2.
Laboratory and other tests: Genotype is pan-sensitive without HIV mutations. Ultrasound at her 2-day follow-up estimates she is 15 weeks pregnant.
Assignment Questions
- What are the Public Health Service Panel on Antiretroviral Guidelines for Adults and Adolescents guidelines for HIV-positive pregnant females regarding starting ART? What antiretroviral medications are recommended as first line? Which drugs should be avoided? Provide a rationale for all answers.
- What education does Linda need regarding her medication?
- Are there any risks to the baby during labor?
- What should be done for the baby at birth if he/she tests positive for HIV? What will the providers need to do in terms of monitoring the baby?
HIV Patient Case Study Instructions
- Prepare and submit a 3-4 page paper [total] in length (not including APA format).
- Answer all the questions above.
- Support your position with examples.
- Please review the rubric to ensure that your assignment meets criteria.
- Submit the following documents to the Submit Assignments/Assessments area:
Rights of Medication Administration
- Right patient
- Check the name on the order and the patient.
- Use 2 identifiers.
- Ask patient to identify himself/herself.
- When available, use technology (for example, bar-code system).
- Right medication
- Check the medication label.
- Check the order.
- Right dose
- Check the order.
- Confirm appropriateness of the dose using a current drug reference.
- If necessary, calculate the dose and have another nurse calculate the dose as well.
- Right route
- Again, check the order and appropriateness of the route ordered.
- Confirm that the patient can take or receive the medication by the ordered route.