Hiv Case Study

320 Words2 Pages
Case Study (HIV/AIDS) M.G. is a 36 year old gay professional man who has been HIV positive for 6 years. Until recently, he demonstrated no s/s of AIDS. The appearance of purplish spots on his neck and arms persuaded him to make an appointment with his physician. Upon arriving at the doctor’s office, the nurse performs a brief assessment. His VS are: 138/86, 100, 30, 100.8 F. M.G. states that he has been feeling fatigued for several months and is experiencing occasional night sweats but he has also been working long hours, has skipped meals, and has been stressed over a project at work. M.G.’s physical is WNL except for his low grade fever and purple skin lesions. The physician orders a PPD, CBC and lymphocyte studies. He schedules a return visit to discuss his test results. Over the next few days M.G. develops a fever of 101 F, nonproductive cough and increasing dyspnea. Late one night he becomes extremely dyspneic, so his roommate takes him to the ED where he is admitted to the hospital with probable Pneumocystic jirovecii Pneumonia (formerly PCP). M.G. is placed on nasal oxygen, IV fluids, and IV trimethoprim/sulfamethoxadole. 1. What is Pneumocystic jirovecii Pneumonia? PCP Pneumonia - Sulfa Antiobiotics - Must hydrate patient - sulfa crystalizes in the abscense of fluids Top 3 drugs of allergies - cutaneous - larges hives - wheels also treated Pentam - pentamidine - most often given in a neublizer - side effect - pt can develop severe hypotension and hypoglycemia 2. 3. 4. What is the significance of the purplish spots over the trunks and arms of M.G.? 5. Karpozi Sarcoma 6. What precautions will you need to use when taking care of M.G.? 7. Standard precautions 8. What major side effects of his antibiotic should you monitor for M.G.? 9. See number 1 10. Differentiate between HIV positive

More about Hiv Case Study

Open Document