Linda is a 28-year-old female in a discordant relationship with her boyfriend of 1 year. Linda is 12 weeks pregnant based on her last menstrual period. She is engaged in HIV-care and is na\u00efve to antiretroviral therapy (ART) because her CD4 cell count is 538 per mm3 and viral load is 8,300. No tobacco, alcohol, or illegal or illicit drug use.\u00a0
\nPhysical examination: Normal, healthy 28-year-old gravid female. She is overweight with a body mass index of 28.2.
\nLaboratory and other tests: Genotype is pan-sensitive without HIV mutations. Ultrasound at her 2-day follow-up estimates she is 15 weeks pregnant. \u00a0
\nAssignment Questions<\/p>\n
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? \u00a0Which drugs should be avoided? \u00a0Provide a rationale for all answers.
\nWhat education does Linda need regarding her medication?\u00a0
\nAre there any risks to the baby during labor?
\nWhat 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?<\/p>\n
Instructions\u00a0<\/p>\n
Prepare and submit a 3-4 page paper [total] in length (not including APA format).
\nAnswer all the questions above.\u00a0
\nSupport your position with examples.
\nPlease review the rubric to ensure that your assignment meets criteria.
\nSubmit the following documents to the Submit Assignments\/Assessments area:<\/p>\n
Case Study: HIV Patient<\/p>\n","protected":false},"excerpt":{"rendered":"
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