MO, a 27-year old, heterosexual female was brought by relatives to the EMS department. According to the relatives of the patient, the patient was experiencing fatigue, weight loss, fevers, chills, night sweats, and a productive cough for several weeks. MO was diagnosed with HIV infection on September 2008 with P. carinii pneumonia as AlIDS-defining illness. Her last HIV clinic visit was 2 months ago. She was also clinically diagnosed with depression since September 2008. She currently lives with her sexual partner who was also diagnosed with HIV infection. She works as an accountant. She is nonsmoker and drinks alcohol occasionally. Medications: Nelfinavir, 1250 mg PO BID Zidovudine 300 mg/lamivudine 150 mg (combination), 1 tablet PO BID Trimethoprim/sulfamethoxazole, 1 DS tablet PO 3X/week Sertraline, 50 mg PO QD Oral contraceptive (30 pg ethinyl estradiol and 0.3 mg norgestrel), 1 tablet PC qD Multivitamin with iron, 1 tablet PO qD Allergies: NKDA Physical Examination: GEN: Thin female with productive cough VS: BP 110/72, HR 90, RR 22, T 37.5C, Wt 50 kg (Wt 2 months ago was 55 kg), Ht 160 cm HEENT: PERRIA, lymphadenopathy COR: RRR CHEST: Radiograph: apical fibrocavitary infiltrates ABD: Nontender, no masses GU: WNLE RECT: WNL, guaiac negative EXT: WNLE Assessment and therapy justification for each problem Therapeutic Goal Health Care Therapeutic Recommendation Rationale Problems
MO, a 27-year old, heterosexual female was brought by relatives to the EMS department. According to the relatives of the patient, the patient was experiencing fatigue, weight loss, fevers, chills, night sweats, and a productive cough for several weeks. MO was diagnosed with HIV infection on September 2008 with P. carinii pneumonia as AlIDS-defining illness. Her last HIV clinic visit was 2 months ago. She was also clinically diagnosed with depression since September 2008. She currently lives with her sexual partner who was also diagnosed with HIV infection. She works as an accountant. She is nonsmoker and drinks alcohol occasionally. Medications: Nelfinavir, 1250 mg PO BID Zidovudine 300 mg/lamivudine 150 mg (combination), 1 tablet PO BID Trimethoprim/sulfamethoxazole, 1 DS tablet PO 3X/week Sertraline, 50 mg PO QD Oral contraceptive (30 pg ethinyl estradiol and 0.3 mg norgestrel), 1 tablet PC qD Multivitamin with iron, 1 tablet PO qD Allergies: NKDA Physical Examination: GEN: Thin female with productive cough VS: BP 110/72, HR 90, RR 22, T 37.5C, Wt 50 kg (Wt 2 months ago was 55 kg), Ht 160 cm HEENT: PERRIA, lymphadenopathy COR: RRR CHEST: Radiograph: apical fibrocavitary infiltrates ABD: Nontender, no masses GU: WNLE RECT: WNL, guaiac negative EXT: WNLE Assessment and therapy justification for each problem Therapeutic Goal Health Care Therapeutic Recommendation Rationale Problems
Chapter2: Safety In Phlebotomy
Section: Chapter Questions
Problem 2.1E
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Transcribed Image Text:SCENARIO:
MO, a 27-year old, heterosexual female was brought by relatives to the EMS
department. According to the relatives of the patient, the patient was
experiencing fatigue, weight loss, fevers, chills, night sweats, and a productive
cough for several weeks.
MO was diagnosed with HIV infection on September 2008 with P. carinii
pneumonia as AIDS-defining illness. Her last HIV clinic visit was 2 months ago.
She was also clinically diagnosed with depression since September 2008.
She currently lives with her sexual partner who was also diagnosed with HIV
infection. She works as an accountant. She is nonsmoker and drinks alcohol
occasionally.
Medications:
Nelfinavir, 1250 mg PO BID
Zidovudine 300 mg/lamivudine 150 mg (combination), 1 tablet PO BID
Trimethoprim/sulfamethoxazole, 1 DS tablet PO 3X/week
Sertraline, 50 mg PO QD
Oral contraceptive (30 pg ethinyl estradiol and 0.3 mg norgestrel), 1 tablet PO
qD
Multivitamin with iron, 1 tablet PO qD
Allergies: NKDA
Physical Examination":
GEN: Thin female with productive cough
VS: BP 110/72, HR 90, RR 22, T 37.5C, Wt 50 kg (Wt 2 months ago was 55
kg),
Ht 160 cm
HEENT: PERRIA, lymphadenopathy
COR: RRR
CHEST: Radiograph: apical fibrocavitary infiltrates
ABD: Nontender, no masses
GU: WNL"
RECT: WNL, guaiac negative
EXT: WNL"
Assessment and therapy justification for each problem
Health Care
Problems
Therapeutic
Goal
Therapeutic
Recommendation
Rationale
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