AIDS Case Study (45 min)
Included In This Lesson
Study Tools For AIDS Case Study (45 min)
Outline
Mr. Hernandez is a 33 year old male with a history of IV Drug Use, Hepatitis C, and HIV. He has previously been managed on HAART therapy, but has been having recurrent bouts of pneumonia in the last 6 months. He presents to the Free Clinic today complaining of weakness and fatigue, shortness of breath, and a
persistent cough. He reports a 10 lb weight loss over the last 3 weeks. He says “I think I have pneumonia again”.
Upon further questioning, the patient reports fever, chills, and night sweats for the last few days. His coughing has been nonproductive. He has diffuse rhonchi through his right lung and scattered rhonchi on the left. A Chest x-ray shows a nodular consolidation on the right side and diffuse infiltrates. The provider orders a CBC with Diff and a CD4 cell count. Vital signs show the following: HR 100 RR 20 BP 108/67 SpO2 90% Temp 101.6°F The Complete Blood Count with Differential shows the following abnormal values: RBC 3.9 H/H 8.1/24.3 WBC 7,000 Plt 104,000 CD4 <10 / mm3 Mr. Hernandez is sent straight to the hospital to be admitted. He is started on high-dose IV antibiotics and his HAART therapy dosages are increased. He receives 2 units of Packed Red Blood Cells when his Hgb drops to 7.6 mg/dL. He continues to be weak and has fevers and night sweats, treated with PO Acetaminophen. He is flushed and his skin is warm. His vital signs in the morning are: HR 110 RR 22 BP 88/47 SpO2 92% on 4 lpm nasal cannula Temp 101.8°F Reference: Diagnostic Criteria for AIDS – https://www.ucsfhealth.org/conditions/aids/diagnosis.html What further history questions and assessment data would you obtain at this time?
What laboratory or diagnostic tests do you anticipate the provider ordering?
What respiratory disease has Mr. Hernandez contracted?
What should your first nursing action be?
What is going on physiologically with Mr. Hernandez? How do you know?
What condition is Mr. Hernandez developing because of his infection?
What medications or treatments might he require to maintain his hemodynamics?
Could anything have been done differently for Mr. Hernandez?
Yaaaaaah Med Surg
Concepts Covered:
- Musculoskeletal Trauma
- Musculoskeletal Disorders
- Emergency Care of the Trauma Patient
- Shock
- Acute & Chronic Renal Disorders
- Vascular Disorders
- Disorders of the Thyroid & Parathyroid Glands
- Cardiac Disorders
- Emergency Care of the Cardiac Patient
- Disorders of the Posterior Pituitary Gland
- Infectious Disease Disorders
- Infectious Respiratory Disorder
- Intraoperative Nursing
- Medication Administration
- Urinary Disorders
- Upper GI Disorders
- Lower GI Disorders
- Hematologic Disorders
- Male Reproductive Disorders
- Neurological Trauma
- Neurological Emergencies
- Noninfectious Respiratory Disorder
- Respiratory System
- Respiratory Emergencies
- Immunological Disorders
- Central Nervous System Disorders – Brain
- Renal Disorders
- Emergency Care of the Neurological Patient
- EENT Disorders
- EENT Disorders
- Liver & Gallbladder Disorders
- Shock
- Studying
- Disorders of Pancreas
- Respiratory
- Emergency Care of the Respiratory Patient
- Perioperative Nursing Roles
- Oncology Disorders
- Integumentary Disorders
- Postoperative Nursing
- Communication
- Legal and Ethical Issues
- Preoperative Nursing
- Documentation and Communication
- Fundamentals of Emergency Nursing
- Sexually Transmitted Infections
- Female Reproductive Disorders
- Peripheral Nervous System Disorders
- Central Nervous System Disorders – Spinal Cord
- Integumentary Disorders
- Disorders of Thermoregulation
- Neurologic and Cognitive Disorders
- Renal and Urinary Disorders
- Disorders of the Adrenal Gland
- Respiratory Disorders
- Integumentary Important Points
- Urinary System
- Tissues and Glands
- Microbiology
- Factors Influencing Community Health
- Multisystem
- Delegation
- Basics of NCLEX
- Circulatory System
- Cognitive Disorders
- Neurological
- Gastrointestinal
- Endocrine
- Cardiovascular