Asymptomatic HIV Infection

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  1. P. is a 36-year-old Caucasian gay male who was diagnosed with HIV infection 2 years ago. He and his male partner, T. R., were married shortly after his diagnosis. T. R. is not HIV positive. He has been feeling well for the past 2 years, and he maintains a healthy, active lifestyle by exercising three to four times a week and eating a balanced diet. His medications include a multiple vitamin and occasional omeprazole for heartburn. He has never received antiretroviral therapy. He comes to your office for a routine physical exam and blood work. The physical examination is unremarkable, and the laboratory results are as follows: Electrolytes, serum creatinine, liver function tests: within normal limits; Complete blood count with differential: within normal limits, CD4+ T-cell count: 210 cells/mm3; Viral load: 10,000 copies/mL, Genotype: No resistance mutations detected

Diagnosis: Asymptomatic HIV Infection

In this discussion forum:

  1. Discuss specific goals for pharmacotherapy for treating J. P.’s asymptomatic HIV infection.
  2. Discuss when prophylaxis for infection is indicated ie daily bactrim
  3. Discuss the drug therapy a CNP would likely prescribe and why.
  4. Discuss the parameters for monitoring success of the therapy.
  5. Discuss health promotion recommendations you would consider for J. P.
    1. Asymptomatic HIV Infection
    2. P. is a 36-year-old Caucasian gay male who was diagnosed with HIV infection 2 years ago. He and his male partner, T. R., were married shortly after his diagnosis. T. R. is not HIV positive. He has been feeling well for the past 2 years, and he maintains a healthy, active lifestyle by exercising three to four times a week and eating a balanced diet. His medications include a multiple vitamin and occasional omeprazole for heartburn. He has never received antiretroviral therapy. He comes to your office for a routine physical exam and blood work. The physical examination is unremarkable, and the laboratory results are as follows: Electrolytes, serum creatinine, liver function tests: within normal limits; Complete blood count with differential: within normal limits, CD4+ T-cell count: 210 cells/mm3; Viral load: 10,000 copies/mL, Genotype: No resistance mutations detected

    Diagnosis: Asymptomatic HIV Infection

    In this discussion forum:

    1. Discuss specific goals for pharmacotherapy for treating J. P.’s asymptomatic HIV infection.
    2. Discuss when prophylaxis for infection is indicated ie daily bactrim
    3. Discuss the drug therapy a CNP would likely prescribe and why.
    4. Discuss the parameters for monitoring success of the therapy.
    5. Discuss health promotion recommendations you would consider for J. P.
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