case study

Details: Complaint “I’m HIV positive and pregnant.” History A 28-year-old female is 12 weeks pregnant based on her last menstrual period. She is engaged in human immunodeficiency virus (HIV)-care and is naïve 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. Assessment Physical examination: Normal, healthy 28-year-old gravid female. She is overweight with a body mass index of 28.2. Laboratory and other tests: Genotype is pan-sensitive without HIV mutations. Ultrasound at her 2 day follow-up estimates she is 15 weeks pregnant. Diagnosis: Intrauterine pregnancy, 15 weeks; HIV positive

1. What are the U.S. Department of Health and Human Services recommendations for the use of antiretroviral drugs in HIV-positive pregnant females?

2. What education does the patient need regarding her medication?

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