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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

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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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
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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