Critical Pathway Hiv. Desiree - 1763 Words

Critical Pathway: HIV Desiree’ Brock NURS 5103 Advanced Pathophysiology Regents Online Degree Program Tennessee Technological University 09/26/14 Critical Pathway: HIV Introduction Mr. .J. is a 30 year old Caucasian male presented to the Emergency Department with symptoms of myalgia, fever, rash, swollen glands, leukopenia, and thrombocytopenia. Mr. J. reported fever and sore throat started about a week ago and the rash presented today. Mr. J. stated â€Å"I thought I had the flu but I am not feeling any better and now I have a rash, that’s why I decided to come to the E.D.†. (Health and Human Services panel, 2013) Mr. J. has a bachelor’s degree in engineering and works at a local company. Mr. J. is not married but has a†¦show more content†¦J.’s CMP results are unremarkable and the flu was ruled out with a negative flu test. The CBC results show leukopenia and thrombocytopenia as evidenced by low platelet count and low white blood cell count. In reference to Mr. J.’s symptoms and CBC results additional diagnostic labs were ordered. P24- positive CD4- T-cell count 500/ µL Viral Load- 10,000 copies/ml EIA- no antibodies present Precipitating Factors Mr. J. reports having unprotected sex with one monogamous male partner for the last 4-5 weeks. Mr. J. reports having anal Herpes with an outbreak 4 weeks ago, during this time he was having unprotected anal intercourse. Mr. J. denies any other STD’s. Mr. J. drinks occasionally but denies illicit drug use. Mr. J. denies any medical or surgical history, denies IV drug use, blood product transfusions, and recent travel out of the country. Symptoms Upon physical assessment and review of lab work, the following signs and symptoms can be generated: †¢ Fever †¢ Lymphadenopathy, †¢ Skin rash, †¢ Myalgia/arthralgia, †¢ Leucopenia, †¢