J. P. is a 36-year-old Caucasian gay male who was diagnosed with… J. 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. J.P. 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. J.P. 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. (adapted from Arcangelo, 2013, Case Study Chapter 48). Diagnosis: Asymptomatic HIV Infection1. 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.Health Science Science Nursing NURSING N512
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