Retroviruses Highly active antiretroviral therapy HAART Protease inhibitors

Retroviruses highly active antiretroviral therapy

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Retroviruses: Highly active antiretroviral therapy (HAART) Protease inhibitors Reverse transcriptase inhibitors Attachment and fusion inhibitors
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Antiretrovirals: Uses and Adverse Reactions Antiretrovirals: Uses and Adverse Reactions Used in the treatment of HIV and AIDS Adverse reactions: Gastrointestinal reactions: Nausea; vomiting; diarrhea; altered taste Other reactions: Headache; fever; chills; rash; numbness and tingling in the circumoral area (around the mouth) or peripherally or both
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Antiretrovirals: Contraindications and Precautions Antiretrovirals: Contraindications and Precautions Contraindicated in patients: With a history of allergies to the drug; during lactation Who are taking cisapride, pimozide, triazolam, midazolam, or an ergot derivative Used cautiously in patients: With diabetes mellitus; impaired hepatic function; pregnancy; hemophilia
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Antiretrovirals: Interactions Antiretrovirals: Interactions Antifungals: Increased serum level of the antiretroviral Clarithromycin: Increased serum level of both drugs Sildenafil: Increased adverse reactions of sildenafil Opioid analgesics: Risk of toxicity with ritonavir
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Antiretrovirals: Interactions (cont.) Antiretrovirals: Interactions (cont.) Anticoagulant, anticonvulsant, antiparasitic agents: Decreased effectiveness when taking ritonavir Interleukins: Risk of antiretroviral toxicity Fentanyl: Increased serum level of fentanyl Oral contraceptives: Decreased effectiveness of the birth control agent
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Assessment Nursing Process: Assessment Preadministration assessment: Determine the patient’s general state of health and resistance to infection Record vital signs, symptoms, and complaints Additional assessments may be necessary in certain types of viral infections
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Assessment (cont.) Nursing Process: Assessment (cont.) Ongoing assessment: Monitor for and report any adverse reactions from the antiviral drug Inspect the IV site several times a day for redness, inflammation, or pain and report any signs of phlebitis
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Nursing Diagnosis Nursing Process: Nursing Diagnosis Risk for Imbalanced Nutrition: Less Than Body Requirements Risk for Impaired Skin Integrity Risk for Injury Body Image Disturbance Acute Pain
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  • Spring '17
  • Brian
  • Nursing, Antiretroviral drug, Wolters Kluwer Health, Lippincott Williams & Wilkins, Antiviral drug

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