Question #1
James is a 19- year old African American male who was diagnosed with HIV one-month prior at his college health clinic. He was referred to a specialized HIV clinic for management. He was seen at the clinic, and he was advised to start antiretroviral treatment (ART) based on lab results. He never followed up. He admits that he is very scared and confused about ART. What education can you provide this patient about ART? What are the benefits and risks of ART? What patient education can you offer James about self-care in HIV disease?
Question #2
Nancy is 26-year-old chronic hypertensive patient who has been seen at your clinic for 5 years. She happily reports to you today that she is two months pregnant with her first pregnancy and needs a referral for prenatal care. Her HTN has been well managed on a calcium channel blocker and diuretic. She is normotensive today. Is she currently on any medications that must be stopped today before she sees an obstetrician/gynecologist? Review how prescribers can find information on pregnancy categories. What are the categories of hypertension (HTN) medications that are typically given to women with preexisting HTN who become pregnant?
Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.
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