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HIV
During pregnancy
Question | Answer |
---|---|
S/S of HIV | flu like symptoms diarrhea Kaposi's sarcome -cancer opportunistic diseases anorexia and weight loss |
Testing for HIV (2 test) | Western Blot test CD4+ T cell level less than 200 cells/ul |
Zidovudine (ZDV) | Therapy for the prevention of Perinatal Transmission Trying to prevent HIV being spread to the baby |
Antepartum (during pregnancy) | 100 mg ZDM by mouth 5 times a day (or 200 mg t.i.d) after 14 wks of gestation until 34 wks |
Intrapartum (in labor) | Intravenous ZDV at a dose of 2mg/kg, infused over 1 hr, then 1mg/kg by continuous infusion until delivery |
postpartum (baby be put on) | Oral ZDV syrup at a dose of 2mg/kg q 6hrs for 6 wks, beginning 8-12 hours after birth. ZDV may be given IV if neonate is unable to take oral medication |
Why is c-section recommended? | so baby to exposed to HIV |
Why cant baby breast feed? | B/c it can be transferred through breast milk |
Why universal precautions? | w/ all babies, but with these make sure to gown and glove up before giving bath so you do not expose yourself to HIV |
When can you know for sure if baby has HIV? | Cant say for sure until baby is at least 18 months old and has final testing |