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Immunity Simulation
Student Prep
2. Review the following medications (to include common doses, side effects and
associated lab values):
Rifadin 10 mg/kg PO/IV qd for at least 6mo, 600 mg Dizziness, tooth Cr, CBC, Plt at
(Rifampin) PO bid x2 days, 300 mg PO/IV q8h for at least discoloration, baseline; LFTs at
6wks ALT/AST elevation baseline, then if
hepatic impairment
cont. q2-4wk
4. What are common co-infections associated with HIV/AIDS? What are the
signs/symptoms of these co-infections? What is the appropriate treatment?
• TB
• Hep B and Hep C
• Cancer
• HIV-associated neurocognitive disorders (HAND)
• HIV and opportunistic infections
• cryptococcal meningitis
• toxoplasmosis
• PCP (a type of pneumonia)
• oesophageal candidiasis
• certain cancers, including Kaposi’s sarcoma
5. Review the ANA Scope of Practice for RNs. What are your responsibilities/choices
about caring for patients with HIV/AIDS?
6. Review isolation precautions. What is the difference between precautions with a patient
infected with Tuberculosis and one infected with HIV?
Isolation precautions for HIV: Patients with HIV in general do not need to be placed on
isolation precautions, however, if the HIV+ patient has respiratory symptoms (i.e., cough, shortness of
breath, coughing up blood, chest pain, etc.) they need to be placed on Airborne Precautions until an
alternative diagnosis can be confirmed.
References
Rodwell, T. C., Barnes, R. F. W., Moore, M., Strathdee, S. A., Raich, A., Moser, K. S., et al.
(2010). HIV tuberculosis coinfection in southern California: Evaluating disparities in
disease burden. American Journal of Public Health, 100, No. S1, S178-S185.
Chaisson, R. E., & Churchyard, G. J. (2010). Recurrent tuberculosis: Relapse, reinfection, and
HIV. The Journal of Infectious Diseases, 201(5), 653-654