Kkp Case Study

HIV Case Study and Questions
1. What is PJP? Pneumocystis jiroveci pneumonia is an opportunistic infection that manifests in individuals who have a weakened immune system. Considering that K.D. has human immunodeficiency virus and has quit taking his medication this leaves him vulnerable for infections like this to arrive. Ways of contracting PJP are through birth or by picking up germs from other people or surroundings but does not become actively harmful until the immune system has been compromised. PJP symptoms are considered nonspecific and manifest differently in patients with HIV usually presenting much later and over several weeks. Symptoms include: progressive exertional dyspnea, fever, nonproductive cough, chest discomfort, weight loss, chills, and hemoptysis. Diagnosis of PJP is done by obtaining sputum
What major side effects of his antibiotic should you monitor K.D. for? While a patient is taking Trimethoprim Sulfamethoxazole you should monitor for an allergic reaction aka angioedema (swelling that occurs in the face/tongue/throat). It can also cause nausea, diarrhea, loss of appetite and diarrhea, myasthenia, changes in cognitive status, mood swings, kidney problems monitored by UO and blood in the urine, extreme lethargy, hypoglycemia. More serious side effects include persistent headache, muscle stiffness in patient’s neck, dysrhythmia, or seizures. Rare allergic reactions and more severe side effects of taking this medication may include Steven-Johnsons syndrome (peeling rash, blisters, itching), agranulocytosis (low WBC count, sore throat, fever), aplastic anemia (bruises or bleeding that is caused easily, and liver (yellowing of the eyes, dark urine) or lung injury. It can also cause clostridium difficile associated diarrhea which is caused by a type resistant bacteria. Manifestations of this include diarrhea, abdominal pain, or hematochezia. If this medication is used over a longer period of time it can cause thrush or a yeast