A pregnant patient is HIV-positive. Which antiretroviral agent ...

[storky111]

A pregnant patient is HIV-positive. Which antiretroviral agent will the nurse expect the patient's provider to order?
 
  a. Abacavir/lamivudine/zidovudine (Trizivir)
  b. Efavirenz/emtricitabine/tenofovir (Atripla)
  c. Lamivudine/zidovudine (Combivir)
  d. Rilpivirine/emtricitabine/tenofovir (Complera)

Question 2

A patient who has HIV infection will begin treatment with efavirenz. The nurse expects this agent to be given in the combination product Atripla in order to
 
  a. avoid development of psychiatric comorbidities.
  b. prevent dizziness, sedation, and nightmares.
  c. reduce viral resistance.
  d. prevent severe rash and hepatotoxicity.

[honnalora]

Answer to Question 1

ANS: C
Antiretroviral therapy is strongly recommended for all pregnant HIV-infected patients. The preferred dual nucleoside reverse transcriptase inhibitor is Combivir.

Answer to Question 2

ANS: C
Efavirenz is optimally given as a component of Atripla. The primary reason for using combination products is to reduce viral resistance. Efavirenz should not be given to patients who have psychiatric histories. Efavirenz may cause dizziness, sedation, nightmares, rash, and hepatotoxicity, but this is not minimized with combination therapy.

[storky111]

Thanks for the timely response, appreciate it

[epscape]

Gracias!