The Infant of an HIV-Positive Mother

Often the child is subsequently determined to be HIV positive in kindergarten remains asymptomatic. The CDC classifies HIV-infected children as indeterminate, asymptomatic or symptomatic. Between 20% and 65% of children born HIV-positive mothers are infected themselves.
The care plan should be used in conjunction with the previous newborn plans of care.

Neonatal EVALUATION DATABASE

As a rule, that no symptoms of the child after birth, but some may show signs of opportunistic infections within a few days after birth. Moreover, the effects of maternal substance use / abuse and / or introduce premature.

Traffic

Prolonged bleeding, petechiae (thrombocytopenia) marked the occasion

Delete

Diarrhea
Enlarged liver, spleen, can be considered

Food / Fluid

LBW
Power Problems
Lesions in the mouth (thrush)

Sensorineural

Neurological deficits
Microcephaly

Breathing

Varying degrees of damage (in relation to drug use, caesarean section)

Security

Swollen glands (lymphadenopathy) in the context
Maternal factors
History of risk behavior, sexually transmitted diseases
HIV-

Sexuality

Maternal factors
History of multiple sexual partners

Education and training

Rush
Developmental delay
Maternal factors
The history of drug use parents (mother or partner)

Diagnostic tests

CBC and the total number of lymphocytes: provide input for the WBC and lymphocyte immunological monitoring of disease progression.
The enzyme or enzyme-linked immunosorbent immunoassay and Western blot Cream Test (EIA / ELISA) can be positive, but not valid, because the test does not distinguish between mother and child antibodies. (The child can have a negative test, p age 15.9).
HIV crops (peripheral blood mononuclear cells and, where appropriate, plasma): The diagnosis of children under the age of 15 pages
Polymerase chain reaction detection of nucleic acids in a small number of infected peripheral blood mononuclear cells.
Serum or plasma p24 antigen: Elevated levels can be a quantitative indicator of infection (not observed during the very early stages of HIV infection) in infants 30 days or more, the second dose of the vaccine against hepatitis B are
Quantitative serum IgG, IgM, IgA, and concludes: nondiagnostic in newborns, but fundamental immunological data.
Blood / Trauma / urine cultures: Diagnosis of opportunistic infections.
X-Ray: May revealed lymphoid interstitial pneumonia.

Nurses PRIORITIES

1st / avoid infections.
2nd Maximisation of food intake.
Support for third pairing, growth and development.
4th Provide information to parent (s) / guardians of the disease process / prognosis and treatment.

Exemption OBJECTIVES

Freedom of first opportunistic / nosocomial infections.
Second weight.
3rd Key Skills typical for the age of maturity.
4th Parents / guardians the status / prognosis and treatment.
5th Action Plan for special needs after his release from otgovornost.Chesto, later of the child to be HIV positive in kindergarten remains asymptomatic. The CDC classifies HIV-infected children as indeterminate, asymptomatic or symptomatic. Between 20% and 65% of children born HIV-positive mothers are infected themselves.
The care plan should be used in conjunction with the previous newborn plans of care.

Neonatal EVALUATION DATABASE

As a rule, that no symptoms of the child after birth, but some may show signs of opportunistic infections within a few days after birth. Moreover, the effects of maternal substance use / abuse and / or introduce premature.

Circulation

Prolonged bleeding, petechiae (thrombocytopenia) marked the occasion

Elimination

Diarrhea
Enlarged liver, spleen, can be considered

Food / Fluid

LBW
Power Problems
Lesions in the mouth (thrush)

Sensorineural

Neurological deficits
Microcephaly

Breathing

Varying degrees of damage (in relation to drug use, caesarean section)

Security

Swollen glands (lymphadenopathy) in the context
Maternal factors
History of risk behavior, sexually transmitted diseases
HIV-

Sexuality

Maternal factors
History of multiple sexual partners

Education and training

Prematurity
Developmental delay
Maternal factors
The history of drug use parents (mother or partner)

Diagnostic tests

CBC and the total number of lymphocytes: provide input for the WBC and lymphocyte immunological monitoring of disease progression.
The enzyme or enzyme-linked immunosorbent immunoassay and Western blot Cream Test (EIA / ELISA) can be positive, but not valid, because the test does not distinguish between mother and child antibodies. (The child can have a negative test, p age 15.9).
HIV crops (peripheral blood mononuclear cells and, where appropriate, plasma): The diagnosis of children under the age of 15 pages
Polymerase chain reaction detection of nucleic acids in a small number of infected peripheral blood mononuclear cells.
Serum or plasma p24 antigen: Elevated levels can be a quantitative indicator of infection (not observed during the very early stages of HIV infection) in infants 30 days or more, the second dose of the vaccine against hepatitis B are
Quantitative serum IgG, IgM, IgA, and concludes: nondiagnostic in newborns, but fundamental immunological data.
Blood / Trauma / urine cultures: Diagnosis of opportunistic infections.
X-Ray: May revealed lymphoid interstitial pneumonia.

Nurses PRIORITIES

1st / avoid infections.
2nd Maximisation of food intake.
Support for third pairing, growth and development.
4th Provide information to parent (s) / guardians of the disease process / prognosis and treatment.

Exemption OBJECTIVES

Freedom of first opportunistic / nosocomial infections.
Second weight.
3rd Key Skills typical for the age of maturity.
4th Parents / guardians the status / prognosis and treatment.
5th Action Plan for special needs after discharge.

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