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1–4 | Clinical Manual for Management of the HIV-Infected Adult/2006 Health-Related Behaviors Do you smoke? How long have you smoked? How many cigarettes per day? Do you smoke anything besides tobacco? Do you chew tobacco? How much alcohol do you drink? Any experience with blackouts due to alcohol? Do you use any street drugs we haven’t covered in earlier questions? If so, what drugs and how do you use them (inject, smoke, inhale, etc)? When did you last inject a substance? How about inhaled or snorted substances? Have you shared your equipment with another person? When did you last inhale a substance? Or smoked substances? Have you shared your equipment? When did you last smoke a substance? Are you interested in treatment for alcohol or drug use? What pain relievers do you use on a regular basis? Immunizations When was your last vaccination for: Tetanus? Streptococcal pneumonia (Pneumovax)? Influenza? Hepatitis A? Hepatitis B? Did you have chickenpox as a child, or were you vaccinated against chickenpox? What about measles, mumps, and rubella? Allergies What allergies do you have to medications? Family History What was the reaction? What allergies to foods or environmental substances? Do you have a family history of: Heart disease? Heart attacks or strokes? Cholesterol problems? Diabetes? Cancer? Mental health conditions (such as depression, anxieties, phobias)? Addictions? Which family member(s) and what is their health status currently?
Social History Relationship Situation What is your relationship status (single, married, partnered, divorced, widowed)? Do you have children? Living Situation Do you live alone or with others? With whom? Support System Who knows about your HIV status? Which individual is the most supportive of your HIV diagnosis? Who is the least supportive of your status? Employment Are you currently employed? Have you used any community support services such as support groups? Where do you work? Describe your job task(s). What setting do you work in on a daily basis? Does your employer provide health insurance? If on disability: How long have you been on disability? What medical condition has made you disabled? Travel Where have you traveled outside the United States? When did travel take place? Diet Tell me what you eat during a typical day. Section 1—Testing and Assessment | 1–5 Do you consume raw (unpasteurized) milk, raw eggs, raw or rare meat, deli meats, soft cheeses, or raw fish? How much water do you drink during the day? What is your source of water? How much caffeine do you drink during a typical day? Pets Do you have or have you had any pets? What kind of pets, and who cleans up after them? Exercise What kind of physical exercise and recreational activity do you participate in? How often?
Page 1 and 2: Clinical Manual for Management of t
Page 3 and 4: Table of Contents Clinical Manual f
Page 5 and 6: Clinical Manual for Management of t
Page 7 and 8: Preface—About this Manual | Clini
Page 9: Previous Editions Atlanta Contribut
Page 12 and 13: ♦ ♦ ♦ ♦ ♦ | Clinical Manu
Page 14 and 15: 1-2 | Clinical Manual for Managemen
Page 23 and 24: Initial Physical Examination Backgr
Page 25 and 26: Genitals/Rectum • Inspect the gen
Page 27 and 28: Initial and Interim Laboratory and
Page 29 and 30: Section 1—Testing and Assessment
Page 31: Patient Education ♦ ♦ ♦ ♦ D
Page 34 and 35: 1-22 | Clinical Manual for Manageme
Page 51 and 52: Section 2—Health Maintenance and
Page 53: References ♦ ♦ ♦ ♦ ♦ ♦
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Occupational Postexposure Prophylax
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P: Plan Laboratory Testing Provide
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For hepatitis C, no recommended pro
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Section 2—Health Maintenance and
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as hepatitis C or another sexually
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for treatment is appropriate, and b
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Section 2—Health Maintenance and
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contact with the patient. Patients
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tablet daily of trimethoprim-sulfam
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Opportunistic Infection Prophylaxis
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Discontinuing Primary Prophylaxis P
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Latent Tuberculosis Background Late
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INH may cause liver toxicity and it
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Patient Education ♦ ♦ ♦ ♦
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2-46 | Clinical Manual for Manageme
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3-2 | Clinical Manual for Managemen
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Reducing Maternal-Infant HIV Transm
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Some states require written informe
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contraindicated during pregnancy be
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Section 3—Antiretroviral Therapy
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Nelfinavir (Viracept) Adequate drug
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Section 4—Complications of Antire
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♦ ♦ ♦ Toronto General Hospita
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Adverse Reactions to HIV Medication
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♦ ♦ ♦ ♦ ♦ Vital signs: No
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egimen, symptoms of fatigue could i
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Recreational Drugs and Antiretrovir
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Section 4—Complications of Antire
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LSD, Mescaline, Psilocin, and Methy
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Immune Reconstitution Syndrome Back
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A: Assessment In the appropriate cl
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♦ ♦ ♦ ♦ ♦ Navas E, Martin
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Eye Problems Background The immunos
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of
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Fever Background Although fever may
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Headache Background Headache may ha
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Lymphadenopathy Background Lymphade
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Treatment Treatment will depend on
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Neurologic Symptoms Background The
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♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦
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Pulmonary Symptoms Background Short
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Treatment Once the diagnosis is mad
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Candidiasis, Oral and Esophageal Ba
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Maintenance therapy Use caution whe
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Cervical Dysplasia Background Cervi
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Patient Education ♦ ♦ ♦ ♦ P
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Cryptosporidiosis Background Crypto
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Gonorrhea and Chlamydia Background
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Treatment of Gonorrhea Treatment op
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Hepatitis B Infection Background He
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♦ ♦ ♦ ♦ ♦ Some patients t
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Hepatitis C Infection Background He
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pregnancy. Ribavirin is teratogenic
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Herpes Simplex, Mucocutaneous Backg
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References ♦ ♦ ♦ ♦ ♦ Cent
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Kaposi Sarcoma Background Kaposi sa
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Treatment Treatment of KS is not co
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Molluscum Contagiosum Background Mo
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Mycobacterium avium Complex Backgro
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Table 1. Interactions between Rifab
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Mycobacterium tuberculosis: Treatme
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P: Plan Diagnostic Evaluation Durin
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Table 1. Regimens for Treatment of
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Rifabutin may be substituted for ri
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Non-Hodgkin Lymphoma Background Non
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Patient Education ♦ ♦ ♦ ♦ S
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6-100| Clinical Manual for Manageme
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Toxoplasmosis Background Toxoplasma
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♦ Atovaquone 1,500 mg orally twic
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Linear Gingival Erythema Background
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Background Necrotizing ulcerating p
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Oral Health Background Examination
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Maxillary Tori; Mandibular Tori S:
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Periodontal Disease Background The
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Oral Hairy Leukoplakia Background O
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Oral Ulceration Background Oral ulc
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Oral Warts Background Oral warts ar
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Anxiety Disorders Background Anxiet
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Patient Education ♦ ♦ Behaviora
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Insomnia Background Insomnia is a c
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Suicidal Ideation Background Transi
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Section 8—Neuropsychiatric Disord
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P: Plan ♦ ♦ ♦ ♦ ♦ Check t
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Correctional Settings Background Ca
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Adherence Adherence is one of the m
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Karnofsky Performance Scale Backgro
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