Anesthetic Considerations for the HIV+ Patient. Veronica Y. Amos PhD CRNA October 2014. Prevalence. In 2011, an estimated 1.1 million persons in the U.S. were living with HIV infection 1 in 6 (15.8%) are unaware they are HIV positive. Incidence.
Veronica Y. Amos PhD CRNA
Normal: 600 -1200 cells per cubic mm of blood replication process. Reverse transcriptase allows the RNA to borrow material from the cell and to "write backwards" a chain of viral DNA.
Meds not needed: 600-350
Increased risk: 350-200 (meds may be started)
Risk for opportunistic infections: less than 200CD4 Values
- Bronchitis, sinusitis, pneumonia (PCP)
- TB, myobacteria and fungal infections
- Airway obstruction (Kaposi’s sarcoma)
- Acute and chronic disease
Risk factors for vertical transmission include prolonged preterm rupture of membranes (>4 hrs), chorioamnionitis, presence of STD, lack of maternal antiviral therapy, and obstetrical invasive procedures such as cervical cerclage and amniocentesis