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HIV pt diagnoses with PCP, no medications(no HAART)temp 101.5
ABG ph 7.32 Pco2 30 mmHg Po2 65 mmHg, CD4 60/microL
what wud be the most appropriate initial therapy
1. iv tmp-smx
2. HAART
3. inhaled pentamidine
4. iv tmp-smx + pred PO
5. tmp-smx+ HAART

5??

4...

Plz give ur explanations!

The question says "initial" so forget about HAART...
TMP-SMX (if allegic to sulfa give clindamycine + primaquine)
Pt is hypoxic so give prednisone... If Po2 <70

Tnx!

You welcome...

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pao2 <70 or A-a gradient >35 steroids and iv pentam

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