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A 36-Year-Old Man with Known HIV Infection Comes to the Emergency

question 62

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A 36-year-old man with known HIV infection comes to the emergency department because of a two week history of malaise and non-productive cough.  He has not been compliant with his HIV medications.  He denies any illicit drug abuse.  He has never been hospitalized in the past.
His temperature is 38.9 C (102 F) , blood pressure is 122/70 mm Hg, and pulse is 112/min.  His oxygen saturation is 90% on room air.  His BMI is 23 kg/m2.  His sternocleidomastoid muscles are prominent bilaterally with each respiration.  Cardiac examination reveals tachycardia without any murmurs.  Scattered rhonchi are heard on lung auscultation.  His abdominal examination is within normal limits.
Laboratory results are as follows:
A 36-year-old man with known HIV infection comes to the emergency department because of a two week history of malaise and non-productive cough.  He has not been compliant with his HIV medications.  He denies any illicit drug abuse.  He has never been hospitalized in the past. His temperature is 38.9 C (102 F) , blood pressure is 122/70 mm Hg, and pulse is 112/min.  His oxygen saturation is 90% on room air.  His BMI is 23 kg/m<sup>2</sup>.  His sternocleidomastoid muscles are prominent bilaterally with each respiration.  Cardiac examination reveals tachycardia without any murmurs.  Scattered rhonchi are heard on lung auscultation.  His abdominal examination is within normal limits. Laboratory results are as follows:   Chest x-ray shows bilateral patchy interstitial infiltrates. Intravenous fluids and high dose intravenous trimethoprim-sulfamethoxazole are started. The patient should be specifically monitored for which of the following? A) Anion gap metabolic acidosis B) Hyperkalemia C) Hypoglycemia D) Hypophosphatemia E) Rhabdomyolysis
Chest x-ray shows bilateral patchy interstitial infiltrates.
Intravenous fluids and high dose intravenous trimethoprim-sulfamethoxazole are started.
The patient should be specifically monitored for which of the following?

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Control Over Message

The ability to manage the content, timing, and medium of a communication to ensure it is received as intended.

Audience Interaction

The engagement and participation of the audience in communication or performance, enhancing the experience.

Engagement

The act of being involved, committed, or interested in something or someone, often used in contexts like social media interaction.

Corporate Website

An official online presence designed to represent, promote, and provide information about a company or organization to the public.

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