HIV in Primary Care Flashcards
Anti-retroviral medication used to prevent HIV
Pre-Exposure Prophylaxis (PreP)
What baseline assessments are required for individuals who are beginning PrEP?
HIV Testing
STI Testing
Kidney Function
Hepatits B Serology
Lipid Profile
What PrEP medications are recommend to prevent HIV among all people with sex or drug injection risk factors?
Emtricitabine (F) + Tenofovir Disoproxil Fumarte (TDF)
(Truvada)
What PrEP medications are recommended to prevent HIV in men who have sex with men?
Emtricitabine (F) + Tenofovir Alafenamide (TAF)
(Descovy)
What PrEP medication use recommended to via injection to prevent HIV among all people at risk through sex?
Cabotegravir (CAB)
(Apretude)
How often should patients taking PrEP should receive a HIV Nucleic Acid Test and be assessed for signs and symptoms?
Every 3 months
How often should patients taking PreP have their eCrCl monitored if they are or 50 years old or who had a eCrCL of less than 90mL/min when they started PrEP?
Every 6 months
How often should all patients continuing to take PrEP be monitored for their eCrCl and Triglyceride and Cholesterol levels?
Every 12 months
How do you manage a patient who gets HIV while taking PrEP?
Once Lab Tests have confirmed HIV:
- Initiate treatment or refer for comprehensive care
- Counsel the patient about how to prevent transmission
- Report the new infection to the local health department
What is the treatment for patients with HIV?
Antiretroviral Therapy:
Bictegravir + Emtricitabine + Tenofovir alafenamide
(Biktarvy)
When should you check the Viral Load of a Patient with HIV that is Initiating ART?
Before Initiation
Within 2 - 4 weeks of treatment initiation
Every 4 - 8 weeks until it is undetectable
When should you check Viral Load of a Patient with HIV after they had their ART Medications modified?
Within 2 - 4 weeks of modification
Ever 4 - 8 weeks until it is undetectable
When should you check the Viral Load of a Patient with HIV after they had a regimen change in their ART medications due to toxicity or need for simplification?
Within 4 - 8 weeks of changing the therapy
When should you check the Viral Load of a patient on stable, suppressive, ART regimen?
Every 3 - 4 months
or
Every 6 months if virally suppressed for more than 2 years
Medication used to prevent HIV after a potential exposure.
Post-Exposure Prophylaxis (PEP)
How many hours do you have after an HIV exposure to start PEP?
72 hours
What tests should you obtain for a patient that you will be prescribing Post-Exposure Prophylaxis for HIV?
HIV Rapid Test
Pregnancy Test
Liver Enzyme
Blood Urea Nitrogen and Creatinine
STI
Hepatitis B and C
