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Protease
NCLEX Review
| Question | Answer |
|---|---|
| Protease inhibitors | Lopinavir/ritonavir |
| Action | Inhibit HIV viral protease |
| Therapeutic effects | Increased CD4 counts and decreased viral load with subsequent slowed progression of HIV infection and sequelae |
| Adverse Reactions | Headache, insomnia, weakness, diarrhea, abdominal pain, nausea, pancreatitis, taste aversion, vomiting, rash |
| Nursing | Assess for signs of pancreatitis, vomiting, abdominal pain, increased serum lipase or amylase |
| Labs | Viral load, CD4 counts, triglyceride, cholesterol levels, liver function tests, |
| Hyperglycemia | May cause , notify provider with increased thirst, hunger, unexplained weight loss, or increased urination |
| Redistribution and accumulation of fat | central obestity, dorsocervical fat enlargement, peripheral wasting, breast enlargement, cushingoid apprerance |