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학습 자료 둘러보기 →In an HIV-positive child, a new fever, productive cough, and labored breathing are red flags for Pneumocystis jirovecii pneumonia (PJP) or severe bacterial pneumonia. These conditions can rapidly progress to acute hypoxemic respiratory failure.
Immediate actions include assessing oxygen saturation. Even moderate hypoxemia (SpO₂ 90–93%) significantly increases mortality risk in vulnerable populations. Be prepared to administer supplemental oxygen and initiate empiric broad-spectrum antimicrobials promptly.
Do not delay intervention for a chest x-ray. Clinical signs of increased work of breathing (retractions, nasal flaring) warrant immediate respiratory support and treatment, as decompensation can be swift in immunocompromised children.
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