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학습 자료 둘러보기 →A CD4+ count of 180 cells/mm³ indicates severe immunosuppression. The immediate priority is protective isolation to prevent new infections and close respiratory monitoring for decompensation from likely opportunistic infections such as Pneumocystis jirovecii pneumonia (PCP).
The most common presentation in hospitalized children with HIV is fever, cough, and dyspnea. Respiratory tract infections are the predominant complication, making continuous assessment of airway and breathing the central nursing action.
Do not delay isolation precautions to perform other interventions like medication administration or lab draws. A child with this degree of immunosuppression is extremely vulnerable, and exposure to environmental pathogens can be rapidly fatal.
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