Intrapartum - initiate IV zidovudine immediately at ROM, onset of labour, or at least 2 hours prior to cesarean section2 mg/kg/dose IV STAT once THEN 1 mg/kg/h IV continuous infusion until cord clamped
Use guideline Infant of Mother with HIV when ordering zidovudine. More information, as well as online physician order forms, can be found at HIV/AIDS Clinical Guidelines (http://www.bcwomens.ca/health-professionals/professional-resources/hiv-aids-resources/hiv-aids-clinical-guidelines)
Note: Infuse over 60 minutes
PO: 10 mg/mL
IV: 1 mg/mL
Mix 1mL of 10 mg/mL concentration with 9mL of D5W or NS in a 10mL empty sterile vial = 1 mg/mL
10 mg/mL = 24 hours (after first use)
1 mg/mL = 24 hours
Prevention of perinatal HIV transmission.
Breastfeeding: Breastfeeding is not recommended in the setting of HIV infection.
Increased liver enzymes
Antimicrobial class: Antiretroviral; NRTI