Final 19 Flashcards
AIDS first identified in
1981
HIV looking for
CD4 receptors
Distinction between HIV and AIDS
Number of CD4+ T cells patient has and wether any opportunistic infections have occurred
Diagnosis of AIDS requires
HIV + AND CD4 T cell count of <200 OR An opportunistic infection
HIV stage 1
CD4 and T cell count >500
HIV stage 2
200-499
HIV stage 3
<200
HIV stage 4
Any patient with confirmed HIV but no information on CD4 and T cell counts
HIV transmission
Sexual
Parenteral
Perinatal (placenta)
ABCs of safer sex
Abstinence
Be faithful
Condoms
People at risk
Healthcare workers
Code red: needle stick
Standard precautions best prevention
Assessment
Flu like symptoms
Rash
Weight loss
History
Clinical manifestations
Opportunistic Malignancies Kaposi's sarcoma* Lymphoma Endocrine--diabetes 1
Other clinical manifestations
AIDS dementia
AIDS wasting
Skin changes
Laboratory values
Viral load= amount present in blood compared to other body fluids
Increased levels= increased transmission
If ELISA is positive then
Confirm with western blot (expensive)
Wanted labs
CBC with diff Ptt, INR CMP:liver STDs Toxoplasmosis All hep screens
NRTIs
Fools reverse transcriptase
NNRTIs
Inhibits reverse transcriptase
PIs
Blocks protease enzyme and prevents viral replication
Fusion inhibitors
Blocks CD4 receptors
Safe sex
Latex or polyurethane condoms
Latex gloves
Dental dams
Vaginal gel