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Nursing IV: Test 3 > HIV > Flashcards

HIV Flashcards

0
Q

HIV

-Virions

A
  1. Virus able to grow and reproduce outside a host
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1
Q

Seroconversion

-Time Frame

A
  1. Virus shows up in the blood between 6 weeks and 6 months after exposure
  2. Tell Pt to come back 6 months from time of exposure to be tested
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2
Q

HIV

-Helper T Cells

A
  1. Play a vital role in normal function of the immune system
  2. Recognize foreign antigens and infected cells
  3. Activate antibody-producing B cells
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3
Q

HIV

-Stats

A
  1. 6th Leading cause of death

2. 80% of AIDS is acquired through high risk behavior

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4
Q

HIV

-Risk Factors

A
  1. Alcohol (lowers inhibition & increases risky behavior)
  2. Sharing needles
  3. Poverty
  4. Health Care as an occupation
  5. Pregnancy (if you deliver) & Breastfeeding
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5
Q

HIV

-Myths & Misconceptions

A
  1. HIV contracted by:
    - Touching, hugging, kissing, mosquitoes, breathing same air
  2. HIV is only spread through contact w/ blood and body fluids
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6
Q

HIV

-Primary S/S

A
  1. Feter, Sore throat, rash, n/v/abd cramping malaise, lymphadenopathy
    - Usually occurs 2-4 weeks after contact
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7
Q

Multiple Yeast Infections

-Look for

A
  1. HIV or Diabetes
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8
Q

HIV

-Progression to AIDS S/S

A
  1. General malaise, fever, fatigue, night sweats, involuntary weight loss
  2. Diarrhea, oral lesions, hairy leukoplakia, candidiasis
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9
Q

HIV

-CD4 Count <500

A
  1. Immunodeficiency begins to show up

2. Start prophylactic treatment

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10
Q

HIV

-CD4 count <350

A

Opportunistic infections & Cancers

  1. Herpes
  2. Oral thrush
  3. TB
  4. Carposii sarcoma
  5. Non-hodgkin lymphoma
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11
Q

HIV

-CD4 Count <200

A
  1. Esophageal Candidiasis
    - Trouble Swallowing
    - Imbalanced Nutrition: Less than body requirements
  2. Pneumocystic Carinii Pneumonia (PCP)
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12
Q

HIV

-CD4 Count <100

A
  1. AIDS Dementia
    - Worsening and slowing of mental function
  2. Cryptosporidium Diarrhea
  3. Toxoplasmosis & Wasting syndrome
  4. Mycobacterium avium complex when CD4 <50 = death
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13
Q

HIV

-Rash Indications

A
  1. Kaposii Sarcoma lesions are an indications of AIDS
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14
Q

HIV

-Goals

A
  1. Prevention
  2. Early detection
  3. Health Maintenance
  4. Treatment of disease
  5. Emotional Support
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15
Q

HIV

-Diagnostic Testing

A
  1. Start with ELISA
    - Can have false positives in high HIV population areas
  2. Western Blot Antibody Testing (99% accuracy)
  3. HIV viral load
  4. CBC & CD4 cell counts
16
Q

HIV

-Nursing Process

A
  1. Education

- Use IUD as birth control & latex condoms

17
Q

HIV Nursing Process

-Health Hx

A
  1. Risk factors (Unprotected sex multiple partners, Needle sharing)
  2. Infections ( STD, Hepatitis, TB)
  3. Foreign travels
  4. Drug use
18
Q

HIV Nursing Process

-Assessments

A
  1. Nutritional status
  2. LOC & Mental status
  3. Candida infections
  4. lymph node enlargement
  5. Delays in motor or intellectual functioning (encephalopathies)
19
Q

HIV Nursing Process

-Nursing Diagnosis

A
  1. Ineffective Coping
  2. Imbalanced Nutrition: less than body requirements
  3. Risk or infection
  4. Fear
  5. Anxiety
  6. Deficient Knowledge
20
Q

HIV Nursing Process

-Prevention

A
  1. There is no immunization to protect against HIV

2. Education, Couseling, & Behavior modification are the main tools for Prevention

21
Q

HIV Nursing Process

-Totally Safe Sex Practices

A
  1. No Sex
  2. Long-term, mutually monogamous sexual relations between two uninfected people
  3. Mutual masturbation w/out direct contact
22
Q

HIV Nursing Process

-Most Difficult High-risk group to Reach?

A
  1. Injection Drug users are the most difficult group to reach
  2. Programs created that give IV drug users:
    - 1:10 ration of bleach to water to clean needles before sharing
23
Q

HIV Nursing Process

-Address Ineffective Coping

A
  1. Clients w/ HIV usually experience guilt about how disease was contracted
  2. Assess social support network & usual methods of coping
24
Q

HIV Nursing Process

-Managing Imbalanced Nutrition

A
  1. Wasting syndrome Manifestations include:
    - Severe diarrhea, fever, chronic fatigue and weakness
    - Weight loss greater than 10-15% of baseline weight

Nursing IV: Test 3 (7 decks)

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