HIV Flashcards
WHat cells are depleted in HIV?
CD4+ T cells
What are the three stages?
Acute seroconversion
Asymptomatic infection
AIDS
Give examples of non-nucleoside reverse-transcriptase inhibitors
efavirenz
nevirapine
Give examples of nucleoside reverse transcriptase inhibitors
abacavir
didanosine
Give examples of protease inhibitors
retinovir
indinavir
What is the most prevalent psych illness in HIV?
Depression
Which HIV medication can cause depression?
efavirenz
What are early indicators of HIV associated neurocognitive disorder?
- Impairments in psychomotor function - slowed movements, impaired coordination and gait
- Impairments in simple and divided attention and concentration
- Impairments in mental agility and menta lflexibility
What is well preserved in HAND?
Language
what personality changes are seen in HAND
Apathy
Irritability
Inertia
What can be seen later in HAND?
Hyperreflexia
Dysdiadochokinesia
Ocular pursuit abnormalities
Myoclonus
Frontal lobe signs
What is treatment of psychosis in HIV?
Atypical APs
What should be avoided in delirium in HIV?
Benzos
What is treatment of depression in HIV?
SSRIs - especially escitalopram /citalopram
What is first line for anxiety in HIV?
SSRIs
What is preferred treatment for bipolar ?
Valproate