HIV Flashcards
two receptors that HIV virus gain entry into cell?
CXCR4 and CCR5
what is the enzyme HIV has to change into DNA?
reverse transcriptase
main treatment for HIV?
anti retro virals
What is the method of treatment we use and what does that mean?
2 + 1 therapy 2 nucleoside reverse transcriptase inhibitors plus 1 of something else protease inhibitor entry inhibitors fusion inhibitors
prophylaxis for HIV?
emtricitabine and tenofavir
what to give mom if she has HIV and baby is coming out?
AZT
3 risk factors for HIV to remember
sex
drug use
vertical transmission for baby
cd4 count of what is aids?
200
two ways pts will usually present with HIV?
antiretroviral syndrome (acute HIV infection) opportunistic infection
What will the patient preset like with acute HIV infection?
flu but they will be flu, mono and elisa negative
How to make diagnosis of acute HIV infection?
treat?
PCR, viral load
2+1
how to make the diagnosis when they are presenting with opportunistic infection?
confirmatory test?
ELISA, or antibodies
western blot
3 other pieces of information when managing HIV patients and why?
viral load
CD4 count
genotype to see which meds will be best
What infection are you worried about with CD4 count dropping below 200? what can we use for prophylaxis?
PCP
bactram, or dapsone if cant tolerate
CD4 less than 100
prophylaxs?
toxo
bactram