HIV-AIDS Flashcards
The most serious of the STI’s, contracted through sexual intercourse and exposure to infected blood
HIV
HIV is caused by a retrovirus that infects and disables____
T lymphocytes
MATERNAL RISKS:
1.) Weight loss of atleast 10% in the presence of diarrhea
2.) An opportunistic infection of the esophagus
3.) HSV
1.) Wasting Syndrome
2.) Esophageal Candidiasis
3.) Herpes Simplex Virus
1.) HIV infection may develop in infants whose mothers are_____
2.) Infants often have_____
1.) Seropostive
2.) Positive antibody Titer
Women who practice high risk sexual behaviors should be asked because they are at higher risk in developing_____ and ______
Toxoplasmosis and Cytomegalovirus
5 Laboratory and Diagnostics:
1.) ELISA - Enzyme linked immunosorbent assay antibody test
2.) Western Blot Test analysis
3.) Chest X ray
4.) Mantoux Test
5.) Pap Smear
NURSING DIAGNOSES:
1.) Related to contagious nature of blood and body secretions
2.) Related to dysfunction of the immune system secondary to invasion of HIV
3.) Related to multiple losses that include shortened life expectancy
1.) Risk for infection transmission
2.) Risk for infection (opportunistic)
3.) Anticipatory Grieving
1.) Related to lack of information about HIV / AIDS and it’s long term implications for the women
2.) Related to the implications of a positive HIV test in one of the family members
1.) Risk for ineffective Health Maintainance
2.) Compromised Family Coping
CD4 counts will remain above___, Viral Load less than ______
1.) 500/mm3
2.) 5000 copies/ml
Premarital & prepregnancy screening
for HIV antibodies for women at high
risk for HIV/AIDS
• Counseling about the test & its
implications for her, her partner &
her child if she becomes pregnant
• Monitoring the asymptomatic
pregnant woman who is HIV positive
Community Based Nursing Care
• Combined drug approach
• Adherence to universal
precautions when dealing
with patients
Hospital Based Nursing Care
• Ensuring that woman receives
complete, accurate information about
her condition & ways of coping
• Referral to a comprehensive program
that includes social services,
psychologic support & appropriate
health care
Teaching for Self care
Nursing Interventions:
1.) Adequate, High quality nursing
2.) Sufficient Rest
3.) Avoid Large crowds
4.) Avoid episiotomy
5.) Breastfeeding is not advised
A goal of therapy is to maintain the CD4 cell count at greater than _____
To reduce vertical transmission of virus to infant
1.) 500 cells/mm3
2.) Zidovudine (ZDV)
THERAPEUTICS:
One more protease inhibitors such as ____ or ____ and
Ritonavir or Indinavir and Nucleoside reverse transcriptase
If PCP develops, the woman is treated with______
Trimethoprim Sulfamethoxazole (Bactrim)
1.) May lead to increased bilirubin levels in the newborn if admistered late in pregnancy
2.) The drug of choice for PCP in non pregnant women
1.) Sulfamethoxazole (Gantanol)
2.) Pentamidine (pentam)
1.) A rare malignancy that tends to
occur with AIDS, is normally
treated with chemotherapy
2.) may be
present as part of the
disease pathology or as a
response to zidovudine
therapy
1.) Koposi’s Sarcoma
2.) Thrombocytopenia
