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562 > Hiv Aids > Flashcards

Hiv Aids Flashcards

1
Q

Who is hiv found among

A 
Iv drug users
Hemophiliac 
Blood transfusion receipients 
Infants born to infected moms
High risk heterosexuals
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2
Q

Hiv causes

A

Aids

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3
Q

What is hiv positive

A

Virus is present but few if any clinical signs are present

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4
Q

What is aids

A

Active infection with marked and multiple clinical manifestations

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5
Q

Does HIV do

A

Replicates within living cells and uses the cells replication enzymes to make copies of itself
Enzyme then converts RNA into DNA before cell begins viral replication

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6
Q

What does hiv primarily effect

A

Cd4 cells which is an immune system cell

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7
Q

What does hiv do in early stages

A

Virus invades and multiplies in lymphoid tissue

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8
Q

What does Dna do

A

Long term sore age and transmission of genetic info

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9
Q

How does it enter the body

A

Through blood system (sexual contact, blood to blood, perinatal lay)
Through body fluids

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10
Q

How to diagnose it

A

Blood tests

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11
Q

What is seroconversion

A

Process of moving from negative hiv antibodies in blood to positive hiv antibodies

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12
Q

What are seroconvertors

A

Those that test hiv positive

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13
Q

What is phase 1

A

Primary infection phase
Happens weeks after exposure
Many asymptomatic
Symptoms: low fever, fatigue, sore throat, malagia, night sweats, go problem, maculopapular rash, headache
Tx: decrease number of cells through antiretroviral therapy

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14
Q

Pahse two

A

Latency phase
No symptoms or sign of illness
Median time is 10 years
Lymphadenopathy develops in some (chronically swollen lymph gland)

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15
Q

Phase 3

A

Without antiretroviral therapy death occurs
Determined by number of cd4 cells
Development of opportunistic infections due to weakened immune system

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16
Q

What are typical progressions

A

60-70% with Hiv develop aids in 10-11 years after infection

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17
Q

What are rapid progressors

A

10-20% develops it in less than 5 years

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18
Q

What are slow progressors

A

5-15 don’t develop for 15 years or more

19
Q

What is pcp

A

Pneumocystis carinii pneumonia

Mild cough, fever, sob, weight loss, tachypenea,

20
Q

What is tb

A

Lungs most common site for infection

Present with fever, night sweats, cough, weight loss

21
Q

Thrush

A

Typically complain of painful swallowing or retrosternal pain
White velvety lesion from Yeast infection and

22
Q

What is cytomegalovirus

A

Presents like mono

Diarrhea, gastroenteritis

23
Q

What is acd

A

Aids dementia complex
Cognitive and motor dysfunction
Only caused by hiv
Impaired attention, concentration, slow mental speed and agility, slow motor speed, apathy

24
Q

Toxoplasmosis

A

Parasite that attacks CNS

Fever headache neuro dysfunction (confusion, lethargy, visual disturbance, seizure)

25
Q

Progressive multimodal leukoencephalopothy

A

Demyelinating disease of white matter in the brain
Progressive limb weakness, sensry problems, difficulty controlling fingers and toes visual disturbance subtle alterations in mental status hemisphere ataxia to floppy seizures

26
Q

Kaposis sarcoma

A

Malignancy of the endothelial cells

Lesions found in G.I. tract lungs skin and in mouth

27
Q

Non Hodgkin’s lymphoma

A

Fever night sweats weight loss

poor prognosis

28
Q

Noninvasive cervical cancer

A

Develops more rapidly than women with HIV

less responsive to treatment

29
Q

Wasting syndrome

A

Aids defining illness

involuntary weight-loss at least 10% of baseline bodyweight in presence of diarrhea or chronic weakness and fever

30
Q

Lipodystrophy

A

Metabolic disorder
changes in body appearance (buffalo hump,wasting of fat from face, increased ab girth)
changes and metabolic appearance

31
Q

Non specific gi symptoms

A

Nausea
Vomitting
Ab pain

32
Q

Hepatomegaly with normal liver function

A

Caused by antiretroviral therapy

Can be fatal

33
Q

Psychosocial issues

A

Complex reactions from others
May be indication of hidden lifestyle
Feeling of fear guilt isolation etc
Previous mental health issues

34
Q

Prevention

A

Risk free or low risk behaviors
Abstinence
Correct and consistent condom use
Avoid recreational drug

35
Q

Antiviral drugs

A

Reduce replication of the virus but don’t kill it

36
Q

Combo of three Meds

A

Highly active antiretroviral therapy

37
Q

What is the focus of tx

A

Minimize the effects of complications such as infections or malignancy

38
Q

Zidovudine therapy

A

Slows the virus and effects on the body

39
Q

Physical dysfunction

A

Fatigue sob visual cancer cardiac opportunistic infections pain stroke

40
Q

Mental functions

A

Depression anxiety

Guilt preoccupied with death angry at disease or God body image issues helpless hopeless

41
Q

Contextual factors

A

Isolation
Physical env challenges
Economic impact

42
Q

What to do for intervention

A

Enhance Competency pain management adaptive equipment energy conservation relaxation stress management

43
Q

What was aids initially called

A

Grids gay related immunodeficiency syndrome

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