HIV term Flashcards
Transmission facotors
Sexual
-semen,avginal secretions
Injection drug use
-neddke sharing
Perinatal
-pregnency,delivery,brastfeeding
Healthcare setting
-exposer contaminated needle,blood
Non-transmission
By mosquitoes
Saliva,trars,sweat
By hugging,shaking hand,casual kissing
Sharing toilets
Throught the air
CD4 count
Normal?
Immunodeficiency?
AIDS?
800-1200
<500
<200
a) Diagnostic HIV test?
b) Window preiod
a) antibodies or antigens(blood,saliva)
b) about 3 weeks(leads false negative result)
U=U
2 lab tests are used for monitorning HIV progression?
CD4 count
VIral load(low nuber is better!)
dagonstic criteria for AIDS
a) CD4 count
b) Opportunisitic infections
c) Oppotunisitics cancer
d) wasting syndrome
a) <200
b) bacterial
fungul
protozoal
viral
c) lympoma
kaposi sarcoma
d) loss of 10% or more ideal body mass
Acute manifestations
a) When dose it occur?
b) manifestations?
a) 2-4 weeks after infected
b) flu-like
swollen lymph nodes
nausea
diffuse rash(last a week)
people are most infectipus durng the acute indection stage because of high amounts of circulating HIV
Chronic manifestations
a) first seeral years
b) manifestations
a) during first several years, asymptomatic
-this is dengerous cause they sperading it without unknown
b) presistent fever
frequent night sweats
chronic diarrhea
recurrents headache
sever fatigue
oropharyngeal candidiasis(oral thrush)
Nursing management
a) isolation?
b) questions to ask
c) lab to monitor
a) standard
b) blood transfusion before 1985
share needles?
sexual history
had STI?
c) CBC,liver function test
renal function test
Drug therapy
a) goal?
b) what is the first line med?
c) waht lab need to monitor before med B?
a) decrase viral load
maintain or increased cd4 counts
b) ART
c) assess viral load
Problem is ART
a) what is it?
b) intraction
a) develop resistance very fast
-need to receive combination,3 or more dugs
b) With OTC,antacids, PPI,St hon’s wort
Preexposure prophylaxis
prevention strategy tp reduce for sexually acquiresd HIV
should be used with other prevention such as condomes