Test #1 Flashcards
What is the normal range of CD4 cells in the body?
800-1200
The body can remain healthy with a CD4 level over what?
500
At what point is a patient with HIV is diagnosed with AIDS?
when the CD4 T cell count drops below 200 or the patient develops wasting syndrome, which is the loss of 10% or more of ideal body mass.
What are two common symptoms of AIDS?
Low grade fever and persistent diarrhea
At what age doe women need to start having Mammograms?
40
What types of hepatitis can be vaccinated for?
Hepatitis A and B
How is Hepatitis A tranmitted?
Fecal/Oral
How is Hepatitis B and C transmitted?
Sexual contact and blood (needles)
What symptoms would be present in the acute phase of Hepatitis A?
Fatigue, Pruritus and Anorexia
What types of Hepatitis are transmitted from a mother to her baby prior to birth?
Hep B and Hep C
How long is the acute phase of Hepatitis A?
1 to 4 months
What is the most common cause of Fulminant Hepatic Failure?
Drugs; usually Tylenol in combination with alcohol
What is Jaundice?
A build-up of bilirubin in the blood
What forms most of the body’s bilirubin?
Breakdown of old red blood cells (hemoglobin)
When should the genotype of Hepatitis C be determined?
Before drug therapy is started
What is the treatment for acute viral Hepatitis?
Adequate rest and good nutrition/diet
What drugs are commonly used for treatment of Hepatitis B and C?
alpha-Interferon, Epivir and Hepsera
What complication of drug therapy should a Hepatitis patient be monitored for?
Nephrotoxicity
What drug is frequently given along with interferon in treatment of Hepatitis C?
Ribavirin
Which conditions put a Hep C patient at a higher risk for Cirrhosis?
Diabetes, high cholesterol and alcohol consumption
What are interventions for a patient with Jaundice?
High calorie, small, frequent meals, nutritional supplements and skin care (jaundice=pruritus/itching)
What things should be included in the teaching for a patient with Hepatitis?
No alcohol for at least 1 year
What chance does a baby born to an HIV-positive mother have of getting HIV?
25% if the mother is not treated; 2% if they receive treatment
How many years can the body produce enough CD4 T-cells to compensate for the HIV?
8-10 years
What are initial symptoms of HIV infection?
Flu-like symptoms
What is the first thing to evaluate prior to giving a patient medication for HIV?
Readiness for medication compliance
What mediation would a patient with HIV take for Candidas?
fluconazole
What is Endometriosis?
Normal Endometrial Tissue in sites outside the endometrial cavity
What is a sign of endometriosis?
Dysmeorrhea (painful periods) after years of normal menses
What is a “cystocele”?
Weakened wall between vagina and bladder
What is a “rectocele”?
Weakened wall between rectum and vagina
What is Chlamydia?
The most common STD in the US
An AIDS pt complains of fatigue and joint pain what complication are they likely experiencing?
Hepatitis B
What are side effects of Cirrhosis?
Spider veins, reddened palms, gyneomastia, hypogonadism, acites, terrible breath and jaundice
What is the normal levels of Albumin?
3.5-5.3
What is the normal range of AST?
6-40
What is the normal range of ALT?
30-120
What is the normal level of bilirubin?
0.1-1.0
What is the normal lifespan of a CD4 T-cell?
100 days
What is the lifespan of a CD4 T-cell with HIV?
2 days