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23 Cards in this Set
- Front
- Back
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HIV is transmitted via...
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blood, semen, vaginal secretions, breast milk
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HIV risk factors..
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Dx with SPHILLIS, TB, or hepatitis
Exchange sex for drugs or money Blood transfusion b/w 1978-1985 IV drug user Unprotected sex |
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What is the window period for HIV?
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12 weeks where you test negative but can still spread the virus
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What are the stages of HIV?
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Asymptomatic
Symptomatic: Fever, night sweats, weight loss, enlarged lymph nodes AIDS: oppurtunistic infections |
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Test for HIV
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ELISA twice and then Western Blot to confirm
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Why do you send off home test for HIV?
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So you can have phone counseling
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CD4 labs
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Normal: >500
HIV: 200-500 AIDS: <200 |
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What cancers are associated with AIDS? (3)
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Kaposi's sarcoma
Cervical cancer Lymphoma |
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Zidovudine
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Reverse Transcriptase Inhibitor
(these end in vudine) Side effects: suppresses bone marrow |
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Reverse Transcriptase Inhibitors suffix
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VUDINE drugs.
zidovudine, lamivudine, abacavir |
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Side effects and suffix of protease inhibitors
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Causes changes in body fat (abdominal fat, muscle wasting) and metabolic derangements (increased cholesterol, insulin resistance)
NAVIR drugs. saquinavir, indinavir, ritonavir, nelfinavir |
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Darunavir
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Protease inhibitor used to combat drug resistance.
Side effects: Nausea, diarrhea, increased triglycerides, diabetes |
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Non Nucleotide Reverse Transcriptase Inhibitors
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Bind directly to reverse transcriptase.
efavirez - worsening mood disorder Major side effect is rash nevirapine, delavirdine, efavirenz |
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Fusion Inhibitors
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Fuzeon
Suppresses resistant strains of HIV by fuzing with healthy membrane of CD4 cells. Injected. |
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Integrase Inhibitors
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Aimed at treating those resistant to other treatments. Only drug is raltegravir (Isentress).
Side effects: nausea, diarrhea, headaches, fever |
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CCR5 Antagonist and side FX
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miraviroc is the only one
causes blisters on the body |
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How often due you test the viral load?
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q 3-4months
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Can you tell the husband the wife is positive?
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NO
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Teaching for HIV
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Avoid undercooked meat
Don't change the cat box Wash hands after handling veggies and fruits, soil, and raw meats |
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How do you take protease inhibitors?
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These are the -navir drugs.
Take them with food. |
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Side effect of nucleoside reverside transcriptase inhibitors ("nukes")
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Build up of lactic acid in the blood ane an enlarged liver.
-vudine drugs |
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How is Fuzeon given?
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Injection
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Side effect of non-nukes
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Rash
efavirenz, deliavirdine |
