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83 Cards in this Set
- Front
- Back
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2 types of accinations that HIV/AIDS pts recieve
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pneumonia and flu
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when did we start screening blood and tissues for HIV/AIDS
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1985
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Nml range for CD4 T-cell count
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500-1600
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will a pt ever only be on one antiretroviral drug
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no
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two problems with HIV/Ais vaccinations
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positive ELISA and virus continues to change
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why are most HIV cases not dx in the acute (primary phases
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no s/sx
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what other medication will not work while taking Viramune
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BCP
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common infections seen during the chronic phase of the HIV virus
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sinus, respiratory and yeast
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what would happen if you had a positive ELISA and negative WB test
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retest in 3 months
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Immunity recieves when antibodies are actually injectes into the patient (rabies)
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artificial passive immunity
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the lymphocyte that initiates the immune response
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T-cell
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best way to prevent nosocomial infections
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wash your hands
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immature or undiffenetiated cells in bone marrow
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stem cells
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what has been attributed as the reason for HIV/AIDS pt living longer
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antiretroviral drugs
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highest growth rate in HIV/AIDS cases
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women, adolescents, and elderly
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you must have this to test for HIV/AIDS
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SIGNED CONSENT
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name for mature neutrophils
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segs
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Nml total WBC
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5,000-10,000
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Condition when bands are present in large numbers
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shift to the left
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drug given to the newborn to prevent the deveoloment of HIV
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Retrovir PO
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chance of contractind HIV/AIDS from a dirty needle stick
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0.3%
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two types of neutrophils
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segs and bands
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Typw of immunity acquired due to actually having the illnes
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Natural active immunity
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what will the total WBC show with and HIV/AIDS pt
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leukopenia
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Major SE of AZT or Retrovir
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agranulocytopenia- lack of neutrophils, basophils, and eosinophils.
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what causes the neuro changes in the AIDS pt
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T-cell breakdown releases toxins
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blood test that determines the amt of damage done by the HIV virus
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CD4 T-cell count
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which drug should not be taken with any retroviral
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St. John's wort
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Best way for delivery with an HIV/AIDS mother
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c-section
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three ways for perinatal transmission of HIV/AIDS
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pregnancy, vaginal delivery, breastfeeding
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Three medical reasons for massive wt loss
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TB, AIDS, CA
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MOST impt nrsg assessment with AIDS dementia
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pt safety
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three ways sexual practices put you at r/ fro HIV/AIDS
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multiple partners, unprotecte sex, exposure to other body fluids
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which drug blocks the HIV virus from entering the T-cell
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Fuzeon (fusion inhibitors)
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drug used to prevent PCP
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bactrim
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two vaccinations that the HIV/AIDS PT SHOULD NOT receive
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chicken pox, polio, inhaled flu
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what is the best way to prevent the apread of HIV
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EDUCATION
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WBC effective with chronic infections and stays at infection site until all healed
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monocytes
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Type of immunity programmed into your DNA (genetically determined)
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natural immunilty
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AIDS for 8 or more yrs, no signs of the disease and requires tx
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long term survivor
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Estimated numer of ppl who have HIV and do not know
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250,000
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what is the opportunistic CA seen with Aids
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KAPOSI'S sarcoma
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the avg time that it takes from the time of exposure to HIV until antibodies are formed (positive test)
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2 months
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measurement of the actual amount of virus in the body
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viral load
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leading cause of death in hospitalized pt
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nosocomial infections
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Mjor problem with AZT or Retrovir regimen
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must be given around the clock
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Major complication with PCP
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respiratory distress and failure
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Highest risk for transmission of HIV/AIDS
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injected IV drugs
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first cell to respind in the presence of infection
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neutrophils
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elevated with acute hypersensitiviey reaction and during healing processes.
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basophils
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lab test done to eval chronic infecion
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ESR
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most HIV infections are which type
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type 1
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immunity received from the mom to baby
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natural passive immunity
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when do we start antivirals for a newborn with HIV mother
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6-12 hrs post birth
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function of RTIs
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prevent the infection of new (clean) cells with the HIV virus
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HIV for 10 or more years with no s/sx or tx
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long-tern progressor
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two drugs used for the tx of TB after a positive PPD
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INH, Rifampin
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drugs of choice for the tx VRE
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Zyvox andSynercid
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diet for a pt with wasting syndrome
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high protein and calorie
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Major SE of Viramune therapy
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Steven-johnsom syndrome
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designed to provide defense against threats and to protect the body from internal or external agents
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immune system
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if you have a newly dx hiv pt what do you need to do
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report to local health dept
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which are the most potent antiretroviral agents
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protease inhibitors
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las that monitor for protein breakdown in AIDS pt
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protein, albumin, BUN
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Number of new HIV infections each year
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5 mill
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immunity received from immunizations (hep-b, chicken pox)
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artifical active immunity
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what is the biggest complication with antiretroviral drug therapy
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strict regimen
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aids will be dx with a CD4 T-cell count below what
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200
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two types of lymphocytes
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B and T cells
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first test performed to screen pt for HIV
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elisa
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fxn of PI's
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supress the production viruses in infected cell populations
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the lymphocyte that fights or protects
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B-cells
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two tests performed to monitor the progression of HIV infection
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viral load and CD4 T-cell counts
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major complication with Mycobacterium avium complex
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severe diarrhea
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drug given during labor to prevent the transmission of HIV to the infant
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retrovir IV
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if a pt develops a rash while on Viramune, what so you do
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D/C
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Elevated with allergic and parasitic infections
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eosinophils
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the lymphocyte that ultimately produces antibodies
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B-cells
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Name for immature neutrophils
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bands
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what is the time frame in which you need to get medical tx after a needlestick occurs
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4 hours
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the second test performed after a positive ELISA is received
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western blot
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any substance capable of triggering an immune response
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antigen
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drug of choise for the tx of MRSA
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VANCOMYCIN
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