Immunodeficiency and HIV Flashcards

1
Q

primary vs secondary immunocompromised

A

primary is genetic
secondary is acquired

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2
Q

since these patients are at risk for infection what are we going to do

A

WBC
subtle changes
not full fever
take apical for 1 min

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3
Q

when we suspect an infection what do we do before antibiotics

A

culture

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4
Q

in these patients not all infections are external

A

internal can occur
- opportunistic

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5
Q

HIV is primary or secondary

A

secondary

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6
Q

HIV affects what type of immunity

A

natural and acquired

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7
Q

HIV is transmitted by

A

body fluids
- blood
- seminal fluid
- vaginal secretions
- amniotic fluid
- breast milk

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8
Q

risk factors associated with HIV

A

sharing needles
sexual relations with person infected
infants who have HIV mom
organs or blood before 1985

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9
Q

HIV prevention

A

standard precuations
safe sex
do not share needles
blood screening
PPE

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10
Q

post exposure protocol

A

report it to charge or supervisor
fill out form
draw labs (baseline)
draw patient labs

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11
Q

why do we draw patient labs after exposure

A

not for treating patient but for testing for blood born pathogens

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12
Q

4 stages of HIV

A

primary
asymp
symp
aids

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13
Q

primary infection
- category

A

A

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14
Q

primary infection
- symptoms

A

none/flu like

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15
Q

primary infection
- testing

A

negative (lack HIV antibodies)

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16
Q

viral set point

A

balance between amount of HIV and the immune response
- determines outcome
- inverse relationship
- increase viral set point decrease outcome

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17
Q

primary infection
- what is it

A

exposure

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18
Q

HIV aysmp.
- category

A

A

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19
Q

HIV aysmp.
- testing

A

positive

20
Q

HIV aysmp.
- upon reaching the viral set point, what state begins

A

chronic asymptomatic state begins

21
Q

HIV symp.
- category

A

B

22
Q

HIV symp.
- symptoms

A

symptoms or conditions related to HIV infection

23
Q

HIV symp.
- CD4 count

A

200-499

24
Q

aids
- category

A

C

25
Q

aids
- cd4 cont

A

less than 200

26
Q

aids
- as CD4 drop below _________ the immune system is significantly impaired

A

100

27
Q

gerontology considerations

A

one quarter of people living with HIV are older than 50

28
Q

EIA test

A

antibodies

29
Q

western blot

A

antibodies

30
Q

viral load

A

HIV RNA

31
Q

CD4/CD8

A

markers

32
Q

oraquick

A

in home test

33
Q

treatment

A

antiretroviral agents

34
Q

complications

A

pneumocystis carinii pneumonia
mycobacetium avium complex
tuberculosis
candidas
diarrhea
wasting syndrome
kaposi sarcoma
B cell lymphoma
HIV encephalopathy

35
Q

pneumocystis carinii pneumonia
- life threatenting

A

yes

36
Q

pneumocystis carinii pneumonia
- symptoms

A

nonspecific
nonproductive cough
fever
chills
dyspnea
chest pain

37
Q

pneumocystis carinii pneumonia
- untreated

A

progress to pulmonary impairment and respiratory failure

38
Q

pneumocystis carinii pneumonia
- can anyone get this

A

no, only immunocompromised

39
Q

oral candidiasis
- only in the mouth

A

may progress to esophagus and stomach

40
Q

diarrhea is related to

A

HIV infection or enteric pathogens

41
Q

what do we do before treating diarrhea

A

cultures

42
Q

concerns with diarrhea

A

FVD
potassium decrease
acid base disturbances (base out of butt)

43
Q

kaposi sarcoma
- what is it

A

cutaneous lesions

44
Q

kaposi sarcoma
- involve what

A

multiple organs

45
Q

kaposi sarcoma
- lesions cause

A

discomfort
disfigurement
ulceration
potential for infection

46
Q

HIV encephalopathy

A

progressive cogntiive, behavioral, and motor decline

47
Q

these patients are at risk for what type of infection

A

opportunistic infections