Acquired Immunideficiency Syndrome (AIDS) Flashcards Preview

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Flashcards in Acquired Immunideficiency Syndrome (AIDS) Deck (19)
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1

What is the virus that causes AIDS?

Human Immunodeficiency Virus (HIV)

2

How is HIV transmitted?

Sexual Intercourse
Direct Contact with infected blood/body fluids (body fluids- semen, breast milk)
HIV mother gives to baby

3

What are symptoms of HIV?

Fever, weight loss, night sweats, diarrhea, fatigue

4

How is the presence of HIV confirmed?

Screening is done first to see if HIV antibodies are present. The test is performed to specifically identify the HIV antibodies.

5

What is the screening test?

ELISA

6

What confirms the screening test?

Western Blot

7

How does HIV attack the body?

It attacks the immune system by destroying T-lymphocytes. The virus also rapidly self- replicates

8

What is so important about T-lymphocytes?

T cells help immune system +recognize and fight pathogens

9

What is another name for T-lymphocytes?

CD4 cells

10

Why is the CD4 count so important?

The lower CD4 count, the more damage the virus has done to the body

11

What is the normal CD4 count?

700-1000

12

What is the normal CD4 count in a client with HIV?

Anything at or above 500, client is considered at good health. If below 500, HIV has progressed to AIDS.

13

If a clients CD4 count is below 200, client is at risk for what?

Opportunistic infections

14

List some opportunistic infections.

-Oral pharyngeal canididal infection (mouth fungus)
-Kaposi's sarcoma (skin cancer)
-Pneumocystis pneumonia
-Cytomegalovirus (blindness)
-Meningitis

15

What is the goal of HIV medications?

To interfere with the virus replicating

16

The most important medication to know is____?

Zidovudine (AZT, Retrovir)

17

Which isolation precautions are used with HIV?

Universal precautions
Patients do not have to tell you they have HIV, treat everyone as if they are INFECTED

18

How do precautions change with AIDS?

If the client has a low CD4 count and is at risk for opportunistic infection:
Implement
-Private room
-Reverse isolation
RN wears gown, goggles, mask when in direct contact with blood or body fluids.

19

What are teaching points for parents who have a child with HIV?

Clean up body fluids/blood with 10:1 water /bleach ratio
-Get all immunizations except MMR, varicella, and oral poliovirus. These are live immunizations.
-High-calorie, high-protein diet
-Gloves when changing diapers

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