chapter 1- Acute care topics Flashcards
(23 cards)
normal wbc count
4,000 -11,000
neutrophilia cells destroy
bacteria
lymphocytes destroy
viruses
monocytes clear
cellular debris
eosinophils combat
allergens/parasites
Post op fever etiology
Hypovolemia (asses volume)
Atelectasis ( Assess incentive spirometer)
HIV transmission
- Sexual
- Parenteral
- Vertical
nucleic acid test
detects HIV RNA and its the earliest detection of HIV
Antigen/antibody tests detect
p24 antigen
CD4 measures
functional immunity
viral load measures
viral replication
When should antiviral therapy be started?
antiviral therapy be started
regardless of CD4 count
undetectable viral load =
< 200 copies/ml (non transmisable)
what should you educate your HIV patient about their antiviral medications?
take the medications at the same time everyday
First test to order for suspected HIV testing
HIV1/HIV2 antigen, antibody combo
NEG– no HIV
POS- order HIV1/HIV2 antibody differentiation
Positive HIV1/HIV2 antibody differentiation =
Either HIV 1 or HIV 2 or both
Negative HIV1/HIV2 antibody differentiation =
more testing
HIV NAT
NEG- HIV negative
POS- active HIV infection
s/s of UTI
dysuria, urgency, frequency
complicated UTI symptoms will include
CVA tenderness, fever, nausea, vomiting
1st line antibiotics for uncomplicated UTI
Sulfamethoxazole-Trimethoprim (TMP-SMX) (Bactrim) DS BID for 3 days
- IF RESISTANCE IS < 20%
- Avoid with Sulfa allergy
Nitrofurantoin (Macrobid) 100 mg BID for 5 days
1st line abx for Complicated UTI
Ciprofloxacin (Cipro) 500 mg PO BID or 400 mg IV BID 7-14 days
Levofloxacin (Levaquin) 750 mg PO or IV daily 7-14 days
Complicated UTI with high risk of multi-drug resistance or systemic illness
Ertapenem (Invanz) 1g IV daily
Zosyn 3.375g IV Q6 hrs
Cefepime 2 IV BID
