HIV/ AIDs

Question 1

HIV

Answer 1

Virus attacks immune system, specifically T-cells withCD4 receptors
Weakens immune system
Increase susceptibility to opprtunitistic infections and cancers

Question 2

Body fluids infectious for HIV

Answer 2

Blood, breast milk, inflammatory exudate, semen and vaginal secretions, cerebrospinal, amniotic, pericardial, peritoneal =, pleural, and synovial fluid

Question 3

Body fluids not infectious for HIV

Answer 3

Feces, urine, saliva, sweat and tears (excreting liquids)

Question 4

Universal precautions

Answer 4

Universal precautions so everyone experiences the same precautions so no one is left feeling weird
Any blood exposure
Use gloves
use mask and eye protection
Use gown
Refrain from direct contact if YOU have an open wound

Question 5

HIV Lab testing

Answer 5

Blood antibody tests (6weeks to tell)
CD4 count (50-1500 cells/mm3) increase is good, decrease is bad
Viral load (50-500000/mL) decrease is good, increase is bad

Question 6

AIDS (acquired immunodeficiency syndrome)

Answer 6

Developed to identify advanced HIV progression
CD4 count <200/mm3
1 or more 26 indicator conditions

Question 7

Medical Management

Answer 7

Highly active antiretroviral therapy (HAART)

Question 8

HAART side effects- mitochondrial

Answer 8

Mitochondrial toxicity
- body composition changes (posterior cervical spine fatty deposit)
- mitochondrial myopathy
- cardiomyopathy
- hepatic steatosis (fatty liver)
- peripheral neuropathy (distal to proximal, may be painful or painless and symmetrical)
- hyperlactatemia (increased lactic acid in the blood)
- cytopenia

Question 9

Other HAART side effects

Answer 9

Skin rashGI symptoms (dia, nausea, abdominal pain)
Dyslipidemia
Osteopenia/ osteoporosis
Osteonecrosis

Question 10

PT management

Answer 10

Education
- energy conservation techniques
- expectations
- pain manamgent
Symptom management
Managing secondary complications (de conditioning, weakness, fatigue)
Exercise Prescription (ROM, aerobic, resistance)