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Flashcards in Hiv Aids Deck (43):
1

Who is hiv found among

Iv drug users
Hemophiliac
Blood transfusion receipients
Infants born to infected moms
High risk heterosexuals

2

Hiv causes

Aids

3

What is hiv positive

Virus is present but few if any clinical signs are present

4

What is aids

Active infection with marked and multiple clinical manifestations

5

Does HIV do

Replicates within living cells and uses the cells replication enzymes to make copies of itself
Enzyme then converts RNA into DNA before cell begins viral replication

6

What does hiv primarily effect

Cd4 cells which is an immune system cell

7

What does hiv do in early stages

Virus invades and multiplies in lymphoid tissue

8

What does Dna do

Long term sore age and transmission of genetic info

9

How does it enter the body

Through blood system (sexual contact, blood to blood, perinatal lay)
Through body fluids

10

How to diagnose it

Blood tests

11

What is seroconversion

Process of moving from negative hiv antibodies in blood to positive hiv antibodies

12

What are seroconvertors

Those that test hiv positive

13

What is phase 1

Primary infection phase
Happens weeks after exposure
Many asymptomatic
Symptoms: low fever, fatigue, sore throat, malagia, night sweats, go problem, maculopapular rash, headache
Tx: decrease number of cells through antiretroviral therapy

14

Pahse two

Latency phase
No symptoms or sign of illness
Median time is 10 years
Lymphadenopathy develops in some (chronically swollen lymph gland)

15

Phase 3

Without antiretroviral therapy death occurs
Determined by number of cd4 cells
Development of opportunistic infections due to weakened immune system

16

What are typical progressions

60-70% with Hiv develop aids in 10-11 years after infection

17

What are rapid progressors

10-20% develops it in less than 5 years

18

What are slow progressors

5-15 don't develop for 15 years or more

19

What is pcp

Pneumocystis carinii pneumonia
Mild cough, fever, sob, weight loss, tachypenea,

20

What is tb

Lungs most common site for infection
Present with fever, night sweats, cough, weight loss

21

Thrush

Typically complain of painful swallowing or retrosternal pain
White velvety lesion from Yeast infection and

22

What is cytomegalovirus

Presents like mono
Diarrhea, gastroenteritis

23

What is acd

Aids dementia complex
Cognitive and motor dysfunction
Only caused by hiv
Impaired attention, concentration, slow mental speed and agility, slow motor speed, apathy

24

Toxoplasmosis

Parasite that attacks CNS
Fever headache neuro dysfunction (confusion, lethargy, visual disturbance, seizure)

25

Progressive multimodal leukoencephalopothy

Demyelinating disease of white matter in the brain
Progressive limb weakness, sensry problems, difficulty controlling fingers and toes visual disturbance subtle alterations in mental status hemisphere ataxia to floppy seizures

26

Kaposis sarcoma

Malignancy of the endothelial cells
Lesions found in G.I. tract lungs skin and in mouth

27

Non Hodgkin's lymphoma

Fever night sweats weight loss
poor prognosis

28

Noninvasive cervical cancer

Develops more rapidly than women with HIV
less responsive to treatment

29

Wasting syndrome

Aids defining illness
involuntary weight-loss at least 10% of baseline bodyweight in presence of diarrhea or chronic weakness and fever

30

Lipodystrophy

Metabolic disorder
changes in body appearance (buffalo hump,wasting of fat from face, increased ab girth)
changes and metabolic appearance

31

Non specific gi symptoms

Nausea
Vomitting
Ab pain

32

Hepatomegaly with normal liver function

Caused by antiretroviral therapy
Can be fatal

33

Psychosocial issues

Complex reactions from others
May be indication of hidden lifestyle
Feeling of fear guilt isolation etc
Previous mental health issues

34

Prevention

Risk free or low risk behaviors
Abstinence
Correct and consistent condom use
Avoid recreational drug

35

Antiviral drugs

Reduce replication of the virus but don't kill it

36

Combo of three Meds

Highly active antiretroviral therapy

37

What is the focus of tx

Minimize the effects of complications such as infections or malignancy

38

Zidovudine therapy

Slows the virus and effects on the body

39

Physical dysfunction

Fatigue sob visual cancer cardiac opportunistic infections pain stroke

40

Mental functions

Depression anxiety
Guilt preoccupied with death angry at disease or God body image issues helpless hopeless

41

Contextual factors

Isolation
Physical env challenges
Economic impact

42

What to do for intervention

Enhance Competency pain management adaptive equipment energy conservation relaxation stress management

43

What was aids initially called

Grids gay related immunodeficiency syndrome