Immunodeficiency and HIV Flashcards

(47 cards)

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

20
Q

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

A

chronic asymptomatic state begins

21
Q

HIV symp.
- category

22
Q

HIV symp.
- symptoms

A

symptoms or conditions related to HIV infection

23
Q

HIV symp.
- CD4 count

24
Q

aids
- category

25
aids - cd4 cont
less than 200
26
aids - as CD4 drop below _________ the immune system is significantly impaired
100
27
gerontology considerations
one quarter of people living with HIV are older than 50
28
EIA test
antibodies
29
western blot
antibodies
30
viral load
HIV RNA
31
CD4/CD8
markers
32
oraquick
in home test
33
treatment
antiretroviral agents
34
complications
pneumocystis carinii pneumonia mycobacetium avium complex tuberculosis candidas diarrhea wasting syndrome kaposi sarcoma B cell lymphoma HIV encephalopathy
35
pneumocystis carinii pneumonia - life threatenting
yes
36
pneumocystis carinii pneumonia - symptoms
nonspecific nonproductive cough fever chills dyspnea chest pain
37
pneumocystis carinii pneumonia - untreated
progress to pulmonary impairment and respiratory failure
38
pneumocystis carinii pneumonia - can anyone get this
no, only immunocompromised
39
oral candidiasis - only in the mouth
may progress to esophagus and stomach
40
diarrhea is related to
HIV infection or enteric pathogens
41
what do we do before treating diarrhea
cultures
42
concerns with diarrhea
FVD potassium decrease acid base disturbances (base out of butt)
43
kaposi sarcoma - what is it
cutaneous lesions
44
kaposi sarcoma - involve what
multiple organs
45
kaposi sarcoma - lesions cause
discomfort disfigurement ulceration potential for infection
46
HIV encephalopathy
progressive cogntiive, behavioral, and motor decline
47
these patients are at risk for what type of infection
opportunistic infections