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27 Cards in this Set
- Front
- Back
STAGE A
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ASYMPTOMATIC INFECTION IMMEDIATELY AFTER SEROCONVERSION TAKES PLACE
-FLU LIKE SYMPTOMS: -NORMAL CD4 COUNT=800 TO 1200 OR 1000 TO 1500 -LEVEL 1=CD COUNT 500 OR MORE |
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STAGE B
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SYMPTOMATIC BUT NOT WITH AIDS
-INDICATOR CONDITION -LEVEL 2=CD4 COUNT 200-400 |
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STAGE C
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SYMPTOMATIC WITH AIDS INDICATOR CONDITION
-STAGE 2 LASTS 2-3 YEARS -CD4 CELL COUNT IS BELOW 200 |
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WHEN ARE HIV MEDS STARTED
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AT THE TIME OF SEROCONVERSION WITH OR WITHOUT SYMPTOMS
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ZIDOVUDINE-RETROVIR AZT OR ADT
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ACTION:PREVENTS REVERSE TRANSCRIPTASE FROM TRANSCRIBING VIRAL RNA INTO THE DNA OF THE HOST CELL(AZT FOUND IN THE CNS-BLOOD BRAIN)
DOSE:LOWEST IS 300 MG EVERY DAY ADVERSE EFFECT:N/V,MYALGIAS,H.E.(DISAPPEAR OVER TIME) APLASTIC ANEMIA,BMS,HEPATOTOXICITY STOP THERAPY IF <500(NEUTOPENIA) PREGNANCY:PREVENTS IN BABY BY 60% GIVE IV DURING LABOR,THEN TXT CHILD->C-SEC |
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DIDANOSINE-VIDEX DDI
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ACTION:INHIBITS THE ENZYME REVERSE TRANSCRIPTASE FROM WORKING
-DOES NOT CROSS BLD BRAIN BARRIER INDICATIONS:INTOLERANT TO AZT DOSE:BY WT 5OO MG EVERY DAY ADVERSE EFFECTS:PERIPHERAL NEUROPATHY(NUMBNESS,TINGLING IN HANDS) PANCREATITIS(CHECK SERUMN AMYLASE) S/S:ABD PAIN,N/V,DIARRHEA,FEVER |
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ZALCITABINE-HIVID ddc
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ACTION:INHIBITS REPLICATION OF HIV BY INHIBITION OF VIRAL DNA SYNTHESIS
-PENETRATES BLD BRAIN BARRIER DOSE:75 MG EVERY 8 HR ADVERSE EFFECTS:PERIPHERAL NEUROPATHY, PANCREATITIS |
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PROTEASE INHIBITORS
SAQUINAVIR MESYLATE-INVIRASE |
ACTION:INHIBITS THE ACTIVITY OF HIV PROTEASE AND PREVENTS CLEAVAGE OF VIRAL PROTEINS ESSENTIAL FOR THE MATURATION OF HIV
DOSE:TID 600 MG ADVERSE EFFECTS:NAUSEA,DIARRHEA,ABD DISCOMFORT,PANCYTOPENIA |
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KAPOSIS'S SARCOMA
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S/S:GROSS APPREARANCE OF PURPLISH ERYTHMATOUS PLAGUE LIKE LESIONS
RED-PURPLE IN COLOR(APPEAR ON SKIN,MUCOUS MEMBRANES) -CAN INVADE GI,LYMPHATIC,LUNGS,LIVER -COMMON IN HOMOSEXUAL MALES DIAGNOSIS:BIOPSY TXT;CHEMO,PALLIATION,RADIATION IF ON FACE;CURETTAGE,LIQUIDD NITROGEN OR CYOTHERAPY,MAKE-UP |
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PROTOZOAL INFECTIONS:PNEUMOCYSTIS CARINII PNEUMONIA( PCP)
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NORMALLY FOUND:IN LUNGS,AIR,FOOD,H20
SEEN WHEN CD4<200 PT MUST HAVE BOTTLED WATER S/S:FEVER,FATIGUE,SOB,PRODUCTIVE COUGH DX:BRONCHIAL WASHING SPUTUM SAMPLE TXT:1.TRIMETHOPRIM/SULFAMETHOXOZOLE 2.BACTRIUM SEPTRA DAPSONE 3.PROPHYLACTIC THERAPY(CD4 ABOUT 300) 4.C&DB,INCREASE HOB 90,INCREASE FLUIDS,HUMIDITY 02,IPPB(RESP TXT0 |
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TOXOPLASMA GONDII
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NORMALLY FOUND:IN CATS,RAW/UNDERCOOKED MEATS AND VEGETABLES
S/S:HEADACHE,ALTERED MENTAL STATUS,IMPAIRED VISION AND SPEECH,MOTOR DYSFUNCTION,ATAXIA(UNSTEADY WALK) TXT:CLINDAMYCIN-CLEOCIN PREVENT FALLS |
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CRYPTOSPORIDIUM
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NORMALLY FOUND:IN CONTAMINATED FECES,FOOD
S/S:PROFUSE WATERY DIARRHEA ABD CRAMPING,N/V,WT LOSS TXT:CORRECT FLUID/ELECTROLYTE IMBALANCE MONITORS VS,I&O |
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HERPES SIMPLEX VIRUS 1 AND 2
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VIRUSE 1:CONTACT W/ ORAL OR GENITAL SECRETIONS
-AUTOINOCULATIONS IS POSSIBLE S/S:PAINFUL VESICULAR LESIONS ON TONGUE,MOUTH LIPS, GENITALS TXT:ACYCLOVIR-ZOVIRAX,SAFE SEX,GOOD HAND WASHING |
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CYTOMEGALOVIRUS CMV-HERPES VIRUS FAMILY
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S/S:VISUAL CHANGES-BLINDNESS
ESOPHAGITIS-DYSPHAGIA COLON-DIARRHEA,ABD PAIN,WT LOSS TXT:IV GANCICLOVIR-CYTOVENE |
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MYCOBACTERIUM AVIUM COMPLEX (MAC)
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NORMALLY FOUND:IN H2O,EGGS,RAW DAIRY PRODUCTS
S/S:FEVER,ANEMIA,NIGHT SWEATS,WT LOSS,DIARRHEA,GOUGH TXT:AMIKACIN IV FOR 2 WKS |
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TUBERCULOSIS-PULMONARY
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NORMALLY FOUND:IN AIR-CAN INFECT FAMILY MEMBERS
S/S:DYSPNEA, **HEMOPTYSIS (BLOODY PHLEM),CHILLS,CHEST PAIN TXT:IF + RESULT 5MM INDURATION:ISONIAZID-INH RIFAMIPIN FOR 12 MONTHS -PPD SCREENING OF PT/FAMILY DOESNT EFFECT LIFE EXPECTANCY -LIFE EXPECTANCY-DETERMINED BY CD4 COUNT (<200=DETERIORATION) |
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CRYPTOCOCCUS NEOFORMANS
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NORMALLY FOUND:AIRBORNE (CAN BE FATAL)
CAN CAUSE CRYPTOCOCCAL MENINGITIS ON CRYPTOCOCCAL PNEUMONIA S/S:FEVER,H.E.,N/V,ALTERED MENTAL STATUS DX:LUMBAR PUNCTURE TXT:AMPHOTERICIN B IV THERAPY |
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CRYPTOCOCCAL PNEUMONIA
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S/S:COUGH,SOB,FEVER,CHEST (PLEURATIC PAIN)
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CANDIDIASIS
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NORMALLY FOUND:IN NORMAL FLORA
S/S:THRUSH,ESOPHAGEAL,DYSPHAGIA,VAGINITIS TXT:1.NYSTATIN-SWISH AND SWALLOW 2.CLOTRIMAZOLE-MYCELEX-SUPPOSITORY 3.FLUCONAZOLE-DIFLUCAN 4.VISCOUS LIDOCAINE TO DECREASE PAIN |
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AIDS RELATED DEMENTIA IS
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NOT CAUSED BY OPPORTUNISTIC INFECTION
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AIDS RELATED DEMENTIA
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S/S:COGNITION:IMPAIRED MEMORY,POOR CONCENTRATION,SLOWED THOUGHT PROCESS
BEHAVIORAL:LOST THEIR SPARKLE,WITHDRAWN MOTOR:WEAKNESS IN LOWER EXTREMITIES,UNSTEADY GAIT,**MOST COMMON NEUROLOGICAL EFFECT FROM HIV** |
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DX AND TXT FOR AIDS RELATED DEMENTIA
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DX:BY COMPLETE NEUROLOGICAL EXAM, RULE OUT OTHER CONDITIONS,LAB WORK INCLUDING:A WESTERN BLOT IF NOT ALREADY DIAGNOSED, AND MRI
TXT:ZIDOVUDINE-RETROVIR (MAY REVERSE SOME NEUOR-PSYCHOLOGICAL IMPAIRMENT IN CHILDREN 2.NORTRIPTYLINE-PAMELOR 3.RITALIN 4.HALDOL |
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NSG CARE:
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1.EARLY COPING
2.CRITICAL DECISIONS:LIVING WILL 3.SET ACHIEVEABLE GOALS 4.TEACH USE OF ASSISTED DEVICES 5.SAFETY 6.DIGNITY |
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HIV WASTING CYCLE
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AND AIDS DEFINING DISEASE/SYNDROME THAT DOES SHORTEN SURVIVAL
-DEPLETES MUSCLE MASS -HALTING WASTING CYCLE WILL NOT REVERSE THE COURSE OF AIDS BUT WILL DECREASE INCIDENCE OF OPPORTUNISTIC INFECTION |
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CAUSES OF HIV WASTING CYCLE
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A DECLINE IN BODY CELL MASS
-VITAMIN DEFICIENCIES -INCREASED METABOLISM -ENERGY DEMAND -OTHER GI DISEASE -HIV RELATED PROBLEMS |
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ASSESSMENT OF HIV WASTING CYCLE
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-NUTRITIONAL EVALUATION:HOSPITALIZED EVERY 3 DAYS(ASYMPTOMATIC EVERY 3 MONTHS)
-BASE LINE WT -FOOD DIARY -LAB WORK:**CHECK SERUM ALBUMIN NORMAL= 3.2-4.5 DEPLETION OF PROTEIN IF < 3.0 |
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TREATMENT FOR HIV WASTING CYCLE
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-BOOST CALORIE AND PROTEIN
-VITAMIN SUPPLEMENT -TAILORING MEALS TO FIT S/S:LESIONS,N/V -NUTRITIONAL SUPPLEMENT(HAL,ENTERAL FOOD) |