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NURS 319: HIV
Chapter 11 HIV
Question | Answer |
---|---|
3 phases of HIV | acute, chronic, AIDS |
what occurs during the acute phase of HIV | mono-like symptoms or asymptomatic, CD4/ macrophages dormant |
what occurs during the chronic phase of HIV | depleting CD4 cells |
what occurs during the AIDS phase of HIV | no immunity, will eventually lead to death |
what is a CD4 cell | helper T cell |
normal CD4 range | 800-1200 |
at what CD4 range would someone be susceptible to opportunistic infections? what phase is this? | less than 500 chronic phase |
what cd4 range is considered seroconversion to AIDS | below 200 |
what is the outcome of the AIDS phase | death |
how is HIV transmitted | sexually, blood, transplacental, breast milk, organ transplants, saliva |
who is at greatest risk for developing HIV | homosexual males |
what is a retrovirus | RNA virus that does reverse transcriptase expresses CD4 receptors and CCR5 |
HIV testing | rapid: cheek cells, saliva, blood HIV RNA Assay test: p24 antigen, this test is required for diagnosis |
complication of HIV | opportunistic infections |
some opportunistic infections you will only see with HIV | tuberculosis, candidiasis, salmonella |
malignancies seen most with HIV | Kaposi Sarcoma, Non-hodgkin's lymphoma |
if you see a patient's CD4 levels drop below 500 but do not have labs to verify yet, what would you expect to see in your patient? | dormant phase, maybe mono symptoms, no antibodies yet |
what is a common fungal infection that is a normal flora that could be a complication when the patient's CD4 levels drop 500 cells or less? | oropharyngeal candidiasis |