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MB12 100-108
Question | Answer |
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100. Bathing Foot Care and Bed Making 101. Care of eyes, ears, teeth and accessories. | GO to open Lab silly!! |
102. Relationship between well-being and the immediate enviroment | Hygiene practices allow the patient to feel better, have better self esteem and reduce stress. All result in a better ability to fight infection/raise immune system. |
103. Modes of transmission of HIV | body fluids that contain free virions and infected D4+Tcells. Blood, seminal fluid, vaginal and amniotic fluids, breast milk. |
103B. Prevention strategies for HIV | Abstinence, use of condoms. Circumcision, no breast feeding. Health care workers need standard precautions. |
104. Host/HIV interaction during primary infection. This is the time frame from point of infection to production of discernible antibodies. | Primary-Infection to Antibodies. Will test negative during this time, very infectious due to high viral load but no created antibodies.By the time a/b can be detected, virus if firmly entrenched. Loss of CD4+T leads to drops in count (norm is 500-1500) |
viral set point | remaining amount of virus in the body after the immune response is called the v.s.p. ad results in a steady state of infection for years. |
CDC category A | Primary Infection stage; includes acute symptomatic and early infection phases. virus is widely disseminated in lymphoid tissue and latent reservoir created. |
latent reservoir | virus that hides in resting memory CD4+ Tcells. |
pathophysiology of HIV/AIDS | retrovirus, means they carry their material in RNA. attach to CD4 receptors. RNA uses reveres transcriptase to have DNA use to make double stranded (1/2 coming from virus) |
After viral set point is reached..... | people enter into chronic phrase. Immune system is still trying to destroy pathogens w/o success. |
Category A | More than 500 T Lymphocytes |
Category B | 499-200 |
Category C | Less than 200. This is AIDS officially. |
clinical management of AIDS | Most problems are caused by opportunistic infections. TMP-SMZ is the treatment of choice. |
Nursing Interventions for patients with AIDS | -promote skin integrity, usual BMs -prevent infection -improve activity intolerance, nut. status -coping with grief and emotional isolation |