OSHA/HIV Barry
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| show | FDA: US pharmacopia.
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| Who regulates chemical germicides? | show 🗑
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| Who regulates disinfection/sterilization devices and procedures? | show 🗑
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| Who regulates gas containers and cylinders? | show 🗑
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| Who regulates safety and health of employees/employee exposures? | show 🗑
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| What does ATSM stand for? | show 🗑
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| show | Tracheal tubes.
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| This organization Offers broad recommendation for infection transmission and prevention. Does NOT regulate only makes recommendations. | show 🗑
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| show | The Occupational Safety & Health Administration.
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| show | Labor.
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| Congress created OSHA in 1970 as a part of what legislation? | show 🗑
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| “To assure the safety and health of America’s workers by setting and enforcing standards; providing training, outreach, and education; establishing partnerships; and encouraging continual improvement in workplace safety and health.” | show 🗑
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| True or false: OSHA can write standards and conduct inspections but has no powers of enforcement? | show 🗑
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| show | National Institute for Occupational Safety and Health.
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| show | Health and Human Services.
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| show | True.
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| show | Spontaneous abortions, involuntary sterility, birth defects, cancer rates, kidney/liver failure.
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| show | Air pollution from excess anesthesia gas in the air.
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| What are some factors associated with waste gas concentration? | show 🗑
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| How is trace gas measured? | show 🗑
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| What's the maximum trace N2O allowed in the air? | show 🗑
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| show | 0.5 ppm.
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| What's the maximum trace halogenated agents alone allowed in the air? | show 🗑
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| Hospital biomed dept or external contractors samples air for trace gas how often? | show 🗑
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| show | 1. Scavenging system, 2. Work practices, 3. Soda lime, 4. Rebreathing of exhaled gases.
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| show | 1. Proper mask fit/technique, 2. check N2O briefly, 3. 100% O2 at end of case, 4. avoid liquid spills, 5. low-flow technique, 6. control leaks, 7. OR ventilation system
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| How does administering 100% O2 at the end of the case help control gas levels? | show 🗑
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| show | Just over 1 million.
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| show | 40,000 +.
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| show | 42 million.
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| What are the types of HIV? | show 🗑
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| What type of HIV is most common in the US? | show 🗑
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| What type of HIV is less common and found mainly in West Africa? | show 🗑
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| True or false? American HIV tests currently test for both forms of HIV? | show 🗑
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| show | RNA and reverse transcriptase structure.
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| show | CD4 T-helper cells.
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| show | Cell mediated immunodeficiency.
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| When can HIV seroconversion be detected? | show 🗑
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| What does ELISA stand for? | show 🗑
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| show | Western blot assay.
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| What is HIV's primary target? | show 🗑
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| show | Below 200 cells per cubic millimeter.
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| show | 100 or greater.
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| show | Obtain consent(written or verbal--document).
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| True or false: it is mandatory to inform the county health department of all positive HIV results. | show 🗑
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| show | True.
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| show | False.
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| show | True.
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| If you've been stuck with a dirty needle and the patient refuses HIV testing and there is no available blood in the lab to test, how can he be tested? | show 🗑
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| What body fluids are considered infectious even if there is no visible blood? | show 🗑
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| What body fluids are NOT considered infectious if there is no visible blood. | show 🗑
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| If an employee is exposed to a potentially infectious substance, what should he immediately be tested for? | show 🗑
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| Post-exposure prophylaxis(PEP) for HIV exposure is most effective if given within what time frame? | show 🗑
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| Post exposure prophylaxis with either a 2- or 3-drug antiretroviral regimen as outlined in the CDC recommendations is indicated to be given for how many days? | show 🗑
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| show | 6 weeks, 3 months, and 6 months.
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| show | Hep B and C.
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| show | 0.3%.
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| show | HepB ~30%/HepC ~4%.
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| show | Approximately 0.09%.
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| show | Highly active antiretroviral therapy.
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| What are the reverse transcriptase inhibitors? | show 🗑
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| show | Saquinavir, ritonavir, indinavir, nelfinavir.
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| What are some of the SE of HIV treatment? | show 🗑
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| Protease inhibitors increase levels of what drugs? | show 🗑
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| What cardiac drug is contraindicated when pt is on Protease inhibitors? | show 🗑
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| show | 1. Benzodiazepines 2. Ca channel blockers 3. Quinidine 4. Methadone
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| What is one particular medication that should not be mixed with HIV drugs? | show 🗑
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| show | Candida, Kaposi’s sarcoma.
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| show | P. carinii, TB, Other pneumonias
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| What are some common CNS complications found in the HIV positive patient? | show 🗑
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| What are some CV complications found in the HIV patient? | show 🗑
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| show | Kidney.
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| HIV patients are prone to these two liver problems: | show 🗑
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| show | Anemia, thrombocytopenia.
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| show | 1:10 bleach solution, 70% isopropyl alcohol.
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| How long does OSHA recommend that we leave the surface wet with disinfectant before wiping? | show 🗑
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