NC 6
Terms
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- HOW IS HIV TRANSMITTED?
-
INJECTION OF BLOOD/BLOOD PRODUCTS
INTIMATE SEXUAL CONTACT
PERINATALLY FROM INFECTED MOTHER TO UNBORN CHILD - POSITIVE SEROLOGICAL TEST(SEROCONVERSION) TIME?
- 3-6 MONTHS AFTER INITIAL INFECTION
- HIV ATTACKS THE IMMUNE SYSTEM AND DIMINISHES WHAT?
- THE CD4 COUNT
- NORMAL CD4 COUNT IS WHAT?
- 800-1000
- PT IS ASYMPTOMATIC UNTIL COUNT REACHES
- 500-1000
- WHEN DO INFECTIONS BECOME MORE FREQUENT
- WHEN COUNT FALLS TO 300-500
- AIDS DEVELOP AND SEVERE OPPORTUNISTIC INFECTION OCCUR WHEN THE CD4 IS BELOW
- 200
- CLINICAL MANIFESTATIONS OF HIV
- PERSISTENT COUGH, PCP, TB, CMV, HISTOPLASMA, KAPOSI'S SARCOMA, WEIGHT LOASS, ANOREXIA, ORAL LESIONS, LOSS OF BALANCE, AND HODGKINS LYMPHOMA
- TX INCLUDES
- ANTIVIRAL THERAPY
- KIND OF ANTIVIRALS
- AZT, DDI, AND DDC
- HOW DO ANTIVIRAL THERAPIES WORK
- INHIBITING AND DECREASING VIRAL REPLICATION
- OTHER MEASURES
- PREVENT INFECTION THROUGH STRICT ASEPTIC TECHNIQUE AND OBSERVE STRICT UNIVERSAL PRECAUTIONS
- A MEMBER OF THE HERPES FAMILY THAT IS COMMON AND WIDESPREAD, AFFECTING CHILDREN AND ADULTS
- CYTOMEGALOVIRUS
- HOW IS IT SPREAD
- CONTACT WITH BODY SECRETIONS, MUCOUS MEMBRANES AND SEXUAL ACTIVITY
- WHO ARE MOST AT RISK
- CHILDREN AND DAYCARE WORKERS
- HOW IS THE VIRUS SHED
- URINE, SALIVA, AND OTHER SECRETIONS
- MEDICAL MANAGEMENT INCLUDES
- CONTROL OF SYMPTOMS SUCH AS SORE THROAT AND FEVER. ANTIVIRALS MAY BE USED
- YOU SHOULD ADVISE PATIENTS TO AVOID SPORTS AND HEAVY LIFTING TO AVOID
- SPLEEN INJURY IF SPENOMEGALY IS PRESENT
- HOW IS HEPATITIS B SPREAD
- THROUGH BLOOD BREAKS IN THE SKIN INTEGRITY AND MUCOUS MEMBRANE, AND BLOOD TRANSFUSIONS
- MAIN CAUSE OF
- CIRRHOSIS AND HEPATOCELLULAR CARCINOMA
- INPAIRED LIVER FUNCTION RESULTS IN
- COAGULOPATHY AND ENCEPHALOPATHY
- LABS
- ELEVATED SGOT AND SGPT
- MEDICAL MANAGEMENT
- SUPPORTIVE, ANTIEMETIC, ANALGESIC, VITAMIN K AND IV THERAPY TO REPLACE FLUID AND ELECTROLYES
- DIET
- FREQUENT FEEDING OF HIGH CALORIE, LOW FAT, MODERATE PROTEIN FOODS, INCREASED FLUID INTAKE TO 3000 ML/DAY
- WHAT PREVENTS THE SPREAD OF PATHOGENS TO OTHERS
- HAND WASHING
- TEACH TO
- ABSTAIN FROM SEXUAL ACTIVITY AND SHARING PERSONAL ITEMS UNTIL SERUM LIVER STUDIES ARE WNL
- HOW IS HERPES SIMPLEX TRANSMITTED
- PERSON TO PERSON CONTACT WITH MUCOUS MEMBRANE SECRETIONS
- HSV1 INFECTS
- FACE, OCULAR. ORAL
- HSV2 INFECTS
- GENITAL
- PRIMARY INFECTION SX
- PAINLESS CHANCRE
- USUALLY ABSENT OF SYMPTOMS BUT THE VIRUS PROGRESSES TO SENSORY NERVE CELLS AND CAN REACTIVATE DURING PSYCHOLOGICAL OR EMOTIONAL STRESSORS
- LATENCY
- SYMPTOMS OF REACTIVATION
- ASYMPTOMATIC OR SIMILAR SYMPTOMS AS PRIMARY STAGE WITH LESS SEVERITY AND DURATION
- WHO DISPLAYS FEWER SYMPTOMS WITH STDS
- WOMEN
- COMPLICATIONS
- PNUMONIA AND PLEURAL EFFUSION
- SPIROCHETE TREPONEMA PALLIDUM
- SYPHILIS
- HOW IS IT AQUIRED
- SEXUAL CONTACT OR CONGENITAL
- HIGHEST INCIDENCE AMONG
- DRUG USERS AND HIV INFECTED
- SECONDARY INFECTION SX
- GENERALIZED INFECTION WITH RASH OF THE PALMS AND SOLES OF FEET, HA, ANOREXIA, PARESIS, STROKE, MENINGITIS
- WHAT TEST IDENTIFIES SYPHILIS
- VDRL
- RETEST AT
- 3, 6, 12, AND 24 MONTHS
- ANTIBIOTIC TX
- PENICILLIN AND VIBRAMYCIN
- ALSO KNOWN AS
- NEISSERIA GONORRHEA
- ANTIBIOTIC
- ROCEPHIN AND VIBRAMYCIN
- BACTERIUM THAT REPLICATES LIKE A VIRUS, AND IS TRANSMITTED THROUGH SEXUAL INTERCOURSE
- CHLAMYDIA
- SX
- MALAISE, LOW GRADE FEVER FOLLOWED BY RASH STARTS AS MACULES TO PAPULES TO VESICLES TO CRUST FORMATION
- WHAT IDENTIFIES CHLAMYDIA
- CELL CULTURE AND IMMUNOLOGIC ASSAYS
- TX
- ANTIVIRAL DRUGS LIKE ACYCLOVIR AND CORTICOSTEROIDS, ANTIPYRETICS(AVOID ASA), ORAL ANTIHISTAMINES
- CAUSES VENERAL WART
- HPV
- INCREASES RISK FOR
- CERVICAL NEOPLASMS
- MOST FREQUENTLY CAUSED BY N GONORRHEA AND CHLAMYDIA
- PID
- INCREASED INCIDENCE WITH
- MULTIPLE SEX PARTNERS, IUD USE AND THERAPEUTIC ABORTION AND C SECTION
- COMFORT MEASURES
- ANALGESICS, HEATING PAD TO LOWER ABDOMEN OR BACK. POSITION FOR PELVIC DEPENDENCE TO PROMOTE INFECTION DRAINAGE
- CAUSED BY EPSTIEN BARR VIRUS
- MONONUCLEOSIS
- TRANSMITTED BY
- ORAL CONTACT WITH PHARYNGEAL SECRETIONS
- AFTER INCUBATION OF 4-6 WEEKS SX INCLUDE
- FEVER, LYMPHADENOPATHY, PHARYNGITIS THAT LASTS FOR 2 WEEKS
- POSITIVE EPSTEIN BARR TITER IS
- >1:29
- TRANSMITTED BY EXPELLING MYCOBACTERIUM TB WHILE TALKING, COUGHING, SNEEZING
- TUBERCULOSIS
- INFECTION OCCURS 2-10 WEEKS AFTER EXPOSURE WITH
- FATIGUE, ANOREXIA, LOW GRADE FEVER, NIGHT SWEATS, HEMOPTYSIS, PLEURITIC PAIN, AND FORMATION OF LESIONS IN ANY ORGAN
- DETECT M TB INFECTION BY POSITIVE WHEAL 48-72 HOURS AFTER TEST
- PPD OR MANTOUX TEST
- TX WILL LAST
- 6-12 MONTHS
- PT IS NONINFECTIOUS AFTER
- 2-3 WEEKS OF CONTINUOUS THERAPY
- SX OF RUBEOLA
- KOPLIKS SPOTS ON BUCCAL MUCOSA AND MACUPAPULAR RASH AT HAIRLINE THAT SPREAD TO FEET IN 1 DAY
- COMMONLY MANIFESTED AS ACUTE PHARYNGITIS
- STREPTOCOCCAL INFECTIONS
- IF A RASH IS PRESENT MAY BE
- SCARLET FEVER
- MAY LEAD TO
- GLOMERULONEPHRITIS
- MAY CAUSE PNEUMOCOCCAL PNEUMONIA SX
- TACHYCARDIA, COUGH W/ RUST COLORED SPUTUM, PLEURITIC CHEST PAIN, HERPES LIKE LESIONS ON FACE AND LIPS
- BACTERIUM TRANSMITTED BY DIRECT CONTACT OF DROPLETS OF NOSE OR THROAT
- CAUSES EPIGLOTTITIS, AND PNEUMONIA
- SX OF MININGITIS INCLUDE
- NUCHAL RIGIDITY, POSITIVE KERNIGS SIGN, AND POSISTIVE BURDZINSKIS SIGN
- ZOSTER VIRUS RESPONSIBLE FOR
- HERPES ZOSTER HINGLES AND CHICKENPOX
- RASH STARTS
- ON HEAD AND SPREADS TO TRUNK AND EXTREMITIES
- SX OF HERPES ZOSTER
- SKIN ERUPTIONS IN NERVE BANDLIKE CONFIGURATIONS. DO NOT CUASE SCARRING
- HELPS WITH PRURITIS
- BAKING SODA AND OATMEAL