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What are ways HIV is transmitted? - (answer)Unprotected sex, unsafe blood transfusion,
contaminated injecting equipment, from mother to fetal in womb
What are ways to prevent transmission of HIV? - (answer)safe sex/abstinence, antiretroviral
drugs, don't share razors or toothbrushes, body fluid management
What are high risk behaviors related to HIV infection? - (answer)unprotected sex, multiple sex
partners, sharing needles, tattoos
What are some prevention of HIV transmission in the home setting? - (answer)protect against
infections, don't share razors or toothbrushes, dispose of solid wastes/liquids by flushing down
toilet only, wipe up body fluids and area with soap and water, wear gloves during cleaning, do
laundry w/ hot water+detergent+bleach
What types of labs are done to diagnose HIV? - (answer)- Nucleic Acid Test (NAT): measures
HIV viral load, detects 10-33 days after exposure
- Antigen/antibody Test: detects HIV 18-45 days after exposure
,- Rapid Antigen Test: blood from finger stick, detects HIV 18 to 90 days after exposure
- Antibody test: rapid tests and self-tests w/mouth swabs, detects HIV 23-90 days after exposure,
get results within 1 hour
Discuss the significance of CD4 T cells and Viral load monitoring - (answer)- HIV decreases
CD4+ T cells leading to a weakened immune system and an increase in viral load
- higher viral loads --> increases rate of transmission
Describe the stages of HIV - (answer)Stage 1: acute infection
- HIV exposure, flu like sx, test may be negative, viral load is high, CD4+ T-cell count of greater
than 500 cells/mm3
Stage 2: Chronic
- positive test within 6 months of last neg test, no AIDS sx, med treatment, CD4+ T-cell count
200 to 499 cells
Stage 3: AIDS
- opportunistic infections, impaired immunity, high viral loads if not taking ART meds, AID-
defining illness, CD4+ T-cell count of less than 200 cells
, What are the AID defining conditions? - (answer)Oral thrush, Kaposi sarcoma, fungal infections,
viral infections (herpes, shingles), bacterial infections, TB, AIDS wasting syndrome, Protozoal
and fungal infections, malignancies (cancer)
What are the indications for pre-exposure prophylaxis? - (answer)- used for HIV-uninfected
adults to prevent HIV infections
- pills and injections
- daily and on demand forms
- waiting period for effectiveness
EX: Truvada and Descovy
What are the indications for post-exposure prophylaxis? - (answer)- combo of 2-3 antiretroviral
meds after exposure
- continue treatment for 28 days of until HIV status of source is neg
Discuss the management side effects related to HIV disease and the side effects of antiviral
medications. - (answer)-Anxiety, fear, depression
-Diarrhea/Nausea/vomiting