New User Special Price Expires in

Let's log you in.

Sign in with Facebook


Don't have a StudySoup account? Create one here!


Create a StudySoup account

Be part of our community, it's free to join!

Sign up with Facebook


Create your account
By creating an account you agree to StudySoup's terms and conditions and privacy policy

Already have a StudySoup account? Login here

HIV notes

by: Brenna Notetaker

HIV notes Nurs 4020

Brenna Notetaker
GPA 3.4

Preview These Notes for FREE

Get a free preview of these Notes, just enter your email below.

Unlock Preview
Unlock Preview

Preview these materials now for free

Why put in your email? Get access to more of this material and other relevant free materials for your school

View Preview

About this Document

med surg HIV notes
Mrs. Swift
Class Notes
med surg nursing, HIV
25 ?




Popular in MedSurg

Popular in Department

This 4 page Class Notes was uploaded by Brenna Notetaker on Monday February 8, 2016. The Class Notes belongs to Nurs 4020 at East Carolina University taught by Mrs. Swift in Fall 2015. Since its upload, it has received 19 views.


Reviews for HIV notes


Report this Material


What is Karma?


Karma is the currency of StudySoup.

You can buy or earn more Karma at anytime and redeem it for class notes, study guides, flashcards, and more!

Date Created: 02/08/16
10/23/2015 ▯ HIV infection/disease  RNA virus, replicates backwards  Women, adolescents, poverty  Transmitted through contact with infected blood, semen, vaginal secretions, breast milk (sex is the most common way to transmit)  The person that is receiving is at greater risk  Prenatal testing for HIV during pregnancy and retest at delivery  Can transmit disease within days of being infected  Cannot be spread casually  Basic patho main points o RNA virus o Attacks CD4 T cells (T helper cells): have more CD4 receptor sites than any other cell, help recognize and defend pathogens -> as they get killed off people become more immune-compromised  As the CD4 cells decline the patient shows s/s o Has to be in a living cell to replicate  Diagnosis o HIV  HIV antibodies and antigens  Rapid HIG-antibody testing  Screen for antibody NOT antigen  Western Blot- most specific confirming test  Can take up to 2 months to have a positive test and can transmit within those two months o AIDS  Need at least 1 of the listed conditions on table 15-9  CD4 count < 200 or some kind of opportunistic infection (fungal, PCP, viral infection, bacterial infection) or opportunistic cancer (Kaposi sarcoma) or wasting syndrome (at least 10% body mass lost) or AIDS dementia  Clinical manifestations o Acute infection  Viral load rises quickly then levels off  s/s  flu-like symptoms (fever, sore throat, nausea, malaise, muscle/joint pain, diarrhea, rash)  happen 2-4 weeks after they’re infected  symptoms will last about a week or two and then will go into chronic infection o Chronic infection  Asymptomatic  CD4+ T cell count remains about 500  Symptomatic (lasts about 10 years)  CD4+ T cell count drops 200-500  More fatigue, headache, fever, night sweats, persistent fever, oral thrush (common infection)  Still not aware they are infected  AIDS  CD 4+ T cell count < 200  Without treatment they will live for about 3 years  Death is usually from infection, malignancies, wasting, or dementia  Complications o Infection and opportunistic disease are the biggest problems o Oral thrush o Kaposi sarcoma (vascular lesions) o Micro bacterium and ABM complex -> gastritis and PCP (pneumocytosis….)  Collaborative Care o Monitor disease progress and how well their immune system is functioning o Ways to prevent opportunistic infections o Important to stay up to date on vaccines o Teach about disease itself and spectrum, how to prevent transmission o May not be able to handle a lot of information at once o May take a couple of times for them to really understand- a lot of repeating and clarifying info o Drug therapy  Goals- decrease viral load and maintain or improve cd4 counts (delay progression of disease)  Antiretroviral therapy (ART)  Delay disease progression  Reduces viral load by 90-99%  Will have a near normal live span  Combination ART therapy  Different classes work at various points in HIV replication cycle to inhibit replication (table 15-12)  Combination ART therapy is really the way to go. These meds will target different areas during replication process. Very effective. May take up to 4 different antivirals  Efavirenz (Sustiva)  Zidovudine (AZT, Retrovir)  Nelinavir (Viracept)  Pts that don’t take these meds like theyre supposed to puts at risk  Every time HIV replicates it changes a little bit à resistance can develop  These meds S/E: N/V/D, abd pain, fatigue, HA, loss of appetite, rash, body fat distribution changes. Interact w st.johns wort, any other herbal med needs to be used very cautiously  Drug therapy for Opportunistic Diseases  Vaccines  Antivirals  Antifungals- if develop opportunistic disease  Preexposure prophylaxis (PrEP)  For a person with a partner who is infected  Emtricitabine and tenofovir (Truvada)  If someone gets accidentally exposed can prevent dx from progressing  Nursing diagnosis o Pain o Anxiety o Imbalanced nutrition  Interventions o Adhere to medication regimen (make sure they’re restarted on meds as soon as possible)  Health promotion o Major goal is to prevent disease progression and prevent spread (early detection and prevention) o Abstinence is best way to prevent it o Use condoms, dental dams o If they do drugs: syringe exchange programs, do not share equipment  Acute interventions o Handling diagnosis o Drug therapy  Multi-drug therapy to decrease viral loads and slow progression o Teaching  Medications  Some must be taken with food  Do not cut in half (take full dose)  Learn about side effects  Help patients adhere to regimen  When to call provider  Change of LOC  Increase lethargy  H/A with N/V  Vision changes  SOB  Blood that shows up anywhere (stool, urine, sputum)  Chest pain  Seizures o Acute exacerbations (r/t chronic disease): what can cause them  Infections (get seen quickly when they get sick) o home care  stigma  side effects  end of life care ▯ ▯


Buy Material

Are you sure you want to buy this material for

25 Karma

Buy Material

BOOM! Enjoy Your Free Notes!

We've added these Notes to your profile, click here to view them now.


You're already Subscribed!

Looks like you've already subscribed to StudySoup, you won't need to purchase another subscription to get this material. To access this material simply click 'View Full Document'

Why people love StudySoup

Steve Martinelli UC Los Angeles

"There's no way I would have passed my Organic Chemistry class this semester without the notes and study guides I got from StudySoup."

Jennifer McGill UCSF Med School

"Selling my MCAT study guides and notes has been a great source of side revenue while I'm in school. Some months I'm making over $500! Plus, it makes me happy knowing that I'm helping future med students with their MCAT."

Bentley McCaw University of Florida

"I was shooting for a perfect 4.0 GPA this semester. Having StudySoup as a study aid was critical to helping me achieve my goal...and I nailed it!"

Parker Thompson 500 Startups

"It's a great way for students to improve their educational experience and it seemed like a product that everybody wants, so all the people participating are winning."

Become an Elite Notetaker and start selling your notes online!

Refund Policy


All subscriptions to StudySoup are paid in full at the time of subscribing. To change your credit card information or to cancel your subscription, go to "Edit Settings". All credit card information will be available there. If you should decide to cancel your subscription, it will continue to be valid until the next payment period, as all payments for the current period were made in advance. For special circumstances, please email


StudySoup has more than 1 million course-specific study resources to help students study smarter. If you’re having trouble finding what you’re looking for, our customer support team can help you find what you need! Feel free to contact them here:

Recurring Subscriptions: If you have canceled your recurring subscription on the day of renewal and have not downloaded any documents, you may request a refund by submitting an email to

Satisfaction Guarantee: If you’re not satisfied with your subscription, you can contact us for further help. Contact must be made within 3 business days of your subscription purchase and your refund request will be subject for review.

Please Note: Refunds can never be provided more than 30 days after the initial purchase date regardless of your activity on the site.