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MB12 100-108

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Question
Answer
100. Bathing Foot Care and Bed Making 101. Care of eyes, ears, teeth and accessories.   GO to open Lab silly!!  
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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.  
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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.  
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103B. Prevention strategies for HIV   Abstinence, use of condoms. Circumcision, no breast feeding. Health care workers need standard precautions.  
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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)  
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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.  
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CDC category A   Primary Infection stage; includes acute symptomatic and early infection phases. virus is widely disseminated in lymphoid tissue and latent reservoir created.  
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latent reservoir   virus that hides in resting memory CD4+ Tcells.  
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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)  
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After viral set point is reached.....   people enter into chronic phrase. Immune system is still trying to destroy pathogens w/o success.  
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Category A   More than 500 T Lymphocytes  
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Category B   499-200  
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Category C   Less than 200. This is AIDS officially.  
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clinical management of AIDS   Most problems are caused by opportunistic infections. TMP-SMZ is the treatment of choice.  
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Nursing Interventions for patients with AIDS   -promote skin integrity, usual BMs -prevent infection -improve activity intolerance, nut. status -coping with grief and emotional isolation  
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