Final - Chapter 37 - Anti-virals

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How is AIDS transmitted?
- sexual activity
- contact with infected fluids with broken skin
- needlesticks
- newborns during birth or breast-feeding
What are the therapeutic goals for HIV-AIDS?
- reduce HIV-related morbidity - prolong survival
- restore and preserve immunologic function
- promote maximum suppression of plasma HIV viral load
- prevent HIV transmission
What are the adverse effects of zidovudine (Retrovir)?
- Bone Marrow suppression
- neurotoxicity
- hepatotoxicity
- myopathy
- fatigue
- weakness
- HA
- N/V
- adb pain
- anorexia
What are the adverse effects of Kaletra?
- Anemia
- leukopenia
- hepatotoxicity
- thrombocytopenia
- hemorrhagic colitis
- pancreatits
- DVT
- N/V/D
- HA
- abd pain
- hyperglycemia
What drug is most commonly used in HIV pregnant mothers to prevent transmission to baby?

zidovudine (Retrovir)
What are the uses of Sustiva (efavirenz)?

preferred drug for initial therapy of HIV infection
What is the action of Sustiva (efavirenz)?

decreases the amount of HIV in the blood
what are the side effects of Sustiva (efavirenz)?
- Paresthesia
- hepatotoxicity
- Stevens-Johnson
- CNS Toxicity
- Rash
- fever
- diarrhea
- HA
- stomatitis
What are the nursing teaching on prevention of HIV?
- adequate infection control
- hygiene measures
- abstinence or always use barrier protection
- do not share needles
- do not donate blood
What are the nursing considerations for HIV therapy?
- must continue to take meds
- s/s of infection
- s/s of adverse effects (rash, SOB, LOC, jaundice) - report immediately
- lab monitoring
- take with food or milk
- hygiene, avoid crowds
For herpes why would IV acyclovir (Zovirax) be used?

severe episodes
For herpes and CMV (cytomegalovirus) why would PO acyclovir (Zovirax) be used?

prophylaxis

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Final - Chapter 37 - Anti-virals

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Final - Chapter 37 - Anti-virals

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2017-04-26T01:23:00Z