Nursing 213

N213: Health Differences Across the Lifespan 3 Study Guide o Entry and integrase inhibitors: raltegravir, enfuvirtide, and maraviroc; function by “locking” up the cell and blocking the virus from entering the cell or allowing it to break through the protein covering the CD4 cells • Give gastrointestinal relief medications per MD orderto help control diarrhea: o Loperimide (Immodium): This medication is an opium derivative and has good results for most patients with HIV/AIDS or medication related diarrhea that is mild in severity; sold over-the- counter and is relatively inexpensive o Diphenoxylate hydrochloride and atropine (lomotil): This is a prescription anti- diarrheal with a higher cost of therapy and higher incidence of side-effects; medication is more effective in controlling more severe forms of diarrhea • Administer antidepressant medications per MDorder: o Sertraline (Zoloft), paroxitine (Paxil), and citalopram (Celexa): Used to assist with coping and treating depression that occurs due to symptoms and disease process; may also be used in conjunction with support group therapy • Provide emotional support for patient and family members; refer patient and family to local support groups; encourage outings for recreation as tolerated to prevent social isolation • Teach patient to avoid crowds during times of seasonal infections (winter and spring months); encourage patient to get flu and pneumonia immunizations Expected outcomes for HIV/AIDS: • Demonstrates relief of symptoms • Patient remains free of secondary infection • Demonstrates adequate ventilation • Demonstrates adequate nutritional intake • Demonstrates social interaction with others • Demonstrates ability to tolerate activity • Verbalizes feelings about disease process • Verbalizes understanding of disease • Demonstrates adequate level of consciousness and orientation • Verbalizes and demonstrates adequate hand washing and infection control procedures Herpes Simplex The herpes simplex virus or (HSV) is caused by either Herpes Simplex Virus-1 (HSV-1) or Herpes Simplex Virus-2 (HSV-2). It is transmitted by either direct or intimate contact through the lesions themselves, body fluids near the lesions, or open wounds. It can also be transmitted by sharing cups, eating utensils, and oral sex. It can also be transmitted from mother to fetus during pregnancy or during birth and can have serious complications in newborns.

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