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HIV 201 $100 $200 $300 $400 $500 $100$100$100 $200 $300 $400 $500 Acronyms FINAL ROUND Transmission Disease Progression Treatment Grab Bag.

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Presentation on theme: "HIV 201 $100 $200 $300 $400 $500 $100$100$100 $200 $300 $400 $500 Acronyms FINAL ROUND Transmission Disease Progression Treatment Grab Bag."— Presentation transcript:

1 HIV 201 $100 $200 $300 $400 $500 $100$100$100 $200 $300 $400 $500 Acronyms FINAL ROUND Transmission Disease Progression Treatment Grab Bag

2 Acronyms: $100 Question What does H.I.V. stand for? BACK TO GAME ANSWER

3 Acronyms: $100 Answer What does H.I.V. stand for? Human Immunodeficiency Virus BACK TO GAME

4 Acronyms: $200 Question What does A.I.D.S. stand for? BACK TO GAME ANSWER

5 Acronyms: $200 Answer What does A.I.D.S stand for? Acquired Immune Deficiency Syndrome BACK TO GAME

6 Acronyms: $300 Question What does H.A.A.R.T. stand for? BACK TO GAME ANSWER

7 Acronyms: $300 Answer What does H.A.A.R.T. stand for? Highly Active Anti-Retroviral Therapy Due to rapid reproduction of virus, resistance occurs easily. Attacking multiple parts of the virus life cycle with several medications reduces this risk. BACK TO GAME

8 Acronyms: $400 Question What is A.D.A.P. and Ryan White Title III and what services do they provide? BACK TO GAME ANSWER

9 Acronyms: $400 Answer What is A.D.A.P. and Ryan White Title III and what services do they provide? AIDS Drug Assistance Program pays for HIV-related medication for individuals without insurance. Meds are distributed through Avella Specialty Pharmacy and can be delivered or sent to clients. Ryan White funding helps client with HIV associated doctor visits and labs. (Not an insurance.) BACK TO GAME

10 Acronyms: $500 Question What is Post-Exposure Prophylaxis (P.E.P.) and what is Pre-Exposure Prophlaxis (Pr.E.P.)? BACK TO GAME ANSWER

11 Acronyms: $500 Answer What is P.E.P. and what is Pr.E.P.? Post-exposure Prophylaxis: treatment after known or suspected exposure (e.g. occupational such as needle sticks) to HIV, hepatitis or other blood-borne pathogens. Pre-Exposure Prophylaxis is currently under study and attempts to reduce transmission in populations at risk for HIV through daily antiretroviral therapy prior to exposure. BACK TO GAME

12 Transmission: $100 Question In which 4 body fluids is HIV transmitted? BACK TO GAME ANSWER

13 Transmission: $100 Answer In which 4 body fluids is HIV transmitted? 1. Semen 2. Blood 3. Vaginal Secretions 4. Breast Milk BACK TO GAME

14 Transmission: $200 Question Name 3 ways HIV transmitted. BACK TO GAME ANSWER

15 Transmission: $200 Answer Name 3 routes of transmission of HIV. 1. Exposure to blood 2. Sexual contact (exposure to body fluids) 3. Vertical Transmission (mom to infant) 4. Breastfeeding BACK TO GAME

16 Transmission: $300 Question Name 1 factor that might increase the risk of HIV transmission during oral sex. BACK TO GAME ANSWER

17 Transmission: $300 Answer Name 1 factor that might increase the risk of HIV transmission during oral sex. 1. Cuts or sores in mouth 2. Ejaculation into mouth 3. Recipient has other sexually transmitted infections BACK TO GAME

18 Transmission: $400 Question 1. What is “superinfection”? BACK TO GAME ANSWER

19 Transmission: $400 Answer 1. What is “superinfection”? 1. Superinfection may occur if an HIV+ individual contracts the strain of another HIV+ person (seroconcordant). 2. New strain may present new resistance patterns and quicken progression of disease. BACK TO GAME

20 Transmission: $500 Question Do all HIV+ moms give birth to HIV+ babies? BACK TO GAME ANSWER

21 Transmission: $500 Answer Do all HIV+ moms give birth to HIV+ babies? No. There is a 1 in 4 chance, that is reduced to: 1 in 12 chance, if: mom takes antiretrovirals Less than 1 in 50 chance, if: mom takes antiretrovirals during pregnancy/labor/delivery, has baby by Caesarean section, and doesn’t breastfeed ***Infant may test “positive” for antibodies at birth as mom normally transfers antibodies during pregnancy. BACK TO GAME

22 Disease Progression: $100 Question What is the difference between HIV and AIDS? BACK TO GAME ANSWER

23 Disease Progression: $100 Answer What is the difference between HIV and AIDS? AIDS is an advanced HIV disease state defined by certain conditions at which a number of illnesses are more likely to occur. Once an AIDS diagnosis is given, it is permanent whether or not the immune system recovers. BACK TO GAME

24 Disease Progression: $200 Question What are the 2 main laboratory tests medical providers use to monitor HIV disease progression? BACK TO GAME ANSWER

25 Disease Progression: $200 Answer What are the 2 main laboratory tests medical providers use to monitor HIV disease progression? CD4 count and HIV viral load BACK TO GAME

26 Disease Progression: $300 Question What is the CD4 laboratory definition of AIDS? BACK TO GAME ANSWER

27 Disease Progression: $300 Answer What is the CD4 laboratory definition of AIDS? CD4 count < 200 cells/mm 3 BACK TO GAME

28 Disease Progression: $400 Question What is the current definition of “undetectable” in copies/ml by most labs using an ultra- sensitive test? a. < 2 b. < 16 c. < 48 d. < 75 e. < 98 BACK TO GAME ANSWER

29 Disease Progression: $400 Answer What is the current definition of “undetectable” in copies/ml by most labs using an ultra- sensitive test? a. < 2 b. < 16 c. < 48 e. < 75 e. < 98 BACK TO GAME

30 Disease Progression: $500 Question Name an opportunistic infection. BACK TO GAME ANSWER

31 Disease Progression: $500 Answer Name an opportunistic infection. Candidiasis (thrush) Coccidioidomycosis (Valley Fever) Cryptococcus Cytomegalovirus Hepatitis C Virus Herpes simplex virus-Severe Herpes zoster Histoplasmois Malaria Mycobacterium avium complex Pelvic Inflammatory Disease Pneumocystis pneumonia Toxoplasmosis Tuberculosis Urinary Tract Infection-Recurrent BACK TO GAME

32 Treatment: $100 Question What percentage of the time are clients expected to take their medications in order to prevent drug-resistance? a. 55 % b. 65 % c. 85 % d. 95 % BACK TO GAME ANSWER

33 Treatment: $100 Answer What percentage of the time are clients expected to take their medications in order to prevent drug-resistance? a. 55 % b. 65 % c. 85 % d. 95 % BACK TO GAME

34 Treatment: $200 Question Normal T cell count is cells/mm 3. At what T cell count is antiretroviral most commonly started? a. 200 b. 500 c. 750 d. as soon as possible BACK TO GAME ANSWER

35 Treatment: $200 Answer Normal T cell count is cells/mm3. At what T cell count is antiretroviral most commonly started? a. 200 b. 500 c. 750 d. as soon as possible after infection (under most circumstances, assuming people are willing and able to take the medications) BACK TO GAME

36 Treatment: $300 Question Why would someone with HIV need to take a daily antibiotic if they have a low T cell count? BACK TO GAME ANSWER

37 Treatment: $300 Answer Why would someone with HIV need to take a daily antibiotic if they have a low T cell count? To prevent opportunistic infections. Bactrim/Septra (PCP) CD4 < 200 pyramethadine (Toxoplasmosis) CD4 < 100 azithromycin, clarithromycin (MAC) CD4 < 50 acyclovir (HSV, HZV) isoniazid (TB) fluconazole (cocci) gangciclovir (CMV) BACK TO GAME

38 Treatment: $400 Question What is the life expectancy of someone with HIV? BACK TO GAME ANSWER

39 Treatment: $400 Answer What is the life expectancy of someone with HIV? New studies show that life expectancy can be close to normal if: the person is on antiretroviral therapy, the person has a low viral load and CD4 counts above 350, the person is not co-infected with viral hepatitis and is not an injecting drug user. BACK TO GAME

40 Treatment: $500 Question Name 2 complimentary/alternative treatments that are common in HIV positive patients. BACK TO GAME ANSWER

41 Treatment: $500 Answer Name 2 complimentary/alternative treatments that are common in HIV positive patients. 1. Traditional healing: ayurveda, Chinese acupuncture, Native American healing. 2. Chiropractic, massage, or yoga. 3. Homeopathy and herbs. 4. Energy work such as reiki. 5. Dietary supplements: vitamins and minerals. BACK TO GAME

42 Grab Bag: $100 Question Name a common type of test for HIV. BACK TO GAME ANSWER

43 Grab Bag: $100 Answer Name a common type of test for HIV. 1. Rapid test for antibodies 2. ELISA blood-draw test for antibodies (confirmatory) 3. Direct blood test for the virus through PCR BACK TO GAME

44 Grab Bag: $200 Question In general, how often should most patients have labs done and be seen by the HIV specialist? a. 2-3 months b. 3-6 months c months d. once a year BACK TO GAME ANSWER

45 Grab Bag: $200 Answer In general, how often should most patients have labs done and be seen by the HIV specialist? a. 2-3 months b. 3-6 months c months d. once a year BACK TO GAME

46 Grab Bag: $300 Question Describe at least 2 parts of the HIV virus life cycle. BACK TO GAME ANSWER

47 Grab Bag: $300 Answer Describe at least 2 parts of the HIV virus life cycle. 1. Attachment to CD4 cell. 2. Reverse Transcriptase converts RNA to DNA. 3. Viral DNA integrated into host DNA. 4. Host nucleus produces viral RNA. 5. Viral components repackaged. 6. Virus released. BACK TO GAME

48 Grab Bag: $400 Question What are 2 life issues that predict poor adherence and two that predict positive adherence? BACK TO GAME ANSWER

49 Grab Bag: $400 Answer Poor Substance abuse Work outside home Depression Lack of perceived med efficacy Lack of advanced disease Concern over side effects Regimen complexity Positive Once/Twice daily regimen Belief in ability to adhere Not living alone/Sig Other Hx of opportunistic infection or advance HIV disease Belief in efficacy of HAART Belief that non-adherence leads to viral resistance What are 2 life issues that predict poor adherence and two that predict positive adherence? BACK TO GAME

50 Grab Bag: $500 Question Name 3 side effects of antiretroviral medications. BACK TO GAME ANSWER

51 Grab Bag: $500 Answer Name 3 side effects of antiretroviral medications. abdominal pain acute respiratory distress syndrome alopecia anemia anorexia cough arthralgia bronchitis cardiomyopathy rash high cholesterol cushingoid features depression dizziness dyspesia esophageal ulcers fatigue flatulence headache hyperpigmentation hypertension insomnia malaise kidney failure lactic acidosis lipodystrophy liver failure urticaria muscle breakdown nausea vomiting stroke diarrhea neutropenia pancreatitis pharyngitis peripheral neuropathy respiratory failure rhinitis seizures night sweats nightmares psychosis BACK TO GAME

52 FINAL ROUND Question Name 3 important steps that individuals might take once they find out they are HIV positive. BACK TO GAME ANSWER

53 FINAL ROUND Answer Name 3 important steps that an individual might take once they find out they are HIV positive. 1. Identify support in family and friends. 2. Connect with others who are HIV+ and participate in social support groups. 3. Medical appointment (El Rio, UMC, VA) and lab work (CD4 and viral load). 4. Consider treatment: substance abuse and mental health and identify stressors. 5. Connect with social service agencies like TIHAN or SAAF. 6. Investigate spirituality or religion. 7. Keep a journal. 8. Initiate discussion with sexual partners. 9. Get tested for Hep C and STIs. 10. Become involved in helping others with HIV. 12. Evaluate safer sex practices. 13. Consider alternative/complementary therapies. 14. Evaluate state of nutrition and exercise. FINISH BACK TO GAME

54 You win! Congratulations!


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