HIV/AIDS Nursing Notes (NUR 4636)
HIV/AIDS Nursing Notes
HIV overview
- HIV stands for Human Immunodeficiency Virus. It attacks the immune system by invading and destroying CD4 cells, key players in immune defense.
- When CD4 cells are reduced, the body becomes less able to fight infections, increasing risk of opportunistic infections and progression to AIDS.
Transmission and pathophysiology
- Transmission occurs through body fluids, such as blood or semen; the virus enters the bloodstream and targets CD4 cells, leading to immunosuppression.
HIV testing and ART (antiretroviral therapy)
- HIV testing sequence:
- Initial positive result commonly via an Enzyme-linked immunoassay (ELISA) test.
- A second, confirmatory test is required: options include Western blot or immunofluorescence assay.
- Start antiretroviral therapy (ART) after confirmation to suppress viral replication and preserve immune function.
Stages of HIV infection (CDC outline)
- Acute infection
- Occurs after exposure; flu-like symptoms appear after about 2-4\ \text{weeks}.
- Signs and symptoms: weight loss, low-grade fever, fatigue, sore throat, night sweats, myalgia.
- Ability to spread HIV is highest during this stage because large amounts of HIV are produced and the CD4 count drops.
- Asymptomatic infection or clinical latency
- Viral replication continues within lymphatics but slows down.
- Persistent generalized lymphadenopathy
- Usually free of symptoms; lymphadenopathy is present.
- End-stage disease (AIDS)
- Severe immune deficiency; very vulnerable to infections.
- Opportunistic infections occur; signs and symptoms include fever, wasting, fatigue, neoplasms, and cognitive changes.
- Note: CDC references indicate progression timelines and descriptions; progression to AIDS is common without treatment, with varying durations.
HIV and pregnancy: transmission risks
- During pregnancy, HIV can cross the placenta and infect the fetus.
- During labor and delivery, exposure to maternal blood and fluids increases transmission risk, especially when the amniotic sac ruptures (water breaks).
- Most babies who acquire HIV are infected around the time of delivery.
- Breastfeeding can also transmit HIV to the newborn.
Goals to reduce transmission
- Two primary goals:
- Protect the pregnant individual's health.
- Prevent transmission of HIV to the fetus/newborn.
Reducing transmission during pregnancy
- Take a combination anti-HIV drug regimen during pregnancy as prescribed (ART).
- If lab tests show a high HIV level, delivery by cesarean birth may be recommended; vaginal delivery is possible if viral load is not high.
- Continue anti-HIV drugs during labor and delivery as needed.
- Administer anti-HIV drugs to the baby after birth.
- Do not breastfeed.
- Following these guidelines, 99\% of HIV-infected women will not pass HIV to their babies.
- Nurses should adhere to standard precautions throughout care.
Women Who Are HIV-Positive: Impact and nursing management
- Impact of pregnancy and HIV: threats to the self, fetus, and newborn.
- Therapeutic management:
- Oral antiretroviral drugs twice daily from 14\text{ weeks} until birth.
- IV administration during labor.
- Oral syrup for the newborn in the first 6\text{ weeks} of life.
- Decisions regarding birthing method based on clinical status and preferences.
- Nursing assessment:
- Comprehensive history and physical examination.
- HIV antibody testing.
- Testing for other sexually transmitted infections (STIs).
Nursing management: Pretest and posttest counseling
- Education topics:
- Preparation for labor, birth, and postpartum period.
- Consideration of elective cesarean birth when indicated.
- Compliance with antiretroviral therapy.
- Family planning methods.
- Support mechanisms for the patient and family.