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HIV/ AIDS Killer or Chronically Manageable disease?
Pharmacotherapy Spring 2014 Exam 3
19
Pharmacology
Professional
03/31/2014

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Cards

Term
HIV
Definition
“infected” or “positive”
Term
AIDS
Definition
HIV+, acquired immune deficiency syndrome, immune system failing
Term
ART or cART
Definition
anti-retroviral therapy, drug combination
Term
naive
Definition
refers to a drug or ART (not previously on drugs), *some patients might be infected by someone on stable medication
Term
experienced
Definition
previously on ART (specific class or any ART)
Term
Blip
Definition
brief elevation in viral load, transient, return to normal in most PTs, happens to 1/4pts on ART, *usually not highly elevated
Term
salvage therapy
Definition
change in initial therapy due to medication intolerance, medication failure or virologic failure, change regimen (usually more complex)
Term
Deep salvage
Definition
highly drug-experienced patient, running out of options, medication "recycling"
Term
HIV-1
Definition
most common in US, subtypes: B is most prevalent in US, more virulent, relatively easily transmitted
Term
HIV-2
Definition
sub-saharan, African
Term
drug resistance
Definition
genotype-nucleoside mutation, phenotype-morphological change, tropism-change from environmental stimuli
Term
tropism
Definition
relationship of virus to CD4+ co-receptor
Term
HIV origin
Definition
HIV-1: chimpansee subspecies, west equatorial Africa
Term
HIV-2
Definition
sooty mangabeys, Guinea-Bissau (west Aftrica)
Term
function
Definition
orchestrate communication among other cell types of the immune system
Term
CD: “Clusters of Differentiation”
Definition
Cell-surface markers (proteins) that allow for categorization of T-cells (& other cell types) into specific lymphocyte subtypes, e.g., CD2+, CD3+, CD8+, etc.
Term
definition of AIDS
Definition
CD4 count < 200 or <14% total lymphocytes, infections (bacterial, fungal, protozoal, viral), malignancies (sarcoma, lymphoma)
Term
Transmission
Definition
IV drugs, sex (unprotected), blood product transfusion, mother-to-baby, occupational exposure
Term
prevention
Definition
behavioral modification, safety devices, pre-exposure prophylaxis or PrEP, post-exposure prophylaxis
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