Datc Nrsg 1022 Lifespan Std, Human Sexuality, Reproduction Problems Test 7

Front 1

Chlamydia (Characteristics)

Back 1

Causative Agent: Bacterial chiamydia trachomatis. S/S: spotting, post coital bleeding, mucoid/purulant cervical discharge, dysuria. Risk Factors: multiple partners, non-use of barrier methods, low socioeconomic status

Front 2

Chlamydia ( Nursing Interventions)

Back 2

Instruct pts to notify sexual partners in the past 2 mo. of their need to get tx. No sexual activity or use condoms until both client and partners are symptom free. Instruct on use of medicatons prescribed.

Front 3

Chlamydia (treatment)

Back 3

antibiotics. Doxycycline 100 PO Q12H for 7 days. Azithromycin 1 gm PO single dose.

Front 4

Gonorrhea (characteristics)

Back 4

Cause: Gram neg diplococci. S/S: may be asymptomatic, purulent endocervical(women) , irregular menses, chronic pelvis pain, dysuria, frequency of urination, urethral discharge (men)-white, yellow, green thick. Risk Factors-multiple partners, non use of barrier methods, low socioeconomic status. Ascending Spread: PID, endometritis, salpingitis, pelvic peritonitis. Symptoms may occur w/in 2-10 days after exposure spread during sexual intercouse (vaginal, oral, anal)

Front 5

Gonorrhea (Nursing Interventions)

Back 5

Sexual partners of the past 2 mo. need to be assessed. Return if symptoms persist. Avoid sexual activity unitl symptoms subside in both pt and partners. Provide instructions regarding medications perscribed.

Front 6

Gonorrhea (Treatment)

Back 6

Antibiotics. Single dose of Cipro 250 MG followed by a 7 days course of Doxycycline 100 MG PO. noncompliant: Single dose Azithromycin 2 G PO.

Front 7

Syphilis (Characteristics)

Back 7

caused treponema Pallidum, a spirochete. Can become systematic, causes serious complications, death. Currently most cases- areas of southern US, men who have sex with men. Risk factors: adolescence, women of color and living in southeastern states. It is NOT airborne. Transmission: sex contact, when draining chancre present, close body contact, kissing

Front 8

Syphilis (treatment)

Back 8

Penicillin G 2.4 million units IM x 1 (if has had infection for more than 1 yr repeat dose for a total of 3) Doycycline used if allergic to penicillin.

Front 9

Syphilis (secondary)

Back 9

develops 6 wks to 6 mo after primary. Systemic. Clinical manifestations: generalized rash most common. Palms of hands, sole of feet. flu like symptoms.

Front 10

Syphilis(tertiary)

Back 10

4-20 years (not infectious expect to fetus) untreated cases: small minority will develop, bacteria can damage-heart, eyes, brain, nervous system, bones, joints, almost any part of the body.

Front 11

Genital Herpes (characteristics)

Back 11

virus: Herpes simplex. Type 1 (HSV-1) causes sores of the lips (fever, blisters, cold sores) Type 2 (HSV-2) cause genital sores. *either can infect the other are following oral and anal sex.S/S tingling pain in the genital area, legs/buttocks, vaginal discharge/abd pain. Red bumps changing to blisters and then lesions appear of the infected sites. 1st episodes s/s: fever, muscle ache, HA, dysuria, swollen groin. Risk Factors: multiple sex partners, acquired usually through sexual contact w/ an infected person. An infected person may or may bot be aware of having genital herpes.

Front 12

Genital Herpes (Nursing interventions)

Back 12

Refer sexual partner to treatment. Teach that virus' can be transmitted even when the person experiences no symptoms. Instruct use of condoms. Teach females need annual PAP smear. Provide instruction regarding meds prescribed. May require a C-section if active virus present at time of delivery.

Front 13

Genital Herpes (treatment)

Back 13

there is no known cure. Tx has been geared towards alleviating symptoms. Acyclovir (Zovirox) has been used in the treatment to shorten the duration of the outbreaks.

Front 14

Candidiasis

Back 14

Cause: Candidia Albicans S/S-vulvar and vaginal pruitis, dryness,dysuria, thick white, lumpy dischage. Risk factors-antibiotics therapy, diabetes, pregnancy, obesity, diets high in sugar. Treatment-antifungal (oral and topical)

Front 15

Human Papillomavirus/Genital Warts(Characteristics)

Back 15

70 types identified (only types 6 & 11 cause visible lesions) Most often a symptomatic, subclinical or unrecognized, visible lesions are distinctive. Occurs in the urogenital, perineal, anal area, external or internal, painless. Risk Factors: multiple sex partners, teenage girls, women in their 20's.

Front 16

Human Papillomavirus/Genital Warts (Nursing interventions)

Back 16

Inform and treat sexual partners. Provide instructions regarding meds prescribed

Front 17

Human Papillomavirus/Genital Warts (treatment)

Back 17

none to eradicate. Some topical or surgical to manage outward lesions.

Front 18

Trichomoniasis (characteristics)

Back 18

Cause-trichomonas vaginalis (one-celled protozoan) S/S yellowish, green, copious frothy discharge, malodorus "strawberry" cervix. Risk Factors: always sexually transmitted, seen frequently w/ gonorrhea.

Front 19

Trichomoniasis (Nursing Implications)

Back 19

treat sexual partners simultaneously. Provide instructions regarding medications prescribed.

Front 20

Trichomoniasis(treatment)

Back 20

treat all partners. Flagyl 250 MG PO Q8Hrs X 7 days or 1-2 gm PO X one. Cannot give prego moms this during 1st trimester.

Front 21

Hepatitis B (characteristics)

Back 21

caused by the hep B virus. Transmitted primarily through direct contact w/ blood, vaginal secretions, and semen. Varies greatly from asymptomatic state, to severe hepatitis, to cancer. Inflammation of the liver, anorexia, vague abdominal discomfort, N/V, fatigue, jaundice. -Fever mild or absent, chronic liver disease, hepatic cancer, hepatic failure, death.

Front 22

Hepatitis B(treatment)

Back 22

Based on reliving symptoms because there is NO specific treatment for HBV. Several anti-viral available. Adefovir dipivoxil, peginterferon, lamivudine, entercarir, and interferon. Partners should receive medical prophylaxis w/in 14 days after exposure. Recommend 3 dose immunization series when this episode has abated

Front 23

Teaching

Back 23

How to take the prescribed medications. Getting all partners treated. When to resume sexual activity (usually following complete recovery from STIs)

Front 24

Gardasil-HPV vaccine

Back 24

HPV types 16 & 18. 70% cervical cancer. HPV types 6 & 11. 90% of genital warts. # injections over 6 months.