Nursing 113 exam 1
Gain entry via mucocutaneous surfaces. Begins to multiply causing cell
destruction and vesicle formation.
Painful red vesicles 2-14 days after exposure
Small painful blisters filled with clear fluid
Genital Herpes Pathophysiology
May have no symptoms
First outbreak is accompanied by flu-like symptoms- fever and body aches
Urinary retention
Dysuria
Vaginal discharge
Urethral discharge men
Refional lymphadenopathy
Genital Herpes symptoms
Presumptive diagnosis
Viral culture is most definitive
No cure
Genital Herpes diagnosis and treatment
Acyclovir (Zovirax) 7-10 days or until lesions healed
Valacyclovir (Valtrex)
Famciclovir (Famvir)
Genital Herpes Pharmacology
HPV transmitted by vaginal, anal, oral-genital contact
Incubation period 2-3 months
HPV Patho
Clinical appearance on physical examination
Regular screening, Pap tests
Identify precancerous lesions
HPV Diagnosis and treatment
No drug to cure virus itself
Topical agents
Podofilox, imiquimod client applied
Podophyllum, trichloroacetic acid provider administered
Gardasil, Cervarix vaccinations
HPV Pharmacologic therapies
Chlamydia trachomatis
Chlamydia Patho
Dysuria, urinary frequency and discharge
Chlamydia signs and symptoms
Untreated chlamydia can lead to:
PID
Infertility
Ectopic pregnancy
Chlamydia complications
,PCR test
Nucleic acid hybridization test
Chlamydia diagnosis
Azithromycin (Zithromax), doxycycline ( Causes Diarrhea)
Both partners treated
Chlamydia Pharmacologic therapy
Pyogenic bacteria that causes inflammation
In men, acute pain
Epididymus, periurethral glands
In women
PID, endometritis, salpingitis, pelvic peritonitis
Gonorrhea Patho
Men
Dysuria, serous, milky, purulent penile discharge
Women
Dysuria, urinary frequency, abnormal menses
Increased vaginal discharge, dyspareunia
Anorectal gonorrhea
Pruritis, mucopurulent discharge, bleeding, pain
Gonococcal pharyngitis
Gonnorrhea signs and symptoms
Blindness, infection of joints, potentially lethal
Gonorrhea Complications in Newborns
PID in women
Epididymitis, prostatitis in men
Spread of infection to blood, joints
Increased susceptibility to, transmission of HIV
Gonorrhea complications
Cultures
Urinalysis
Gram stain
Tests for other STI
Gonorrhea Diagnositics
Eradication of organism
Prevention of reinfection or transmission other STIs
Gonorrhea Treatment
Break in skin, mucous membrane
Spread through blood, lymphatic system
, Congenital syphilis
Transferred to fetus through placental circulation
Syphilis Patho
Chancre, regional lymph node enlargement
3-4 weeks after infectious contact
Little or no pain
Highly infectious
Primary syphilis
6 weeks after initial chancre
Systemic with spirochete spreading to all major organ systems
Skin rash, mucous patches in oral cavity, sore throat
Generalized lympadenopathy, condyloma lata
Secondary syphilis
2 or more years after initial infection
Sexual transmission is possible in latent syphilis
Two types
Benign late syphilis
Diffuse inflammatory response
Latent and tertiary syphilis
Venereal Disease Research Laboratory (VDRL)
FTA-ABS confirmatory
Syphilis diagnosis
Penicillin G
IM in single dose
Treatment may result in Jarisch-Herxheimer reaction
Syphilis treatment
stop/limit smoking
limit caffeine, Alcohol, social drugs
street drugs pose real threat to the fetus
Women with chronic health disorders such as thyroid disease, seizures,
hypertension, and diabetes should talk to the doctor before having a baby ( some
medications may need to be changed for the safety of fetus)
Preconception teaching
both partners should have a physical and a dental exam prior to pregnancy to
avoid any necessary procedures that may cause harm to the fetus
preconception physical
calcium
protein
iron
b complex vitamin
vitamin c
magnesium
folic acid
( do not exceed recommended doses of these)
Preconception nurtrition
Gain entry via mucocutaneous surfaces. Begins to multiply causing cell
destruction and vesicle formation.
Painful red vesicles 2-14 days after exposure
Small painful blisters filled with clear fluid
Genital Herpes Pathophysiology
May have no symptoms
First outbreak is accompanied by flu-like symptoms- fever and body aches
Urinary retention
Dysuria
Vaginal discharge
Urethral discharge men
Refional lymphadenopathy
Genital Herpes symptoms
Presumptive diagnosis
Viral culture is most definitive
No cure
Genital Herpes diagnosis and treatment
Acyclovir (Zovirax) 7-10 days or until lesions healed
Valacyclovir (Valtrex)
Famciclovir (Famvir)
Genital Herpes Pharmacology
HPV transmitted by vaginal, anal, oral-genital contact
Incubation period 2-3 months
HPV Patho
Clinical appearance on physical examination
Regular screening, Pap tests
Identify precancerous lesions
HPV Diagnosis and treatment
No drug to cure virus itself
Topical agents
Podofilox, imiquimod client applied
Podophyllum, trichloroacetic acid provider administered
Gardasil, Cervarix vaccinations
HPV Pharmacologic therapies
Chlamydia trachomatis
Chlamydia Patho
Dysuria, urinary frequency and discharge
Chlamydia signs and symptoms
Untreated chlamydia can lead to:
PID
Infertility
Ectopic pregnancy
Chlamydia complications
,PCR test
Nucleic acid hybridization test
Chlamydia diagnosis
Azithromycin (Zithromax), doxycycline ( Causes Diarrhea)
Both partners treated
Chlamydia Pharmacologic therapy
Pyogenic bacteria that causes inflammation
In men, acute pain
Epididymus, periurethral glands
In women
PID, endometritis, salpingitis, pelvic peritonitis
Gonorrhea Patho
Men
Dysuria, serous, milky, purulent penile discharge
Women
Dysuria, urinary frequency, abnormal menses
Increased vaginal discharge, dyspareunia
Anorectal gonorrhea
Pruritis, mucopurulent discharge, bleeding, pain
Gonococcal pharyngitis
Gonnorrhea signs and symptoms
Blindness, infection of joints, potentially lethal
Gonorrhea Complications in Newborns
PID in women
Epididymitis, prostatitis in men
Spread of infection to blood, joints
Increased susceptibility to, transmission of HIV
Gonorrhea complications
Cultures
Urinalysis
Gram stain
Tests for other STI
Gonorrhea Diagnositics
Eradication of organism
Prevention of reinfection or transmission other STIs
Gonorrhea Treatment
Break in skin, mucous membrane
Spread through blood, lymphatic system
, Congenital syphilis
Transferred to fetus through placental circulation
Syphilis Patho
Chancre, regional lymph node enlargement
3-4 weeks after infectious contact
Little or no pain
Highly infectious
Primary syphilis
6 weeks after initial chancre
Systemic with spirochete spreading to all major organ systems
Skin rash, mucous patches in oral cavity, sore throat
Generalized lympadenopathy, condyloma lata
Secondary syphilis
2 or more years after initial infection
Sexual transmission is possible in latent syphilis
Two types
Benign late syphilis
Diffuse inflammatory response
Latent and tertiary syphilis
Venereal Disease Research Laboratory (VDRL)
FTA-ABS confirmatory
Syphilis diagnosis
Penicillin G
IM in single dose
Treatment may result in Jarisch-Herxheimer reaction
Syphilis treatment
stop/limit smoking
limit caffeine, Alcohol, social drugs
street drugs pose real threat to the fetus
Women with chronic health disorders such as thyroid disease, seizures,
hypertension, and diabetes should talk to the doctor before having a baby ( some
medications may need to be changed for the safety of fetus)
Preconception teaching
both partners should have a physical and a dental exam prior to pregnancy to
avoid any necessary procedures that may cause harm to the fetus
preconception physical
calcium
protein
iron
b complex vitamin
vitamin c
magnesium
folic acid
( do not exceed recommended doses of these)
Preconception nurtrition
