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5. Describe assessment, treatment & teaching for STDS

5. Describe assessment, treatment & teaching for STDS. Chlamydial Infection-caused by virus “chlamydial trachomatis” S/s Men penile discharge Painful and frequent urination. Cont. S/s woman Vaginal discharge & lower abdominal pain No symptoms may be experienced. Assessment & Treatment.

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5. Describe assessment, treatment & teaching for STDS

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  1. 5. Describe assessment, treatment & teaching for STDS • Chlamydial Infection-caused by virus “chlamydial trachomatis” S/s Men • penile discharge • Painful and frequent urination

  2. Cont. • S/s woman • Vaginal discharge & lower abdominal pain • No symptoms may be experienced

  3. Assessment & Treatment • Take sexual hx • Chlamydial antigen test • Cell tissue culture • Treatment-single dose asithromyacin-Zithromax, or 7 day course of Vibromyacin(doxycycline)

  4. chlamydia

  5. Chlamydia Vaginitis

  6. Gonorrhea • Caused by neissara gonorrhoeate • S/s male • d/c from penis that is white or green • Burning on urination

  7. Gonorrhea • S/s female • Vaginal discharge • Redness swelling of external genitalia • Burning on urination • Abdominal pain • Abnormal menstruation

  8. Treatment • Single dose of Rocephin IM, Cipro IM or Orthoflex IM followed by 7 days of oral vibromyacin • If untreated, can cause sterility • Person remains infectious if untreated, even though symptoms disappear after 3-4 weeks

  9. Gonorrhea

  10. Syphillis • Caused by a spirochete Treponoma Pallidum. • Can be passed through placenta causing congenital syphilis • S/s progress in 4 stages

  11. First stage • Chancre-may last from 1 to 5 weeks • Disappears and becomes a painless red ulcer that may last from 1-5 weeks

  12. Primary syphilis-chancre

  13. Primary syphilis - chancre

  14. Primary syphyilis

  15. Second Stage • Occurs 6 weeks from contact • Rash on extremities hands and trunk

  16. Third Stage-Latent stage • No Symptoms • Disease may be spread by blood contact • Major organs being invaded

  17. Fourth Stage-Late stage • S/s: BLINDNESS • MENTAL ILLNESS • PARALYSIS • HEART DISEASE

  18. Diagnosis and Treatment • Dx based on blood confirmation of organism • Treatment of choice Pen G injections • patients allergic to penicillin may be treated with doxycycline 300mg daily for 21 days or oral amoxycillin 3gm twice daily with 1 gm of probenecid for 2 weeks.

  19. Herpes Simplex • Type II transmitted by sexual contact • S/s • Painful itching sores around genitals • Rash ,then blisters • Flu-like symptoms and burning on urination • Appearance and lab tests used to dx

  20. Herpes Simplex • Women Men

  21. Treatment for Herpes • No cure • May keep in check with antivirals

  22. Trichomonis • Caused by the parasite Trichomonas Vaginalitis • Usually transmitted sexually but can live on damp clothes and towels

  23. S/s women • blood spotting in vaginal discharge • heavy, yellowish-green or gray, frothy vaginal discharge • infection in the urethra, the tube that carries urine from the bladder out of the body • itching, burning or pain in the vagina • lower abdominal pain • musty vaginal odor • pain and/or burning when urinating • pain or discomfort during sexual intercourse (dyspareunia) • swelling in the groin • swollen and irritated vagina and cervix • urinating more than usual • vaginal or vulval redness • worsening symptoms when menstruating

  24. Trichomoniasis • S/s men • Few or no symptoms • infection of the urethra or prostate gland, which is involved in semen production • painful and/or difficult urination • thin, whitish discharge from the penis • tingling inside the penis • Treatment • Flagyl is drug of choice • Diagnostics by microscopic study and cultures

  25. Trichomoniasis

  26. Condylomata Acumulata • Venereal warts • Treatment-removing visible parts of warts for symptom relief High reoccurrance rate

  27. Condylamata

  28. Condylamata

  29. Vulva

  30. Bacterial Vaginosis • Caused by Gardenella Vaginalis • S/s are grey discharge and fishy odor • Treatment is Flagyl • Client teaching-no alcohol when taking meds as can have a rx with vomiting, tachycardia and hypotension • Note! Flagyl is contraindicated during pregnancy so a menstrual history or pregnancy test should be obtained before administration

  31. Vaginitis • Etiology:  bacteria  protozoa  viruses  yeasts

  32. The acidic environment (pH less than 5.0) of the vagina inhibits the growth of many pathogens. Several factors increase risk for infection.

  33. Factors that increase Risk • Skin diseases • Skin irritation • Perfumes • Nylon underwear • antibiotics

  34. Diagnosis made from description of symptoms and identification of pathogens in sample of vaginal discharge

  35. Types of vaginitis  candidiasis caused by Candida albicans, a fungus  trichomoniasis, caused by Trichomonas vaginalis, a protozoan

  36. Ways to decrease risk • Avoidance or irritants-chemicals, dyes, soaps • Cotton underwear, nonrestrictive clothing • Frequent cleansing with neutral agents • Heat in the form of sitz baths or irrigation • Avoid sexual intercourse during course of treatment

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