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Nursing Theory IV > STI > Flashcards

Flashcards in STI Deck (18)
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1

Nursing Assessment

Risk factors
Discharge
Painful lesions
Contact with infected persons
Multiple partners
Pregnancy

2

Nursing Assessment

Contraceptive use
Needle sharing
Lesions
Itching, chills, N/V, alopecia
Dysuria, urinary frequency, retention

3

Nursing Assessment

Fever
Lymphadenopathy
Symmetric rash
Erythema
Inflamed Bartholin's glands
Positive cultures/ smears/ DNA amplification

4

Planning

Client with STI will:
Demonstrate understanding of mode of transmission and risk imposed
Complete treatment and follow-up

5

Planning

Notify sexual contacts of need for testing
Abstain until infection is resolved
Demonstrate knowledge of safer sex practices

6

Gonorrhea Collaborative Care

Reportable STI
Drug therapy:
- Penicillin
- Rocefin
- Penicillin resistant cephalosporins
- Suprax (most common), Cipro, Floxin, Ceftriaxone or Levaquin
- Treat for chlamydia

7

Syphillis Collaborative Care

Reportable STI
Drug therapy:
- Penicillin G
- Doxycline
- Recurring or persistant symptoms after drug therapy are re-treated
Monitor neurosyphillis with periodic serological testing

8

Chlamydial Infections: Collaborative Care

Not reportable
Drug therapy:
- Vibramycin
- Zithromax
- Doxycycline
- Alternatives of floxin or erythromycin if pregnant

9

Chlamydial Infections: Collaborative Care

Follow-up care for persistent symptoms
Treatment of partners
Encourage use of condoms

10

Genital Herpes: Collaborative Care

Not reportable
Drug therapy
- Antivirals: Acyclovir (most common), Valtrex, Famvir
- Inhibit viral replication and suppress frequent recurrences

11

Genital Herpes: Collaborative Care

Symptomatic care
- Genital hygiene
- Loose-fitting cotton underwear
- Lesions clean and dry
- Sitz baths
- Drying agents
- Condoms

12

Genital Warts: Collaborative Care

Not reportable
PAP screening
Removal of symptomatic warts
- TCA or BCA
- Podophyllin resin for small extragenital warts

13

Genital Warts: Collaborative Care

Podofilox liquid/ gel
Imiquimod cream
Cryotherapy
Electrocautery
Laser therapy
Surgical excision
Vaccination as prevention

14

Nursing Diagnoses

Risk for infection: r/t lack of knowledge, inadequate genital hygiene, failure to practice precautionary measures
Ineffective health maintenance: r/t lack of knowledge, appropriate follow-up, possibility of re-infection
Anxiety: r/t effect of condition on relationships
Acute pain: r/t presence of lesions
Impaired skin integrity: r/t presence of lesions
Situational low self esteem: r/t disease manifestations, social stigma
Sexual Dysfunction: r/t presence of STI

15

Nursing Implementation

Discuss practices with all clients
Screen for cervical cancer
Teach to inspect partner's genitals
Proper use of condoms
Avoid sexual contact with HIV infected persons
Establish risk of contracting STI

16

Nursing Implementation

Compassion and respect
Screening programs
Locating and examining all contacts of person with STI for testing/ treatment
Education programs
Counselling to verbalize feelings
Explain side effects, need for treatment adherence, and follow-ups

17

Nursing Implementation

Emphasize hygien (hand washing, bathing)
Avoid douching
Avoid synthetic materials in undergarments
Abstinence during treatment period, condoms afterwards
Avoid oral-genital contact

18

Evaluation

Client with STI will:
Demonstrate modes of transmission
Use appropriate hygienic measures
Experience no reinfection
Demonstrate compliance with follow-up protocol