Nurs 6630 Exam 1: Chapter 47 STI Drugs (Answered) Verified Solution

Nurs 6630 Exam 1: Chapter 47 STI Drugs (Answered) Verified Solution Syphilis caused by Treponema pallidum, spread by direct contact of mucosal tissue w/ infected lesions. Syphillis screen high-risk patients and all pregnant women. Parenteral penicillin G is the drug of choice, If patient is allergic, treat with 14 days of doxycycline or tetracycline Benzathine penicillin G IM The drug of choice for treatment of primary or secondary syphilis is Primary A solitary, painless chancre is most consistent with which of the following stages of syphilis? Gonorrhea often co-infection w/ chlamydia, Ceftriaxone 250mg IM one time , can use cefixime 400 mg PO once Gonorrhea resistant to fluroquinolones Azithromycin 1 gram PO x 1 or Doxycycline 100mg twice daily for 7 days When treating suspected gonorrhea in a nonpregnant patient, the patient should be concurrently treated for chlamydia with: 3-6 months Ongoing monitoring is essential after treating for gonorrhea. The patient should be re-screened for gonorrhea and chlamydia in: chlaymdia (chlamydia trachomatis) most common reported STI in the US co-infection w/ Gonorrhea tx: Azithromycin 1g as a single dose for 7 days or doxycycline 100mg twice daily for 7 days Chancroid caused by Haemophilus ducreyi, co- infection with HIV, syphilis, & HSV can occur Chancroid tx is initiated when: 1.) one or more painful ulcers 2.) negative tests for syphilis & herpes simplex virus (HSV) 3.) tender suppurative inguinal or regional lymphadenopathy --oral azithromycin 1g or ceftriaxone 250 (IM) or oral ciprofloxacin 500mg twice daily for 3 days or erythromycin 500mg PO 3 times/day for 7 days What medication would you anticipate prescribing a patient with a chancroid lesion? azithromycin 1g PO ---ceftriaxone 250mg IM, or erythromycin 500mg PO 3 times/day for 7 days