NURS 546 Midterm Study Set Questions And Answers

NURS 546 Midterm Study Set Questions And Answers BV treatment - ANSWER Metronidazole 500mg BID x 7 days Metronidazole gel 0.75% 1 application (5g) daily QD x 5 days Clindamycin cream 2% 1 application (5g) QD at bedtime x 7 days BV treatment for recurrence - ANSWER May consider Metronidazole 2x weekly 2-4 mo OR Nitroimidazole PO, f/b Boric Acid (NOT in pregnancy) and metronidazole BV risk factors - ANSWER multiple sex partners douching lack of barrier use hygiene absence or dec in lactobacilli, or few H2O2 producing lactobacilli BV treatment metronidazole education - ANSWER caution against drinking alcohol with use, during and 24 hours post use stomach upset common metallic taste BV treatment clindamycin education - ANSWER cream is oil based, may degrade latex condoms inc risk of breakage within 72 hours of use BV Amsel Criteria - ANSWER Diagnose if 3 or 4 are present: 1. pH (4.5) 2. Positive whiff test 3. Clue cells on microscopy 4. Discharge BV symptomology - ANSWER odor (amine), discharge (milky white, thin, "fishy") usually vulva and cervix are not involved, may be asymptomatic pH 4.5 positive whiff test wet mount: clue cells 20% on sample no or few WBC, few lactobacilli on slide BV treatment in pregnancy - ANSWER Metronidazole 500 mg twice a day for 7 days treat as early as possible, re-exam for recolonization in 1 month Candidiasis (VVC) s/s - ANSWER thickened, curd-like "cottage cheese" white discharge *pruritus* vulva and labial swelling and erythema, erythematic vaginal walls no odor no common effect on cervix pH usually 4.5 Dx of Candidiasis (VVC) - ANSWER wet mount KOH will see pseudohyphae or spores Tx of VVC - ANSWER OTC intravaginal meds: Butoconazole (Gynazole), Clotrimazole (Gyne-Lotrimin), Miconazole (Monistat), Tioconazole (Vagistat) creams Prescription intravaginal agents: Nystatin (Mycostatin) vaginal tablet 100,000 unit for 14 days Prescription oral agent: Fluconazole (Diflucan) 150mg tablet PO once Complicated VVC - ANSWER Recurrent (RVVC) 4 or more episodes in one year Severe - edema, excoriation, fissure formation Non-albicans strain Compromised host Tx for RVVC - ANSWER 7-14 days topical therapy PLUS Fluconazole 100, 150 or 200mg given every 3rd day (1, 4, 7) Treatment for VVC in pregnancy - ANSWER 7 days topical therapy *Fluconazole is contraindicated* KOH prep kills off all _____ _______ cells - ANSWER non-fungal Trichomoniasis symptomology - ANSWER itching, discharge, 70% may be asymptomatic frothy, gray, yellow/green discharge cervical petechiae (strawberry cervix) dysuria, dyspareunia pH 4.5 may have positive whiff test wet mount: motile protozoa, many WBC treatment of partner required in: - ANSWER BV - No