NUR 566 FINAL STUDY GUIDE
Chlamydia
(Among Adolescents and Adults) Treatment - Answer -Doxycycline 100 mg Orally BID
for 7 day
**Alternative therapy:
- Azithromycin 1g Orally in a single dose
- Levofloxacin 500 mg orally daily for 7 days
Uncomplicated gonococcal urethritis Treatment - Answer -Chlamydial infection is
excluded:
Ceftriaxone 500 mg IM single dose
If Chlamydial infection has not been excluded:
- Ceftriaxone 500 mg IM single dose
- Doxycycline 100 mg Orally BID for 7 day
**Alternative therapy:
-Gentamicin 240 mg IM in a single dose +
Azithromycin 2 g orally in a single dose
- Cefixime 800 mg orally in a single dose
Bacterial Vaginosis Treatment - Answer -- Metronidazole 500 mg orally BID for 7 days
- Metronidazole gel 0.75% one full applicator intravaginal, once a day for 5 days
- Clindamycin vaginal cream 2% one full applicator intravaginal, at bedtime for 7 days
Herpes Simplex Virus
(First Clinical Episode) Treatment - Answer -- Acyclovir 400 mg orally TID for 7-10 days
- Famciclovir 250 mg orally TID for 7-10 days
- Valacyclovir 1 g orally twice a day for 7-10 days
Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) Treatment - Answer --
Ceftriaxone 500 mg IM in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID of 14 days
- Cefoxitin 2g IM in a single dose +
Probenecid 1g orally in a single dose +
Doxycycline 100 mg orally BID for 14 days +
, Metronidazole 500 mg orally BID for 14 days
- Other parenteral third generation Cephalosporin (Ceftizoxime or Cefotaxime) +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
Syphilis Treatment - Answer -Benzathine Penicillin G 2.4 million units IM in a single
dose
Doxazosin side effects (due to alpha 1 receptor being blocked) - Answer -
dizziness/syncope, headache, first-dose orthostatic hypotension, drowsiness, nasal
congestion
Dutasteride (Avodart) patient teaching - Answer -benefits take months to develop, must
continue taking med even if improvement not rapidly seen
may lower ejaculatory volume & libido
Should not be handled by pregnant women as the medication is teratogenic
How to know Terazosin is working? - Answer -improved symptoms of dysuria, urgency,
urinary tract infections, hesitancy etc.
Improvement should occur rapidly
Oral Estrogen - Answer -Most convenient and used most often.
Transdermal Estrogen - Answer -Total dose of estrogen is greatly reduced. Less
nausea and vomiting, blood levels of estrogen fluctuate less. Lower risk for DVT, PE,
and stroke.
Intravaginal Estrogen - Answer -Used for local effects. Primarily treatment of vulval and
vaginal atrophy associated with menopause.
Femring (vaginal ring) - used for systemic effects (controlling hot flashes and night
sweats), as well as local effects (vulval and vaginal atrophy)
Parenteral Estrogen - Answer -Limited to acute, emergency control of heavy uterine
bleeding
When is it safe to prescribe Progesterone (Progestin)? - Answer -Safe: Menopausal
hormone therapy, dysfunctional uterine bleeding, amenorrhea, endometrial Hyperplasia
and carcinoma, In Vitro Fertilization
When is it not safe to prescribe Progesterone (Progestin)? - Answer -Not safe:
Undiagnosed abnormal vaginal bleeding, active thrombophlebitis, history of
thromboembolic disorders, active liver disease and carcinoma of the breast
Chlamydia
(Among Adolescents and Adults) Treatment - Answer -Doxycycline 100 mg Orally BID
for 7 day
**Alternative therapy:
- Azithromycin 1g Orally in a single dose
- Levofloxacin 500 mg orally daily for 7 days
Uncomplicated gonococcal urethritis Treatment - Answer -Chlamydial infection is
excluded:
Ceftriaxone 500 mg IM single dose
If Chlamydial infection has not been excluded:
- Ceftriaxone 500 mg IM single dose
- Doxycycline 100 mg Orally BID for 7 day
**Alternative therapy:
-Gentamicin 240 mg IM in a single dose +
Azithromycin 2 g orally in a single dose
- Cefixime 800 mg orally in a single dose
Bacterial Vaginosis Treatment - Answer -- Metronidazole 500 mg orally BID for 7 days
- Metronidazole gel 0.75% one full applicator intravaginal, once a day for 5 days
- Clindamycin vaginal cream 2% one full applicator intravaginal, at bedtime for 7 days
Herpes Simplex Virus
(First Clinical Episode) Treatment - Answer -- Acyclovir 400 mg orally TID for 7-10 days
- Famciclovir 250 mg orally TID for 7-10 days
- Valacyclovir 1 g orally twice a day for 7-10 days
Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) Treatment - Answer --
Ceftriaxone 500 mg IM in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID of 14 days
- Cefoxitin 2g IM in a single dose +
Probenecid 1g orally in a single dose +
Doxycycline 100 mg orally BID for 14 days +
, Metronidazole 500 mg orally BID for 14 days
- Other parenteral third generation Cephalosporin (Ceftizoxime or Cefotaxime) +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
Syphilis Treatment - Answer -Benzathine Penicillin G 2.4 million units IM in a single
dose
Doxazosin side effects (due to alpha 1 receptor being blocked) - Answer -
dizziness/syncope, headache, first-dose orthostatic hypotension, drowsiness, nasal
congestion
Dutasteride (Avodart) patient teaching - Answer -benefits take months to develop, must
continue taking med even if improvement not rapidly seen
may lower ejaculatory volume & libido
Should not be handled by pregnant women as the medication is teratogenic
How to know Terazosin is working? - Answer -improved symptoms of dysuria, urgency,
urinary tract infections, hesitancy etc.
Improvement should occur rapidly
Oral Estrogen - Answer -Most convenient and used most often.
Transdermal Estrogen - Answer -Total dose of estrogen is greatly reduced. Less
nausea and vomiting, blood levels of estrogen fluctuate less. Lower risk for DVT, PE,
and stroke.
Intravaginal Estrogen - Answer -Used for local effects. Primarily treatment of vulval and
vaginal atrophy associated with menopause.
Femring (vaginal ring) - used for systemic effects (controlling hot flashes and night
sweats), as well as local effects (vulval and vaginal atrophy)
Parenteral Estrogen - Answer -Limited to acute, emergency control of heavy uterine
bleeding
When is it safe to prescribe Progesterone (Progestin)? - Answer -Safe: Menopausal
hormone therapy, dysfunctional uterine bleeding, amenorrhea, endometrial Hyperplasia
and carcinoma, In Vitro Fertilization
When is it not safe to prescribe Progesterone (Progestin)? - Answer -Not safe:
Undiagnosed abnormal vaginal bleeding, active thrombophlebitis, history of
thromboembolic disorders, active liver disease and carcinoma of the breast
