Lecture 4: Stds. Flashcards
What gender is twice as likely to become infected with STDs
Women are is twice as likely than men to become infected
The incidence of STDs most frequently happens and what age group
15 to 24
Why are women more likely to become infected with an STD
Because of the very vascular mucous membranes of the vagina, women are more easily affected with STDs than are men and are at greater risk for health problems caused by STDs.
Why do women have more asymptomatic std infections
Many STDs reside in the cervical os and cause little change in vaginal discharge or valvular tissue. This delay increases the likelihood of complications from STDs, including ascending infections that may cause reproductive organ damage and illness.
What is the nurses responsibility regarding STDs
Nurses in a variety of settings are responsible for identifying people at risk for STDs, caring for patients with diagnosed STDs, and preventing further cases through education in case finding. Nurses and secondary and tertiary care settings, such as acute care hospitals, have a responsibility to recognize patients who are at risk for or who had STDs, possibly while being treated for another unrelated health problem.
What type of environment does Trichomoniasis thrive in?
Alkaline
What are the signs and symptoms of trichomoniasis
The presenting symptoms include a purulent vaginal discharge that is thin or frothy, Malodorous, and yellow green or brownish gray. The pH of the vaginal discharge is usually greater than 4.5, higher than the normal acidic pH of the Vagina between about 3.8 to 4.5. Vulvar burning, itching, Edema, and redness may be present.
Treatments of choice are what for trichomoniasis
Metronidazole (Flagyl) ,2 g or tinidazole(tindamax) 2g in a single oral dose.
We should you advise patients are taking Flagyl and Tindamax.
Women should avoid using alcohol during the treatment and 24 hours for Flagyl or 72 hours for Tindamax after treatment is complete. Sexual partners should refrain from intercourse until I cure is established
When should you not give Flagyl to the patient
When the patient is pregnant
What are two complications that can happen with the patient that is pregnant with trichomoniasis.
Preterm labor and low birth weight of the newborn
What are the risk factors for bacterial vaginosis
Tissue trauma and sexual intercourse. Multiple partners, douching, and lack of vaginal lactobacilli( normal bacteria within the vagina), smoking.
What are the signs and symptoms of bacterial vaginosis
Thin, gray white vaginal discharge that typically exudes a fishy odor. Burning, itching, redness, Edema.
What is the treatment for bacterial vaginosis
Metronidazole or clindamycin is directed toward reestablishing the balance of flora in the vagina.
What are the symptoms of chlamydia
Chlamydial infection is often asymptomatic and many women. But women exhibits symptoms so much those of gonorrhea, such as yellowish vaginal discharge and painful urination. Pain during sex. Gonorrhea and chlamydia infections often coexist. If left and treated, chlamydia infection ascends from the cervix to involve the fallopian tubes, and is one of the chief causes of tubal scarring that results in PID, infertility, or ectopic pregnancy.
