50 Qs - 2 dose calc, 6 SATA S/S: Syphilis - ▪ Chancre ▪ Fever ▪ Headache ▪ Muscle aches ▪ Rash Late: ▪ Organ failure ▪ Blindness ▪ Neuro changes A 20-year-old sexually active male reports symptoms of a low-grade fever, headache, malaise, muscular aches, sore throat, and a rash on his hands and feet. What condition does the nurse anticipate? A. HIV B. HPV C. Syphilis D. Gonorrhea Which stage of syphilis is this? ▪ Ulcer called chancre develop at the site of entry and can occur anywhere. ▪ Highly infectious stage, begins as a small papule, then breaks down to a painless, indurated, smooth weeping lesion - Primary syphilis Which stage of syphilis is this? ▪ Develops 6 weeks to 6 months, becomes systemic circulating in the blood. ▪ Commonly mistaken for the flu. Rash appears on the palmar surfaces of hands and feet. Patchy alopecia - Secondary syphilis Treatment: Syphilis - ▪ Penicillin G ▪ What do you ask before giving? "Do you have any allergies?" Treatment: Chlamydia - Azithromycin single dose 1 g IM Patient Education: Chlamydia - ▪ Abstinence (7 days) until treatment is completed ▪ Expedited Partner Therapy (EPT) - Educate the patient on the importance of contacting their sexual partners to enable them to seek testing and possible treatment. Prevention: Vulvovaginitis (SATA?) - • Wear cotton underwear. • Always wipe front to back after having a bowel movement or urinating. • Do not douche or use feminine hygiene sprays. • Do not use scented products. • Use ice packs to help inflammation Patient has heavy vaginal bleeding - What are you checking and what manifestations do you expect? (SATA?) - ▪ Iron levels ▪ CBC (H&H) ▪ Hormone levels ▪ Low blood pressure S/S: ▪ Dizziness ▪ Weakness ▪ Fatigue ▪ SOB Patient Education: Urinary Incontinence (SATA?) - ▪ Kegel exercises ▪ Bladder training ▪ No drinking after 5pm or 6pm ▪ Avoid foods or drinks with caffeine ▪ Skin care ▪ Proper hygiene Pharmaceutical Treatment: BPH - Alpha-1 blockers (doxazosin) - better for patients with hypertension too What medications should patients with BPH avoid? - Anticholinergics S/S: BPH - ▪ Distended bladder ▪ Visible mass above the symphysis pubis ▪ *Difficulty initiating urination* ▪ Decreased urine stream ▪ Diminished force of urinary stream ▪ Urinary hesitancy ▪ Urinary frequency ▪ Urinary urgency ▪ Urinary retention ▪ Incontinence ▪ Incomplete emptying of the bladder ▪ *Dribbling post-voiding* ▪ Nocturia ▪ Hematuria ▪ Straining with urination ▪ Obstruction of urine flow *presents as a uniform, elastic non-tender enlargement* Pharmaceutical Treatment: Erectile Dysfunction - ▪ Phosphodiesterase - 5 (PDE-5) inhibitors (ex: sildenafil, vardenafil, tadalafil)