study guide

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alicia0309
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260685
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study guide
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2014-02-06 23:38:11
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114
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114 study guide chap 72,73,74,75,76
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  1. Which STDs have to be reported to the CDC?
    • HIV & AIDS
    • Gonorrhea
    • Chlamydia
    • Syphilis
    • Chanchroid
  2. What is Syphilis?
    • An STD that can become systemic and cause serious complications and even death.
    • Usually transmitted through Sexual Contact, but transmission can occur through close body contact and kissing
  3. primary syphilis
    • an ulcer or chancre
    • 1st sign, develops usually at the site of exposure
    • Highly infectious stage
  4. secondary syphilis
    develops in 6 weeks to 6 months after onset of primary syphilis

    Rash is contagious

    flulike symptoms
  5. what is Syphilis treated with?
    • PCN G
    • 1 shot for stages I and II 3 shots for stage III
    • stage IV in terminal
  6. which STDs are viral?
    • herpes
    • HPV
  7. which stds are bacterial
    • gonorrhea
    • syphilis???

    most contagious in mucosal surfaces
  8. herpes is
    • acute
    • recurring
    • viral
    • incurable
  9. HPV is related to ...
    • cervical cancer
    • anal and oral cancer
  10. benign prostate hyperplasia
    glandular units in the prostate the undergo an increase in the number of cells resulting in enlargement of the prostate gland

    The enlargement will be uniform in size and will not be painful or tender to palpation
  11. BPH
    S/s
    • hesitancy
    • frequency
    • reduced force and size of stream
    • sensation of incomplete bladder emptying
    • postvoid dribbling
    • nocturiia
  12. drug treatment for BPH
    category 1
    • Finasteride (Proscar)
    • Dutasteride (Avodart)

    lower the body's level of DHT (natural androgen) and can shrink the prostate but can take up to 6 months
  13. side effects of 1st category BPH Drugs
    Finasteride (Proscar) and dutastride (Avodart)
    • decreased Libido
    • ED

    • Proscar cannot be touched by childbearing female
    • teratogenic
  14. BPH Drug Therapy 2nd Category
    Alpha Blocking Agents Tamsulosin (Flomax) and Alfuaosin (Uroxatral). These drugs can be directly restricting the size of the prostate thereby restricting blood flow
  15. Alpha Blocking agents not only restrict the size of the prostate by restricting blood flow they also.....
    act to lower BP
  16. Surgical Procedure for BPH
    • TURP
    • transurethral resection of the prostate(most common)
  17. what is the number 1 complication with TURP?
    • bleeding/hemorrhage early on
    • bright red blood = arterial (notify MD Immediately) Monitor H&H
  18. what to expect post op TURP
    foley with large bulb 35-45cc and triple lumen
  19. pt teaching TURP
    • pt will have indwelling foley with bulb 35-45cc
    • Hematuria is normal (pink with small clots)
    • Expect continuous bladder irrigation
  20. surgical procedures other than transurethral TURP for BPH
    • Suprapubic prostatectomy
    • Retropubic prostatectomy
    • Perineal prostatectomy
  21. perineal prostatectomy
    surgeon makes incision between the scrtom and the rectum and removes the BPH tissue from below
  22. retropubic prostatectomy
    surgeon removes the BPH tissue directly through an abdominal incisions
  23. suprapubic prostatectomy
    surgeon approaches the prostate throughan incision in the urinary bladder and uses a finger to remove the BPH`
  24. prostate cancer
    Radical treatment
    remove the whole prostate

    • Side effects/complications:
    • ED due to damage to the pudendall nerve
    • Possible urinary incontinence
  25. what drugs are contraindicated if patient taking ED Drugs?
    Nitrates
  26. what are side effects for ed drugs
    • facial flushing headache
    • diarrhea
    • orthostatic hypotension
  27. encourage testicular cancer patients to ......
    store sperm
  28. 3 most common causes of postmenopausal bleeding that is noncancerous
    • Atrophic Vaginitis
    • Cervical Polyps
    • Endometrial Hyperplasia
  29. what is secondary Amenorrhea
    menstruation that has started but has stopped and has not returned for more than 3 months
  30. most common causes of Secondary Amenorrhea
    • Pregnancy
    • Lactation
    • menopause
  31. what is endometriosis?
    the endometrial tissue implants outside of the uterine cavity
  32. 2 most common symptoms of endometriosis
    pain and infertility

    • others include:
    • pain, dyspareunia, painful defecation, sacral backache, hypermenorrhea, fertility
  33. drug therapy for endometriosis
    Lupron, Danocrine, danazol: causes medical menopause (should only take 6/8 months)
  34. sign and symptoms of menopause
    • hot flashes
    • headache
    • night sweats
    • insomnia
    • anxiety
    • short term memory loss
    • decreased concentration
    • depression
  35. why isn't hormone therapy used much anymore?
    cervical cancer risk
  36. best way to prevent TSS
    handwashing before and after
  37. what is the reason most hysterectomy are done
    uterine leimyomas (fibroid)
  38. uterine leiomyomas
    • fibroids that are benign
    • pain is atypical
    • most women seek medical care because the heavy bleeding

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