Transcript Chapter 42

Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Chapter 44
Nursing Care of Patients with
Sexually Transmitted
Diseases
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Sexually Transmitted Disease
(STD)
Any infection that can be transmitted
through intimate contact with the genitals,
mouth, or rectum of another individual
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Disorders Related to STDS
 Vulvovaginitis
 Urethritis
 Mucopurulent
Cervicitis
 Proctitis
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Enteritis
Genital Ulcers
Cellular Changes
PID
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Pelvic Inflammatory Disease (PID)
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Pelvic Cavity Infection
Cervicitis
Endometritis
Salpingitis
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Pelvic Inflammatory Disease
(PID) (cont’d)
 Signs and Symptoms
 Risk Factors
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Multiple Sex Partners
STDs
Substance Abuse
Frequent Douching
IUD Use
 Abdominal Pain
 Purulent Vaginal
Discharge
 Pain with Intercourse
 Nausea, Vomiting
 Pain on Urination
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Interventions for PID
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Antibiotics
Laparoscopic Surgery for Adhesions
STD Testing
Education
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Chlamydia
 Etiology
 Chlamydia trachomatis
 Signs and Symptoms
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Urethritis
MPC
Conjunctivitis
Prostatitis, Epididymitis
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Chlamydia (cont’d)
 Diagnosis
 Culture
 NAT
 Interventions
 Antibiotics
 Ophthalmic
Ointment for Baby
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Gonorrhea
 Etiology
 Women
 Neisseria
gonorrhoeae
 Signs and Symptoms
 Men
 MPC, PID
 Urethritis
 Menstrual
Problems
 Urethritis
 Discharge
 Epididymitis
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Diagnosis
 Diagnosis
 NAT
 Culture
 Interventions
 Antibiotics
 Antibiotic Eye Drops
for Infant
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Syphilis
 Etiology
 Treponema pallidum
 Signs and Symptoms
 Primary Stage
 Chancre
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Syphilis (cont’d)
 Secondary Stage
 Flu-like Symptoms
 Skin Rash
 Condylomatous
Growths
 Tertiary Stage
 Gummas
 Systemic Disease
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Syphilis (cont’d)
 Serological Tests
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VDRL
RPR
ELISA
FTA-ABS
 Interventions
 Penicillin
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Trichomoniasis
 Signs and Symptoms
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Genital Redness and Swelling
Itching, Burning
Foul Discharge
Urethritis, Prostatitis
Strawberry Cervix
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Trichomoniasas (cont’d)
 Diagnosis
 Interventions
 Microscopic Exam
 Metronidazole
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Herpes Simplex
 Signs and Symptoms
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Vesicles/Ulcerations
Flu-like Symptoms
Lymphadenopathy
Urethritis, Cystitis
MPC
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Herpes
 Diagnostic Tests
 Cultures
 Western Blot
 Interventions
 Antiviral Medication
 Cesarean Delivery
to Protect Baby
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Condylomata (HPV)
 Genital Warts
 Diagnosis
 Colposcopy
 Biopsy
 Interventions
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Cryotherapy
Electrocautery
Topical Agents
Interferon Therapy
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
HPV (cont’d)
 Risk for Cervical Cancer
 Gardasil Vaccine
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Hepatitis B
 Etiology
 Signs and Symptoms
 Hepatitis B Virus
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Anorexia
Rash
Malaise
Muscle and Joint Pain
Nausea and Vomiting
Jaundice
Light Stool
Dark Urine
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Hepatitis B (cont’d)
 Diagnosis
 Interventions
 Antigen-antibody
Tests
 Liver Enzymes
 Prevention
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Immune Globulin
Interferon Alpha
Supportive Care
Transplant
 HBV Vaccine
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Genital Parasites
 Etiology
 Lice
 Scabies
 Interventions
 Topical Insecticides
 Diagnosis
 Microscopic
Examination
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Reporting of STDs
 Requirements Vary by State or Province
 Include Notification of Contacts
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Nursing Diagnoses for Patients
with STDs
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Acute Pain
Risk for Infection – Transmission to Others
Ineffective Sexuality Pattern
Fear
Health Seeking Behaviors
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th Edition
Linda S. Williams / Paula D. Hopper
Patient Teaching
 Safer Sex Practices
 No Such Thing as Safe Sex
 Medication Administration
 Signs of Complications to Report
Copyright © 2011. F.A. Davis Company