NR 566 Final Exam - Questions and Answers What is the first line treatment for Chlamydia that only needs to be taken orally once? Azithromycin 1000mg
... [Show More] What is the first line treatment for Chlamydia that is taken BID for 7 days? Doxycycline 100mg What is the IM treatment for uncomplicated gonorrhea? Ceftriaxone 500mg IM ceftriaxone can be given with or without this medication to treat gonorrhea. Doxycycline 100mg BID Treatment for bacterial vaginosis in a non pregnant patient. Metronidazole 500mg BID for 7 days What are two treatments for bacterial vaginosis in a pregnant patient? Vaginal metronidazole 2% for 7 days. Clindamycin 1% for 7 days. First line treatment for HSV. Acyclovir 400mg three times a day for 7-10 days. Second line treatment for HSV. Acyclovir 800mg BID for 5 days. Trichomoniasis treatment for women. Metronidazole 500mg BID for 7 days. Tinidazole 2grams single dose. Trichomoniasis treatment for men. Metronidazole 2grams single dose. Tinidazole 2grams single dose. What are doxazosin side effects? hypotension, dizziness, nasal congestion What is doxazosin used to treat? BPH Dutasteride (Avodart) is used to treat what? BPH How long does it take to see effects of Dutasteride (Avodart)? May take months. Patient should continue to take it even if improvement is not seen right away. What are side effects of Dutasteride (Avodart)? May lower ejaculatory volume. May lower libido. How do you know that Terazosin (Hytrin) is working? Symptoms of dysuria, urgency, UTI, and hesitancy improve. When is it not safe to prescribe progesterone? If a patient is pregnant or has had a hysterectomy. Breast cancer. Arterial disease. Previous diagnosis of depression. What are side effects of progestin oral contraceptives? irregular bleeding Patient teaching about progestin oral contraceptives. Must take at the same time every day to be effective. May cause inconsistent bleeding. Benefits of using medroxyprogesterone acetate? (Depo-Provera) Does not cause thrombolytic disorders, headache, nausea, or other adverse effects associated with combo OC's. Testosterone replacement therapy routes. Pill, injection, patch. What are teaching points about testosterone patch? Wash hands after applying Cover site after dried Wash application site before skin to skin contact May cause rash at application site When is androgen therapy appropriate for short term use? Pressure of delayed sexual maturation causes significant distress. When is androgen therapy appropriate for long term use? Delayed puberty related to hypogonadism. Side effects of testosterone replacement therapy. hot flashes, bone fractures, decreased libido, insulin resistance, erectile dysfunction, acne, hypertension, sterility, aggression, mood swings. What is alprostadil used for? erectile dysfunction Routes of administration for alprostadil. Intracavernosal (Immediate erection) Intraurethral pellet (Erection 5-10 mintutes) How does carbamazepine impact OC's? Accelerate the metabolism reducing the effect. How would an OC be prescribed with carbamazepine? Increase the estrogen dose, combine with a second form of birth control, or switch to an alternate birth control. What is carbamazepine used to treat? Seizure disorders What are the benefits of the etonogestrel sub-dermal implant (Nexplanon)? Very effective Long-term option- 5 years Reversible after removed Women with a history of thrombosis can use this What is papaverine/phentolamine used to treat erectile dysfunction What are patient education points for papaverine/ phentolamine? Do not inject more than once in 24 hours. Notify of duration and efficacy of erection. Consult physician before taking new medications. Seek medical attention if erection lasts more than 3 hours. What is the first line treatment for syphilis? Penicillin G IV What is Pramipexole (Mirapex)? When is it best prescribed? Dopamine receptor agonist Best when used in the early stages of PD What are adverse effects of pramipexole (mirapex)? nausea, dizziness, daytime sleep attacks(extreme/irresistible urge), insomnia, constipation, weakness, hallucinations, impulse control When to prescribe COMT inhibitors When levodopa is not working long enough and starts to wear off between doses. This medication extends the half-life of levodopa. What seizure medications reduce oral contraceptive efficacy? [Show Less]