NR566 Final Study Guide
10 August 2024NR566 Final Study Guide
- Be familiar with the interactive activities throughout course modules. You could see variations of those same questions on your exams.
- STI/STD | First line drug, dose, route, frequency
- Chlamydia: Doxycycline 100mg PO 2x day
- Uncomplicated gonococcal urethritis: IM single dose of ceftriaxone 500mg with or without doxycycline 100mg 2x day for days.
- Bacterial Vaginosis:
- Non-pregnant: metronidazole 500mg 2x day for 7 days
- Pregnant: vaginal metronidazole 2% for 7 days, clindamycin 1% for 7 days
- Herpes Simplex Virus:
- 1 clinical episode: Acyclovir 400mg 3x day 7-10 days, famciclovir 250mg 3x day 7-10 days, or valacyclovir 1g 2x day 7-10 days
- 2 clinical episode: acyclovir 800mg 2x day 5 days, acyclovir 800mg 3x day 2 days, famciclovir 1g 2x day 1 day, famciclovir 500mg once then 250 2x day for 2 days, famciclovir 125mg 2x day for 5 day, valacyclovir 500mg 2x day 3 days, and valacyclovir 1x day for 5 days
- Trichomoniasis:
- Woman: Metronidazole 500mg 2x for 7 days
- Men: single dose of 2 grams single dose
- Men or women: tinidazole 2g single dose
- Syphilis:
- Primary/secondary and Early latent: Penicillin G 2.4 million units IM
- Late Latent: 3 weekly doses of 2.4 million units
- Doxazosin: BPH Trmnt (a1 blocker)
- Side Effects: hypotension, dizziness, & nasal congestions
- Dutasteride: BPH Trmnt (5a-reductase inhibitors)
- Patient teaching and response to delayed onset of therapeutic effect: Goal is to relieve urinary symptoms, may take 1 month for it to work
- Terazosin: BPH Trmnt (a1 blocker)
- How to know it’s working: “easier to pee”
- Various routes of administration of estrogen therapy and when each would be used:
- Implant: Nexplanon, IUD, sterilization, oral, injection (Depot), contraceptive ring, contraceptive patch.
- Women >35 who smoke: Only diaphragm, progestin-pill, or IUD.
- Frequent sex: Oral, IUD, or Depot.
- Limited sex: Use of spermicide, condom, or diaphragm.
- When is it safe and not safe to prescribe progesterone (AKA: progestin)
- Side effects of progestin-only oral contraceptives: Lactation only
- Benefits of prescribing medroxyprogesterone acetate
- Protects against pregnancy for 3 months or longer by inhibiting the secretion of gonadotropins. Return of fertility is delayed by an average of 9 months. Benefits outweigh the risk, which is no increase in cervical, ovarian, or breast cancer in women, and the risk for endometrial cancer is actually reduced.
- Testosterone therapy
- Patient teaching in general and consider teaching specific to different routes:
- Nasal gel, transdermal patch, transdermal gel, topical solution, buccal tablet, and implantable subcutaneous pellets.
- Testosterone cypionate: Requires an office visit every 2-4 weeks. Blood levels fluctuate widely.
- Testosterone enanthate: Requires an office visit every 2-4 weeks. Blood levels fluctuate widely.
- Testosterone transdermal: Rash at patch site is common.
- Testosterone gel: It may be difficult to attain adequate levels. Easier to use and better tolerated than testosterone patches. Can transfer to others via intimate contact.
- Patient teaching in general and consider teaching specific to different routes:
