UTA Nurs 5338 Urgent Emergencies Questions and Correct Answers the Latest Update and Recommended Version
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Course
UTA Nurs 5338
Institution
UTA Nurs 5338
Gonorrhea Pharmacological Treatment
Ceftriaxone 500 mg IM as a single dose for < 150 kg; 1 gm IM for > 150 kg
Chlamydia Pharmacological Treatment
Doxycycline 100 mg PO BID for 7 days; Azithromycin 1 gm as a single dose during
pregnancy
Chlamydia Alternative Regimens
- Gentamicin 240...
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UTA Nurs 5338 Urgent Emergencies
Questions and Correct Answers the
Latest Update and Recommended
Version
Gonorrhea Pharmacological Treatment
✓ Ceftriaxone 500 mg IM as a single dose for < 150 kg; 1 gm IM for > 150 kg
Chlamydia Pharmacological Treatment
✓ Doxycycline 100 mg PO BID for 7 days; Azithromycin 1 gm as a single dose during
pregnancy
Chlamydia Alternative Regimens
✓ - Gentamicin 240 mg IM + Azithromycin 2 gm PO as a single dose
✓ - Cefixime 800 mg orally + Doxycycline 100 mg PO BID for 7 days (if chlamydia
CANNOT be excluded)
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✓ - Abdominal pain, usually severe; localized to the right lower quadrant (RLQ)
✓ - Most common symptoms: anorexia, abdominal pain, nausea, vomiting (typically present
in this order)
✓ - Constipation and diarrhea occur after the pain
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✓ - Erythema
✓ - Warmth
✓ - Edema
✓ - Pain
✓ - Fever
✓ - Lymphadenopathy
✓ - Fissuring, scaling, or maceration in toe webs may be source of colonization (treat with
antifungal agents)
✓ - History of recurrent abscesses
Animal Bite Puncture Wound Treatment
✓ - Typically not sutured closed
✓ - Treat with Augmentin
Bacterial Vaginosis Assessment Findings
✓ Most women with BV are asymptomatic.
✓ - Fishy or musty vaginal odor, more prominent after sexual intercourse and menses
✓ - Thin, homogenous discharge
✓ - No redness or edema
✓ - Normal bimanual exam
Bacterial Vaginosis Diagnostic
✓ Amsel's criteria specify that diagnosis of BV requires three or more of the following
clinical signs and symptoms:
✓ - Homogenous, thin, gray-white discharge coating the vaginal wall
✓ - Vaginal pH >4.5
✓ - Positive whiff test: amine (fishy) odor after application of 10% KOH on vaginal
discharge sample
✓ - Presence of more than 20% epithelial cells (clue cells) on saline microscopy
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