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Nov 12 2016
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Gonorrhea is a very common sexually transmitted disease (STD) caused by the bacteria Neisseria
gonorrhea. It is estimated that 820,000 new cases of gonorrhea are diagnosed in the U.S. every year.
Gonorrhea is usually transmitted during vaginal, oral or anal sex or through sharing sex aids that have
not been washed or covered with a condom each time they are used. A mother can also pass the
infection onto her baby during childbirth, which can cause blindness in the infant. Common symptoms
in men include a burning sensation when urinating and a white, yellow, or green discharge from the
penis, although some men may have no symptoms. Women with gonorrhea do not usually have any
symptoms but initial symptoms may include pain or burning on urination, increased vaginal discharge,
vaginal bleeding between periods and abdominal and pelvic pain.
infection can spread into the womb and fallopian tubes causing pelvic inflammatory disease which can
lead to infertility and an increased risk for ectopic pregnancy. In men, the disease can cause
epididymitis, a painful swelling in the back of the testicles that can also eventually lead to infertility.
Gonorrhea is identified using a urine test or swabs taken from a mans urethra or a womans cervix.
Antibiotics can be used to stop infection but cannot repair any permanent damage caused by the
disease.The World Health Organisation is urging countries to change how they cure Gonorrhea as
traditional means of treatment are quickly becoming ineffective. Health officials warn that sexually
transmitted infections around the world have developed a strong resistance to the drugs we use to we
use to treat them. "These STIs often go undiagnosed and are becoming more difficult to treat, with
some antibiotics now failing as a result of misuse and overuse," said the WHO in a Tuesday. Officials
say of the three most common sexually transmitted infections, Gonorrhea has developed the strongest
resistance to antibiotics. According to the CDC, nearly 820,000 new Gonorrhea cases occur in the
U.S. each year. Nearly one third of these cases are resistant to at least one type of drug. Gonorrhea is
the second most commonly reported infectious disease behind chlamydia.
http://www.sandiegouniontribune.com/news/data-watch/sd-me-stds-cdc-20161028-story.html
Basilio Aya
Name of
Nov 12 2016
Dosage
the Drug
Brand
Name:
Zithromax
Generic
Name
azithromyci
n
Drug class:
Macrolide
antibiotic
Pregnancy
Category B
Drug Study
Therapeuti
Indications
c Actions
ADULTS
Bacteriost
Unlabeled
uses:
atic or
Mild to
Uncomplicate
moderate
bactericida d gonococcal
acute bacterial
infections
l in
exacerbations
caused by N.
of COPD,
susceptibl gonorrhoeae;
pneumonia,
gonococcal
e bacteria.
pharyngitis and
pharyngitis
tonsillitis (as
caused by N.
second-line):
gonorrhoeae;
500 mg PO
chlamydial
single dose on
infections
first day,
caused by C.
followed by
trachomatis;
250 mg PO
prophylaxis
daily on days
after sexual
25 for a total
attack
dose of 1.5 g
or 500 mg/day
Prevention
PO for 3 days.
and treatment
Nongonococca
of
l urethritis and
disseminated
cervicitis due
Mycobacteriu
to C.
m avium
trachomati: A
complex
single 1-g PO
(MAC) in
dose.
patients with
Gonococcal
advanced
urethritis and
AIDS
cervicitis: A
single dose of
Treatment of
2 g PO.
nongonococca
Disseminated
l urethritis and
MAC
cervicitis due
infections: For
to C.
prevention,
trachomatis;
1,200 mg PO
treatment of
taken once
PID
weekly. For
Treatment of
treatment, 600
uncomplicated
mg/day PO
skin infections
with etambutol.
due to
Acute sinusitis:
Staphylococcu
500 mg/day
s aureus, S.
PO for 3 days.
pyogenes,
Streptococcus
agalactiae.
Adverse
Contra
Nursing
Effects
Indications
consideration
Teaching points
CNS:
Yellowing of
Dizziness,
Skin or Eyes
headache,
from Liver
vertigo,
Problems,
somnolence,
Myasthenia
fatigue
Gravis,
GI: Diarrhea,
Hearing
abdominal
Problem, Very
pain, nausea,
Rapid
You may
dyspepsia,
Heartbeat -
experience
flatulence,
Torsades de
these side
vomiting,
Pointes, Slow
effects: Stomach
melena,
Heartbeat,
cramping,
Problems,
health care
provider for
treatment).
Report severe or
watery diarrhea,
severe nausea
or vomiting, rash
or itching, mouth
sores, vaginal
sores.
Basilio Aya
Nov 12 2016
Family Data
Name
Age
Occupation
Illness
Experienced
TIme of
Illness
Diagnosis
Medication
Nenita Impit
(grandmother)
73
Housewife
High blood +
myocardial
infraction
2009
Lozartan maintenance
Labs
Purpose
Normal value
Significace of
abnormalities
Sputum
If tuberculosis is
suspected, an acid-fast
stain should be
performed immediately,
and the sputum cultured
on special media, which
are incubated for at least
6 weeks.
Radiology
(X-rays)
Abnormalities on chest
radiographs may be
suggestive of, but are
never diagnostic of, TB.
However, chest
radiographs may be used
to rule out the possibility
of pulmonary TB in a
person who has a
positive reaction to the
tuberculin skin test and
no symptoms of disease.
Basilio Aya
Nov 12 2016
Basilio Aya
Nov 12 2016