Test #3 Study Guide
STDs/STIs – know about different infections and can they be latent or lay dormant in the body
1. Some people don’t know they are infected because symptoms are absent or go unnoticed.
2. Common symptoms include: discharge from the vagina, penis or anus; pain during sex or when urinating;
blisters or sores in the genital area and fever.
3. Any contact with another person’s body fluids around the head or an open lesion on the skin, anus or
genitalia can transmit an STI.
4. EMBARRASSMENT
Curable STIS:
Syphilis
Gonorrhea
Chlamydia (bacterial)- causes infertility, pelvic inflammatory disease (PID), and neonatal
complications. If pregnant woman has chlamydia they can pass that onto their baby.
Trichomoniasis
Pelvic Inflammatory Dz
Viral STIS:
Human Papillomavirus (HPV) genital warts
o MOST COMMON STI IN U.S. aka genital warts, spread through direct contact with warts, semen
or other fluids—can cause cancer.
Herpes Simplex Virus (HSV) type II
Human Immunodeficiency Virus (HIV)-
o Transmission Routes: contaminated IV needles, anal intercourse, vaginal intercourse, oral-genital
sex and transfusion of blood products
Acquired Immunodeficiency Disease (AIDs)--- we can reverse AIDs into HIV as long as a person stays on
med daily
Sexual Health for senior citizens – still sexually active
84.6% of 500 people surveyed over 60 years old were still sexually active.
Physiological sexual response changes with aging, but aging does not lead to diminished sexuality
Know about different contraceptives (how and when are different types used)
Most effective (99%): sterilization, implant, IUD
92-97% effective: shot, pill, ring, patch
78-82% effective: diaphragm, condoms (external and internal), sponge, cervical cap
71-78% effective: spermicide, fertility awareness, withdrawal
The proper steps for a finger stick blood sugar
Gather tools
Wash hands with soap and water
Insert test strip
Wipe with alcohol and let dry
, Prick fingertip—wipe away initial drop first
Squeeze for second drop of blood
Touch test strip to blood
View results
Discard lancet
Record results
Common STIs (least versus most common)
Human Papillomavirus Infection (HPV)
o Most common STI in US (aka genital warts)—spread through direct contact with warts, semen or
other fluids. Can lead to cancer
Chlamydia (bacterial)
o Causes infertility, pelvic inflammatory disease (PID) and neonatal complications
Human Immunodeficiency Virus (HIV)
o Primary transmission routes; contaminated IV needles, anal intercourse, vaginal intercourse, oral-
genital sex and transfusion of blood products.
Know about PCAs – Who should be pushing the button: The patient is the only person who should press
the button to administer the pain medication when PCA is used.
Pain Management techniques
One way to maximize pain relief while potentially decreasing opioid use is to administer analgesics around
the clock (ATC), rather than on a prn basis
Nonpharmacological Pain Relief:
Relaxation, guided imagery
Biofeedback—voluntary control
Distraction, music
Cutaneous stimulation: touch, massage, transcutaneous electrical nerve stimulation (TENS), heat/cold, 10-
20 min), acupressure
Pharmacological Pain Relief:
Analgesics
o Nonopioids (NSAIDs): Acetaminophen (Tylenol): no anti-inflammatory effects. Aspirin/Ibuprofen:
mild to moderate pain relief- can lead to GI bleeding and renal insufficiency
o Opioids- moderate to severe pain…. Can lead to constipation
o Adjuvants/co-analgesics
Delivery systems
o Patient controlled analgesia (PCA): patient needs to be the one pressing this button!!
o Local/regional anesthesia
o Topical agents
Acute/transient pain: protective, identifiable, short duration; limited emotional response (Ex. Arm break)
Chronic/persistent noncancer: Opioids are not good for this type of pain. Is not protective, has no purpose, may or
may not have an identifiable cause.
Chronic Episodic: Occurs sporadically over an extended duration. NSAIDs first then opioids.