Treatments for Vaginal Dryness
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Discussion of treatments for Vaginal Dryness:
A pharmacist, doctor or nurse can suggest
over-the-counter vaginal lubricants. Use of some over-the-counter
medications as well as alcohol may dampen an older woman’s sexual drive.
Sexuality is often a delicate balance of emotional as well as physical
issues: How we feel emotionally may affect what we are able to do
physically. (Source: excerpt from
Aging - Women Getting Older: NWHIC)
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Vaginal Discharge:
Treatment
(In a Page: Signs and Symptoms)
-
See most recent CDC guidelines for all STDs
-
Trichomonas
–Metronidazole single dose or for 7 days (avoid alcohol with metronidazole use)
–Intravaginal clotrimazole if pregnant or unable to use metronidazole
Gonorrhea
–Oral ciprofloxacin or IM ceftriaxone
Chlamydia –Azithromycin or doxycycline orally
Bacterial vaginosis
–Metronidazole single dose or for 7 days
Candida
–Clotrimazole cream or intravaginal suppository
–Fluconazole single dose
Atrophic vaginitis
–Topical or oral hormone replacement if appropriate
Advise to avoid douching/perfumed hygiene products
>
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Vaginal Discharge:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Physiologic leukorrhea: Provide reassurance
-
Irritative vaginal discharge: Educate on proper wiping techniques, avoidance of tight clothing and irritants
-
Foreign bodies such as toilet paper can usually be removed with gentle vaginal lavage, sitz baths
-
Treatments for infectious causes of vaginal discharge:
–Bacterial vaginosis: Metronidazole or topical
clindamycin
–Candida can be treated with topical or oral antifungals
–Trichomonas is treated with metronidazole
–Group A β-hemolytic streptococci: Penicillin
–Chlamydia is treated with doxycycline or azithromycin
–Gonorrhea: Ceftriaxone, ciprofloxacin, or ofloxacin
–Shigella is treated with trimethoprim-sulfamethoxazole
- Encourage barrier contraception in sexually active adolescents
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Vaginal discharge:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Teach the patient to keep her perineum clean and dry. Also, tell her to avoid wearing tight-fitting clothing and nylon underwear and to instead wear cotton-crotched underwear and pantyhose. If appropriate, suggest that the patient douche with a solution of 5 tbs of white vinegar to 2 qt (2 L) of warm water to help relieve her discomfort.
If the patient has a vaginal infection, tell her to continue taking the prescribed medication even if her symptoms clear or she menstruates. Also, advise her to avoid intercourse until her symptoms clear and then to have her partner use condoms until she completes her course of medication. If her condition is sexually transmitted, instruct her on safer sex methods.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Vaginal discharge:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Obtain cultures of the vaginal discharge.
▪ Give antibiotics, antivirals, or other drugs, as ordered.
▪ Observe standard precautions to prevent the spread of infection.
Patient teaching
▪ Explain to the patient the cause of vaginal discharge and its treatment.
▪ Teach the patient proper perineal hygiene and advise her to avoid tight-fitting clothing and nylon underwear.
▪ Suggest douching with vinegar and warm water to help relieve discomfort, if appropriate.
▪ Tell the patient to continue taking prescribed drugs even if her symptoms clear.
▪ Advise the patient to avoid intercourse until symptoms resolve.
▪ Provide information on safer sex practices.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Infection in Unusual Spaces:
Management
(Pediatric Infectious Disease)
The management of necrotizing fasciitis involves aggressive medical and surgical
therapy. Optimal medical treatment includes a third-generation cephalosporin
and anaerobic coverage, usually with clindamycin. Complete d
ébridement of all devitalized tissue is required. A repeat second-look surgery
after 24 hours is often needed to determine whether remaining devitalized
tissue is present. Adjunctive therapies include hyperbaric oxygen and
intravenous immunoglobulin, although definitive data of the efficacy of these
measures is lacking (Table 16.1).
» READ BOOK EXCERPT ONLINE »
Source: Pediatric Infectious Disease, 2004
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