Posted: November 16th, 2022

R.S. is a 32-year-old White woma

Initial Post
Answer all the questions and provide rationales for your answers with supporting evidence using APA formatting. Integrate two evidence-based resources to include clinical practice guidelines as well as the course textbook.
Read the scenario and answer the following questions:
R.S. is a 32-year-old White woman who seeks treatment for a vaginal discharge that she has had for the past month. She is sexually active and has had the same partner for the past 6 months. She reports noticing an odor, especially after sexual intercourse. Her history reveals that she has been using a commercial douche on a bi-weekly basis during the past year for hygienic purposes in an attempt to prevent vaginal infections. She denies any other associated symptoms. Her history reveals that she has been using a commercial douche on a bi-weekly basis for hygienic purposes in an attempt to prevent vaginal infections for the past year. She denies having any other symptoms.
The physical examination reveals a white vaginal discharge. Microscopic examination of the vaginal discharge shows clue cells, and the pH is 5.5.
Diagnosis: Bacterial Vaginosis
1. List specific goals of treatment for this patient. (100 words)
2. What drug therapy would you prescribe? Why? (75 words)
3. What are the parameters for monitoring the success of the therapy? (100 words)
4. Discuss specific patient education based on the prescribed therapy. (100 words)
5. List one or two adverse reactions for the selected agent that would cause you to change therapy (50 words)
6. What would be the choice for second-line therapy? Provide rationale (75 words)
7. What OTC or alternative medications would be appropriate for this patient? (75 words)
8. What dietary or lifestyle changes should be recommended? (100 words)
9. Describe one or two drug–drug or drug–food interaction for the selected agent. (75 words)