ANP 330 Lecture Notes - Lecture 56: Aphthous Stomatitis, Genital Herpes, Aciclovir

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Removal of devitalized tissues, rest, improved oral hygiene, bland diet, vitamins. Analgesics and saline mouth rinses for comfort measures. Manifestations of necrotizing gingivitis foul taste, pain, choking sensation, fever, thick secretions, anorexia, local lymphadenopathy. Apthous ulcer (canker sore)- ulcers of inner lips, mouth or tongue. A canker sore can be triggered by emotional stress, dietary deficiencies, acidic foods, hormonal changes, food allergies or trauma in the mouth. Canker sores usually heal without treatment within two weeks. Small painful grouped blisters (vesicles) and erythema by age five it is believed that. 90% of population has had a hsv infection! Treating hsv mild antiseptic mouthwash, viscious lidocaine, acyclovir. Drug of choice is acyclovir stagestreat pain with oral and topical analgesics start iv acyclovir for immunocompromised clients if competent immune system administer oral antiviral (acyclovir [zovirax]) or topical antiviral (penciclovir [denavir], acyclovir [zovirax]) Unless secondary infection present, antimicrobials will not affect wound healing.

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