Men and Women's Health (Online Lecture) Flashcards
hysterectomy
removal of the uterus
total hysterectomy
removal of uterus and cervix
radical hysterectomy
removal of uterus, cervix, upper third of vagina, and pelvic lymph node
types of approaches to a hysterectomy
laparoscopic
vaginal
abdominal
what meds should be discontinued before hysterectomy
anticoagulation
NSAIDS
vit E
what profilaxis might a patient getting a hysterectomy be on
antibiotics
DVT
complications of hysterectomy
hemorrhage
bladder dysfunciton
how might we be able to assess for hemorrhage
count number of perineal pads
incision site
extent and saturation with blood
VS
post op discharge teachings about DVT
avoid prolong sitting
avoid crossing legs
avoid long period of activity
S/S of DVT
leg pain
warmth
edema
swelling
S/S PE
acute onset of shortness of breath
chest pain
increase HR
anxitey
once the foley is removed we should monitor
urine output (4-6 hr after removal)
bladder distention
might need to put foley back in
how should the patient bathe
shower
what are some s/s of complications to teach the patient
vaginal odor
excessive bleeding
fever
pain not controlled by meds
during with urination
radiation therapy is used for
cancer
when receiving intracity radiation this patient needs to be in private room for
72 hours
when receiving intracity radiation this patient visitors must meet this critera
cannot be pregnant
cannot be under 18
cannot stay longer than 30 mins
patient activity level receiving intracavity radiation
absolute bed rest
why might patient with intracavity radiation need log rolling
to prevent displacement
what diet will the patient getting intracavity radiation be on
low residue to prevent bowel movement which could displace probe
older than 50 males need what done annually
digital rectal exam, PSA, urinary analysis
prostatisits
inflammation caused by an infectious agent
benign prostatic hyperplasia is what
enlarged prostate
manifestations of BPH
urinary obstruction
urinary retention
urinary tract infections
frequency
incomplete emptying
noctiuria
BPH meds
alpha adrenergic blockers
antiandrogen
prostate surgery
early prostate cancer s/s
few or none
s/s of cancer prostate when there is s/s
urinary obstruction
blood in urine/semen
painful ejaculation
what might be the first manifestation of cancer of prostate
metastasis
PSA
tells us there is an enlargement of prostate which could be cancerous, requires biopsy
what is watchful waiting
actively monitoring in early phase and only intervening if it progresses and symptoms warrant interventions, only down when left expectancy is less than 5 years
bladder spasms cause feelings of
pressure and fullness
urgency to void
bleeding from urethra
if patient is stating they need to pee but have a catether what should we do
investigate
could be a bladder spasm or clot
what meds might need to be given for bladder spasms
analgesics and antispastics
3 way bladder irrigation
bladder is irrigated with solution and then solution is removed with urine
if patient receives 500mL of solution of irrigation you should expect at least 500 in the foley bag, and if producing more urine it should be even more
bright red thicker urine
arterial
dark red less thicker urine
venous
what is the normal progression of bleeding being resolved with a 3 way bladder irrigation
pink-amber-clear
what meds would we discontinue post up
aspirin and NSAIDS because increase bleeding because prostate is vascular
education post op
bladder continence - gradual process, dribbling may continue up to one year
avoid straining, heavy lifting, long car trips
