REPRODUCTIVE Flashcards
What are 3 symptoms of ectopic pregnancy?
- Abdominal/pelvic pain
- Vag bleeding
- Referred shoulder pain (tubal rupture)
What life threatening complication can result from PID?
Abscess formation leading to peritonitis and sepsis
What imaging study is done to diagnose BPH?
Transrectal ultrasonography (TRUS)
What are 2 classes of drugs used to treat BPH?
Alpha adrenergic receptor blockers (e.g. tamsulosin)
5a-reductase inhibitors (e.g. dutasteride)
How do DRE findings differ for BPH, prostatitis, and prostate Ca?
- BPH: symmetrically enlarged, firm, smooth
- Prostatitis: swollen, tender, firm
- Prostate Ca: hard, nodular, asymmetrical
What type of hormone therapy is used for trans men (AFAB)?
Testosterone esters
What type of hormone therapy is used for trans women (AMAB)?
17 beta-estradiol
What is an adverse effect of hormone therapy?
Decreased fertility
What is the action of GNRH agonist?
Inhibits the production of sex hormones for both trans men and women
What is the purpose of OCP, DMPA, and IUD for trans men?
Hormone blockers: reduces menses
What are 3 complications to monitor for with trans men who take hormone blockers?
- Bone health
- Cardiac rhythm
- VTE
What are 2 hormone blockers other than GNRH agonists used with trans women (AMAB)?
Spironolactone
Cyproterone acetate
What are 2 complications to monitor for with hormone blockers in trans women (AMAB)?
- Sexual dysfunction
- Electrolyte imbalance
What surgeries are performed in pelvic exenteration?
- Hysterectomy
- Vaginectomy
- Cystectomy
- Urinary diversion
- Colon & rectum resection
- Colostomy
How is a TURP performed?
Scope inserted through urethra to access prostate
What organs are removed in a radical prostatectomy?
- Prostate
- Seminal vesicles
- Bladder neck (ampulla)
How should CBI flow be managed?
- Bright red output = clamp wide open
- Pink/tea coloured output = moderate flow
- Clear output = low flow
What complications should be monitored for in patient with CBI?
- Clot retention
- Hemorrhage
- Bladder spasm
- Incontinence
- UTI
What patient teaching should be provided for patients after prostatectomy?
- Pelvic floor exercises
- Avoid straining
- Limit caffeine, citrus, alcohol
What is the HEEADSSS psychosocial assessment for trans patients?
Home
Education & employment
Eating
Activities
Drugs
Sexuality
Suicide
Safety
What is important to monitor with phalloplasty, and why?
Fluid balance–graft prone to fluid loss
What are 2 potential complications after reproductive surgeries, and why?
- Infection: due to potential contact with stool
- Ischemia: due to pressure from patient positioning
Why are laxatives given to patients after reproductive surgeries?
Avoid bearing down
If the nurse suspects a urine leak in the surgical drain, how can this be confirmed?
Send fluid for creatinine
