Reproductive Flashcards
Noncancerous growths in the uterus that can develop during a woman’s childbearing years.
Cause unknown. Risk factors include a family history of fibroids, obesity, or early onset of puberty.
Symptoms include heavy menstrual bleeding, prolonged periods, and pelvic pain.
In some cases, there are no symptoms.
Uterine fibroid
Most popular oral contraceptives are estrogen-progestin combo.
Estrogen containing oral contraceptives are Contradicted for women over 35 and smoke
Why?
Increased risk of of thromboembolism.
Progestin-only oral contraceptives or IUD will be prescribed
Stimulate fibroid growth
Elevate BP
Before surgery’s where Immobility is a risk
Over 35 & smoker
Are Contradictions for this type of oral contraceptive
Estrogen containing
38 women requesting contraceptive therapy. Which will have the most impact
- History uterine fibroid
- BP 136/80
- Smokes cigs
- Planning outpatient oral surgery
- Smokes cigs & >35 is a Contradiction to Estrogen containing oral contraceptives
Raloxifene
Class
Use
SE & Serious side effects
Contradictions
Selective estrogen receptor modulator (SERM)
Treatment and prevention of osteoporosis in postmenopausal women. Reduces risk of breast cancer
Side Effects:
Common: Hot flashes, leg cramps, flu-like symptoms, and joint pain.
Serious: Increased risk of blood clots (DVT), stroke, and endometrial cancer (although less than with estrogen therapy).
Contraindications:
Raloxifene should not be used in women who are pregnant or breastfeeding.
It is contraindicated in individuals with a history of blood clots, stroke, or Liver disease
Postmenopausal woman taking raloxifene. Which is an immediate further evaluation
- Hot flashes several times weekly
- Family History of CAD
- Nasal stuffiness & runny nose
- Swelling & tenderness left calf.
Raloxifene increases risk of DVT.
Hot flashes & nasal congestion are less serious side effects
Raloxifene lowers risk for MI in high risk women
History of benign prostatic hyperplasia. Which information is most concerning
- Trouble starting or stopping urine stream.
- Elevat3d level of prostate-specific antigen
- Bladder is palpable above pubis symphysis and client is restless
- Client hasn’t voided since having juice 4 hrs ago.
Bladder is palpable above pubis symphysis and client is restless
S/S of urinary retention. May need catheter.
Other data is consistent with benign prostate hyperplasia
Biggest concern post Transurethral Resection of the Prostate.
1. Feels continous urge to go
2. Catheter drainage is pink with occasional clots
3. Catheter is taped to client leg
4. Reports painful bladder spasms
Describe TURP
Reports painful bladder spasms
Could mean that clots are blocking bladder and obstruction of catheter.
Irrigation with 30 - 50 mL NS piston syringe.
Resectoscope is inserted through the urethra and parts of the Prostate that are interfering are scrapped away with the hook end.
Small pieces of the Prostate will fall into the bladder which will be urinat3d out and collect3d in catheter bag
Tamsulosin
Class
Use
SE & Serious side effects
Contradictions
Alpha-1 blockers work by relaxing the muscles in the prostate and bladder neck, making it easier to urinate.
Uses:
Benign Prostatic Hyperplasia (BPH): Tamsulosin Improve
difficulty urinating, weak urine stream, and frequent urination.
Kidney Stones: Passage of kidney stones by relaxing the ureter muscles.
Serious Side Effects:
Hypotension
Priapism:
Recently return postop Transurethral Resection of the Prostate (TURP) Which assessment will require the most immediate action
- BP 158/ 88
- Catheter drainage deep red blood
- Client not wearing antiembolism hose
- Report of ab cramping
- Catheter drainage deep red blood
Hemorrhage is a major complications of TURP
TURP reports acute bladder spasms. In which order will this be resolved
- Admin analgesics
- Irrigate retention catheter with 30 - 50 mL NS
- Infuse 500mL 5% Dextrose in LR over 2 hrs
- Offer 2500- 3000 mL oral fluids daily.
- Irrigate retention catheter with 30 - 50 mL NS
- Admin analgesics
- Infuse 500mL 5% Dextrose in LR over 2 hrs
- Offer 2500- 3000 mL oral fluids daily.
68 Male recently prescribed 0.4 mg sublingual Nitroglycerin for angina. Which information has an immediate cause for concern?
- Prostatic Hyperplasia & some urinary hesitation
- Father & 2 brothers all have had MI
- Uses sildenafil several times for Erectile dysfunction
- Unable to remember when he first experienced pain.
Sildenafil is a potent vasodilator and can cause cardiac arrest with nitroglycerin use.
Orchiectomy….
removal of 1 or both testicles
Which finding should be reported immediately for a postop dilation and curettage.
- BP 162/ 90
- Sat if peri pad after first 30 minutes
- OX Sat 91 - 95
- Sharp, continuous pain, level 8 ab pain.
- Sharp, continuous pain, level 8 ab pain.
Cramping or aching is normal but sharp,continuous pain may indicate uterine perforation.
BP maybe due to stress from surgery
Bleeding should decrease after 2 hrs.
Interventions for Ox level will be started
Which are true of levonorgestrel (Plan B)
- Heavy menstrual bleeding is a SE
- Requires prescription
- If pregacy occurs after use, risk of complications is low
- N/V side effects
- Must be take within 24 hrs after intercourse
- Heavy menstrual bleeding is a SE
- If pregacy occurs after use, risk of complications is low
- N/V side effects
False
2. Requires prescription (only for younger than 17)
5. Must be take within 24 hrs after intercourse (Most effective 72 hrs but can be used up to 5 day)
