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Management II > Reproductive > Flashcards

Reproductive Flashcards

0
Q

Important lab/diagnostic tests for dysfunctional uterine bleeding

A
  • health Hx/ Physcial
  • beta HCG
  • CBC- h/h
  • thyroid functions—HYPO thyroidism
  • liver function tests
  • hormonal essay
  • coagulation studies- PT, PTT
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1
Q

Dysfunctional bleeding is due to _____, and usually caused by _____

A

A disruption in the menstrual cycle, a ovulation

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2
Q

Goal of care and treatment:

A

Goal of care: decrease/stop bleeding!

Treatment:

  • oral contraceptives
  • estrogen
  • estrogen/progesterone combo
  • fluid and salt intake
  • iron supplements
  • D&C
  • hysterectomy/balloon burn procedure (serous cases for those who not wish to continue to have children)
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3
Q

Gonorrhea symptoms for women are usually _________

A

A symptomatic

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4
Q

Treatment of GONORRHEA:

A

Cephixime (Suprax)

Ceftrixione (Rocephin)

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5
Q

Stages of Syphillus:

A
  1. Primary- chancres
  2. Secondary
  3. Latent
  4. Late (tertiary)- develops into neuro syphillus; Gumma formation
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6
Q

Drug treatment for Syphillus

A

Penicillin G

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7
Q

Lifelong infection (herpes) characterized by:

A

Multiple small vesicular lesions, crusting and epithelialization of erosions

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8
Q

Herpes treated with:

A

Acyclovir, valacyclovir, famciclovir

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9
Q

Genital warts treatment/prevention:

A

VACCINES

- chemical or ablative removal

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10
Q

Nursing GOALS of pt with an STI:

A
  • pt will have correct understand about mode of transmission
  • pt will demonstrate knowledge of safe sex practices
  • notify or assist previous sexual partners regarding their treatment and testing
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11
Q

TEACHING GUIDE for pt with STI:

A
  • hygiene
  • adherence to drug regimen
  • treatment of partners
  • condoms
  • follow up with HCP
  • ——–NON JUDGEMENTAL COMMUNICATION
  • symptoms of complications
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12
Q

Cystocele

A

Occurs when a support between the bladder and vagina weakens……………ASYMPTOMATIC

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13
Q

2 main symptoms

A
  1. Recurrent UTIs

2. Incomplete emptying of bladder

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14
Q

Treatment/ education for pt with a CYSTOCELE

A
  • kegel exercises to increase muscle tone

- pessary or surgery to HOLD BLADDER IN PLACE

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15
Q

Pre-op surgical protocols

A

Cleansing douche to remove bacteria and debris

16
Q

Post op surgical protocols

A

-prevention of wound infections
- decreased pressure on suture line
- perineal care
- ice packs FIRST
and sitz baths LATER
- educate that decreased vaginal sensation will occur and will be normal and restrict sexual activity until ok from HCP

17
Q

Earliest clinical manifestation/ sign of breast CA

A

Abnormality that shows up on mammogram BEFORE palpable

18
Q

Clinical presentation of breast CA

A
  • single lump in breast- COMMONLY in tail of spence
  • nipple discharge and retraction
  • dimpling: Peau d’orange
  • lump will be FIRM, NON-MOBILE, NON-TENDER, POORLY DELINIATED
19
Q

TNM classifying system:

A

Tumor
Node involvement
Metastasis

  • explains and evaluated extent of clinical and pathological course of disease
20
Q

Surgical treatment for beast CA:

A
  • Lumpectomy- breast conserving
  • Axillary node dissection/ sentinel node dissection
  • mastectomy/ modified radical mastectomy
21
Q

Adjunctive therapies for breast CA:

A
  • chemotherapy
  • radiation
  • hormonal therapy
  • biologic therapy
22
Q

Post-op care for pts with breast CA:

A
  • ARM EXERCISES
  • elevate arm above level of heart
  • PREVENTIVE MEASURES FOR LYMPHEDEMA
  • NO BP, venipunctures, blood draws, IVs, etc. in AFFECTED ARM OF ANY KIND
23
Q

Obstructive symptoms of BPH:

A
  1. Difficulty initiating stream
  2. Dribbling at end of urination
  3. Incomplete bladder emptying
24
Q

Irritating symptoms of BPH:

A
  1. Nocturia, dysuria, urgency
  2. Increased risk for UTI
  3. Risk for pyelonephritis and hydronephrosis
25
Q

Conservative method of treatment for BPH

A

Watchful waiting dependent on severity

-encourage pt to void q2-3hrs

26
Q

What is the purpose of the 3 way catheter for a TURP procedure?

A

Continuous bladder irrigation for prevention of CLOT FORMATION

27
Q

How to determine output for the pt with a 3 way catheter

A

SUBTRACT amount of NSS put into irrigate to determine output

28
Q

Nursing mgmt for pt who underwent a TURP

A
  • kegels to increase muscle tone
  • antispasmodics for bladder spasms
  • monitor for signs of infection
  • maintain oral fluids
29
Q

Clinical manifestations of epididymitis

A
  • inguinal/flank pain
  • scrotal pain
  • scrotum will be inflamed and tender on affected side
  • Prehn’s sign* scrotum will not rise up when inside of thigh is stroked (otherwise normal reflex)
30
Q

Treatment and nursing interventions for epididymitis

A
  • ANTIBIOTICS* educate on usage of full course
  • use of condoms
  • have partner treated as well
  • bed rest with elevation of scrotum
  • ice packs

Management II (5 decks)

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