Reproductive Flashcards
Important lab/diagnostic tests for dysfunctional uterine bleeding
- health Hx/ Physcial
- beta HCG
- CBC- h/h
- thyroid functions—HYPO thyroidism
- liver function tests
- hormonal essay
- coagulation studies- PT, PTT
Dysfunctional bleeding is due to _____, and usually caused by _____
A disruption in the menstrual cycle, a ovulation
Goal of care and treatment:
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)
Gonorrhea symptoms for women are usually _________
A symptomatic
Treatment of GONORRHEA:
Cephixime (Suprax)
Ceftrixione (Rocephin)
Stages of Syphillus:
- Primary- chancres
- Secondary
- Latent
- Late (tertiary)- develops into neuro syphillus; Gumma formation
Drug treatment for Syphillus
Penicillin G
Lifelong infection (herpes) characterized by:
Multiple small vesicular lesions, crusting and epithelialization of erosions
Herpes treated with:
Acyclovir, valacyclovir, famciclovir
Genital warts treatment/prevention:
VACCINES
- chemical or ablative removal
Nursing GOALS of pt with an STI:
- 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
TEACHING GUIDE for pt with STI:
- hygiene
- adherence to drug regimen
- treatment of partners
- condoms
- follow up with HCP
- ——–NON JUDGEMENTAL COMMUNICATION
- symptoms of complications
Cystocele
Occurs when a support between the bladder and vagina weakens……………ASYMPTOMATIC
2 main symptoms
- Recurrent UTIs
2. Incomplete emptying of bladder
Treatment/ education for pt with a CYSTOCELE
- kegel exercises to increase muscle tone
- pessary or surgery to HOLD BLADDER IN PLACE
Pre-op surgical protocols
Cleansing douche to remove bacteria and debris
Post op surgical protocols
-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
Earliest clinical manifestation/ sign of breast CA
Abnormality that shows up on mammogram BEFORE palpable
Clinical presentation of breast CA
- 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
TNM classifying system:
Tumor
Node involvement
Metastasis
- explains and evaluated extent of clinical and pathological course of disease
Surgical treatment for beast CA:
- Lumpectomy- breast conserving
- Axillary node dissection/ sentinel node dissection
- mastectomy/ modified radical mastectomy
Adjunctive therapies for breast CA:
- chemotherapy
- radiation
- hormonal therapy
- biologic therapy
Post-op care for pts with breast CA:
- 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
Obstructive symptoms of BPH:
- Difficulty initiating stream
- Dribbling at end of urination
- Incomplete bladder emptying
Irritating symptoms of BPH:
- Nocturia, dysuria, urgency
- Increased risk for UTI
- Risk for pyelonephritis and hydronephrosis
Conservative method of treatment for BPH
Watchful waiting dependent on severity
-encourage pt to void q2-3hrs
What is the purpose of the 3 way catheter for a TURP procedure?
Continuous bladder irrigation for prevention of CLOT FORMATION
How to determine output for the pt with a 3 way catheter
SUBTRACT amount of NSS put into irrigate to determine output
Nursing mgmt for pt who underwent a TURP
- kegels to increase muscle tone
- antispasmodics for bladder spasms
- monitor for signs of infection
- maintain oral fluids
Clinical manifestations of epididymitis
- 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)
Treatment and nursing interventions for epididymitis
- ANTIBIOTICS* educate on usage of full course
- use of condoms
- have partner treated as well
- bed rest with elevation of scrotum
- ice packs
