sammy rak deck Flashcards
cervical cancer risk factors
HPV
first coitus under the age of 20
multiple sex partners
sexual activity
smoking
multiparity
HIV
oral contraceptives
nutritional deficiency
chronic cervical infections
low socioeconomic status
(broke, teenage whore smoking in front of her more than 5 kids otw to pick up her HPV, HIV, nutritional deficiency and birth control meds)
what is multi-parity
having more than 5 kids
what cervical cancer nutritional deficiencies
folate
vitamin c
beta carotene
early signs of cervical cancer
thin/watery discharge
spotting
post menopausal bleeding
heavy bleeding (menorrhagia)
s/s of late stage of cervical cancer
dark, foul discharge
pelvic pain
abdominal pain
lower back pain
weight loss
rectal bleeding
dysuria
(skinny girl with a dirty smelly pussy so does anal which makes her back, stomach, pelvis and pee hurts)
diagnostic tests for cervical cancer
pap smear
cone biopsy
dilation and curettage
colposcopy
breast cancer risk factors
BRCA-1 & 2
being old
female family hx
early menarche (before 12)
nulliparity
Having 1st kid after 30
menopause after 52
radiation exposure (teen-30 y/o)
benign fibrotic breast disease hx
obesity
hormone replacement therapy
estrogen use for more than 5 yrs
birth control
alcohol
ashkenazi jews
breast cancer prevention
early screening
early breast cancer screening types
self breast exam
mammogram
genetic testing
ultrasound
clinical breast exam
where is breast cancer usually found
upper outer quadrant
breast cancer s/s
non tender, fixed and hard lump
irregular borders
dimpling of breasts
retracted nipples
early s/s of breast cancer
irregular borders
late s/s of breast cancer
dimpling of breast
unusual shape
nipple retraction
what age should mammograms start
40
what diagnostic test is performed if a lump is found on a breast
biopsy
what should pt wear & do after lumpectomy to prevent lymphatic fluid from building up
compressive sleeve and arm exercises
removal of only the breast tissue is what procedure
total mastectomy
a total mastectomy would be done a patient with breast cancer with cancer that is what?
localized (in situ)
removal of breast tissue and auxiliary lymph nodes without removing pectorals is called?
modified radical mastectomy
removal of breast tissue, lymph nodes and pectoral muscles is called
total radical mastectomy
what should you do with extremity of a pt s/p mastectomy and why?
elevate it to return venous flow
when can a jp drain be removed
when output is less than 30 cc
what arm would you check BP and perform lab draws in a pt s/p left mastectomy?
right arm
how many weeks can a pt s/p mastectomy not use lotion on affected area
4-6 weeks
what procedure should you ask the pt if they want s/p mastectomy?
breast augmentation
post mastectomy exercises
stress ball first 24 hrs
hand crawl up wall
hair combing
what should mastectomy pt avoid going after surgery
heavy lifting
what to do with arm after mastectomy? how long and how many times
elevate on pillow for 45 mins 3x/day
is burning/tingling sensation in chest normal after mastectomy
yes
what kind of razor should post mastectomy pt use
electric razor
what should pt s/p mastectomy protect seen from
mosquitos
s/s of infection s/p mastectomy
foul smiling drainage
fever
what kind of clothes can chemo pt not wear
tight clothes
hormonal therapy for chemo pts
tamoxifen
ovarian cancer chemo drugs
cytotoxan
adriamycin
taxol
nursing interventions for pt s/p mastectomy
turn pt
have them cough
deep breaths
spirometer
hysterectomy types
open abdominal
laparoscopical
what should pt go into surgery with for laparoscopy
compression stockings
how to prevent dvt in laparoscopy pt
plantar flexion, dorsal flexing, point toes back and forward
pt s/p laparoscopy with chest pain, SOB and crackles is at risk for
PE
what should a pt s/p laparoscopy not do
smoke
bear down/strain
nothing in vagina for 6 weeks
what should u monitor for in pt s/p laparoscopy
urine output and flatulence
can a pt get pregnant after a radical trachelectomy
yes
how often should a pt with persistent vaginal discharge douche after a radical trachelectomy?
twice a day
