Special Populations 2 Flashcards
Gyn Questions
When was your last period How long is your period normally Anything different Type of bleeding Clots Discharge Smell Pregnancy On birth control Any trauma What is normal for pt How many pads have you gone through in 24 hours
Basic Gyn Tx
Support pt
Position of comfort
O2 if SpO2 low
Hypermenorrhea/Menorrhagia
abnormally heavy bleeding
Polymenorrhea
period more frequent than 24 days
Dysmenorrhea
painful menses
Metorrhagia
spotting that occurs bw periods
Vaginal bleeding <20 weeks
likely spontaneous miscarriage
Vaginal bleeding >20 weeks
Abruptio placenta Placenta Previa
Ectopic pregnancy S/S
Unilower abdominal px
Gradually worsens over few days
Rebound tenderness
diffuse px
may have cullen or grey turner sign
Ectopic pregnancy tx
ABCs Cardiac monitor IV Fluids px management warm and tx for shock
PID S/S
diffuse lower abdominal px
shuffling gait
fever
chills
discharge
px on urination
Sexual assault tx
focus on what hurts and what pt needs tx don’t ask for retelling ask for gender preference in provider don’t examine vagina tx px and anxiety document well
Fetal Circulation
Ductus Arteriosus
allows blood to pass from pulmonary artery directly into aorta t
Gravida
number of times pregnant
Parida
number of births
Nulligravida
never been pregnant
Nulliparious
never given birth
Primigravida
female who is pregnant first time
Multigravida
female who has been pregnant multiple times
Multiparity
given birth multiple times
Grand multiparity
female who has given birth more than 5 times
Hyperemesis gravidarum tx
ABCs
Position of comfort
EKG
500mL NS if hypotensive
Zofran and maybe benadryl
check BGL
PreEclampsia S/S
edema hands, feet, face
seizures
SBP >160
DBP >105
20th week of pregnancy or greater
PreEclampsia Tx
O2
Position of comfort
4-6g of Mag over 15mins
Maintenance infusion of 1-2g
if seizure persists, 4mg of lorazepam
Contact Med control for Labetalol
Abruptio Placenta S/S
dark red blood
lots of px
external blunt trauma most common cause
can be deep in shock with minimal bleeding
Abruptio Placenta Tx
ABC
Shock tx
O2
fluids if hypotensive
Placenta Previa S/S
bright red blood
more minimal px
may be unknown if not receiving prenatal care
bleeding begins towards end of pregnancy