Womens Health Flashcards
When you start seeing signs of stroke in a woman such as numbness, weakness, of face arm and/or leg
Trouble seeing out of one or both eyes
Trouble walking dizziness , loss of balance or coordination. It is important to call 911 and catch what is known as the golden hour. Why?
In the golden hour we administer tissue plasminogen activator as soon as possible. (TPA)
Complex social problems
When they have one more more issues going on ( kids, abusive relationship , poor paying jobs) and how do we council them out of them?
What are ways we can teach women how to get vit d and calcium?
Dairy, green leafy vegetables ad sunlight
What immunization is it important to teach to prevent a certain infection from sex
HPV
Treatment for benign breast disorders
Supportive bra
Avoid caffeine - irritates ffibrocystic disease
Danazol
Purpose of danazole for benign breast disorders
Suppresses estrogen which decreases the pain
Hormone therapy
HRT & ERT
HRT
Hormonal replacement therapy
Estrogen and progesterone
ERT
Estrogen replacement therapy
Amenorrhea
Primary and secondary
Absence of menses
Primary. Amenorrhea
No secondary sex characteristics by age 14
No menses with secondary sex characteristics by age 16
Secondary amenorrhea
No menses 3-6 mo following normal cycles
Underlying cause ( pregnancy for example)
Medication therapy for PMS
Ibuprofen
Antidepressants
Diuretics
Oral contraceptives
What are diuretics used for PMS
For bloating
What are oral contraceptives used for - for PMS
Regulating hormones
Life style changes that would help treat PMS
Low salt diet
Decrease caffeine
Decrease animal fat
Refined sugars
Less alcohol
What type of hormone therapy if you have uterus in body and no hysterectomy
HRT - estrogen and progesterone cancel eachother out and decrease the risk of cancer
Hormone therapy if you dont have uterus
ERT - estrogen only
Menopause teachings for hot flashes
Avoid alcohol, cafffeine , hot drinks, spicy food, smoking , layer clothing
Teachings for night sweats with menopause
Cool shower before bed , cotton night wear , cool room , black coash , castle berry
Vaginal dryness treatment for menopause
Vaginal lubricants or estrogen cream
Complementary / alternative therapy menopause
Acupuncture
Biofeedback
Hypnosis
Mittenschmerz
Pelvic pain which occurs midway between menstrual periods at the time of ovulation (lower right or pelvic area)
Last for few hours to 2 days
Slight vag bleeding after discomfort
Primary dysmenorrhea
Painful cramping 12-24 hours before menses ( last that long)
- only at the beginning
Secondary dysmenorrhea
Painful menses with know anatimonic factor
( endometriosis , adhesions, cervical stenosis , fibroids)
Medical management for endometriosis
Pain management - NSAIDs analgesia
Hormone therapy ( BC , assisted reproduction)
Endometrial biopsy
Surgical treatment
Medical management PCOS
Lifestyle mod
Low dose oral contraceptives
Fertility therapy
Metform (diabetes)
Ovarian cyst treatment
Wait and examine after the next menstrual cycle
Oral contraceptive
Surgical removal
Non surgical treatment for pelvic floor dysfunction
Kegals
Vaginal pessary
Hormone therapy - intravaginal estrogen
Purpose of hormone therapy intravaginal estrogen for pelvic floor dysfunction
Tighten up vag wall
Medical management for urinary continence
Kegal , bladder training
Estrogen cream / anticholinergic drugs
Surgery
Med devices
Treatment for benign disorder such as leiomyomas , fibroids, Mayomas
Cryosurgery
Myoemectomy or hysterectomy
GnRH hormone
Uterine artery embolization of the blood vessel supplying
What is dsGnRH hormone used for
To shrink tumor
Cryosurgery
Used to shrink tumor
Myomectomy
Cutting off the eternal layer of the uterus so she can go ahead and have babies
After she is done with babies …. Hysterectomy
What should we Becareful and watch for when a physician goes in with the removal of fibroids
Uterine scarring
So before labor we want to assess where the scar is before we decide if we are delivering vaginally
At risk for rupture
Uterine artery embolization purpose
For leiomyomas, fibroids, Mayo as , fibromomas, fibromas
Help fibroids shrink by not allowing the fibroid or tumors to grow by not feeding them
When it comes to tumors and taking GnRH.. what is important to teach about to the patient?
If discontinued expect regrowth of tumors , amenorrhea may occur
Pre op education for tumors
No alcohol , aspirin or anticoagulants 24 hours prior to surgery
What should the patient expect during procedure of removal or shrinking of tumors ?
Cramping during procedure as polyvinyl alcohol pellets are injected
Post op care for removal of tumors regarding which procedures
Cryosurgery
Myoectomy
Hysterectomy
Uterine artery embolization
Discharge info regarding tumors
Take meds as direction
Report bleeding, pain , swelling at puncture site, fever , urinary retention, abnormal vag discharge
No tampons or douching for 4 weeks
Types of tumors
Leiomyomas , fibroid, myomas , fibromyomas, fibromas
Treatment for chlamydia
Azithromycin 1 gym orally
Treatment for chlamydia if allergic to azithromycin
Doxycycline/ erythromycin
Treatment for Gonorrhea
Ceftriaxone IM 250 mg
With azithromycin 1 go orally
Treatment for trichomonas
Metronidazole 2 gm orally single dose
Teaching for metronidazole 2 gm orally for treatment of trichomonas
No alcohol for 24 hours and take with foo d
Flushing, nausea, vomittting , headache , abd cramping
Since genital herpes has no cute what can we use as antivirals and comfort measures
Acyclovir , valacyclovir , famciclovir
Comfort measures - viscous lidocaine to lesions , peppermint oil
Treatment for HPV
Podophyllin- topical app by pt
Provider- trichloroacetic acid application or surgical removal using laser or cryotherapy
Prevention against HPV
Giardiasis immunization
Since HIV or AIDS do not have a cure what is the treatment
HAART ( highly active antiretroviral therapy)
Maintain health
Reduce perinatal transmission
Treatment for syphilis
Penicillin G regimen
IPV or DV
Pattern of coercive behaviors used to gain control over another individuals in an adult intimate relationship
Total hysterectomy
Take from the cervix to the top of the fundus , leave the fallopian tube and ovaries
Sub total or supracervical hysterectomy
Take above the cervix, leave the cervix
Hysterectomy with Salpingo-oophorectomy
Take out from the cervix up to the fundus as well as the ovaries and tubes
Radical hysterectomy
Take it all out including vagina
Treatment for benign breast disorder (cystic fibrosis)
Supportive bra
Avoid caffeine
Danazol
Danazol
Androgenic medication, which suppresses estrogen used for treatment of benign breast disorder, fibrocystic breast
Bone density
Over 65 every 2 yr
Cholesterol test
After 20 unless risk factors sooner
Colonoscopy
After 50 q 10 yrs
Eyes
After 40 q 2-4 years
After 65- q 1-2 years
Fasting glucose
45 q 3 yrs
Mammogram
40 q 1-2 years
Rubella vaccine
After child bearing age
Clinical breast exam 19-39
Every 3 years
Clinical breast exam over 40
Yearly
21-29 Pap smear
Q 3 rs
Pap smear 30-65
Every 5 years
Over 65 Pap smears
Stop no previous pre cancerous pa in 20 years
