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25 Cards in this Set
- Front
- Back
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PMS
define |
the appearance of 1 or more of a large number of physcial or psychological symptoms that occure BEFORE the menses and SUBSIDE with the onset of menstrual flow
occurs with such a degree that it interfere with lifestyle, job |
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Theories of why woman get PMS
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increased estrogen and decreased progesterone in leutal phase
unidentified hormones serotonin defeciency dietary factors |
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Symptoms of PMS
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fluid retention
bloating-edema breast tenderness wt gain crying depression irritability trouble concentrating panic attacks cravings increased appitte |
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DX of PMS
3 criteria |
nn detailed hx, asked to keep log of s/s and moods
1-symptoms in leuteal phase and subside when menses begins 2-symptom free during follicular phase 3-symptoms recurrents |
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management of PMS
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decrease consumption of red mean
limit refined sufar limit etoh and caffiene supplements0b6 naural dieuretics such as rasp tea, cran juice, peaches Mag&Vit E Cal 1200mg/day exercise and stress reduction oral contraceptives SSRI Nsaid such as ponstel motrin diuretics |
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DYSMENORRHEA
PRIMARY |
occur at time of menarche or shortly after. painful menstration with no identifiable pelvic pathology
MORE PHYSIOLOGIC |
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DYSMENORRHEA
SECONDARY |
ORGAINC BASIS FOR PAIN
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treatment of dysmenorrhea
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nsaids
oral contraceptives heat/ice increase physcial exercise limit fat |
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AMENORRHEA
PRIMARY |
abscence of mentrual flow
>16 and not begun menstration but has signs of sexual maturation OR by age 14 no period and NO sex maturation Give emotional support to both variations in genetics, body build, environment, dietary, mental/emotional |
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AMENORRHEA
SECONDARY |
ABSCENSE OF MENSTRUAL FLOW FOR 3 CYCLES OR 6 MONTHS AFTER A NORMAL MENARCHE
ETIOLOGY-PREGNANCY, STRESS, OBESITY, EATING DISORDERS, PITUITARY OR THYROID DISORDERS |
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HYPOGONDOTROPIC AMENORRHEA
type of secondary amenorrhea |
rarely pituitary lesion
genetic inability to produce FSH/LH r/o preg TSH brain CT |
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DYSFUNCTIONAL UTERINE BLEEDING
DUB |
abnormal bleeding that does not have a know organic cause
any atypical bleedings needs to be evaluated occurs mostly in v. young and old |
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DUB
MENORRHAGIA |
Prolonged or excessive bleeding at the tome of the regular menstral flow.It is a regular cycle but doesn't end in expected time or flow is excessive
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suspected causes of menorrhagia
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young
emotioanl endocrine inflammatory process tumor hormone imblalnce |
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management of menorrhagia
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try to ge objective measure of bleeding by doing a PAD COUNT and SATURATION
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DUB
METRORRHAGIA |
MOST SIGNIFICANT!!!
warrants early dx and tx vaginal bleeding between regular menstral periods |
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causes of metrorrhagia
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CA
benign tumors infection trauma |
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DUB
ENOMETRORRHIAGIA |
combo of both/ rq evaluation
heavy vaginal bleeding between and during menstrual periods |
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dub
POSTMENOPAUSAL BLEEDING |
bleeding 1 year after menses stop at menopause
needs evaluation RED FLAG |
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Dilation & Curettage
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dianostic or therapeutic
dx- specimen of cervical canal or endometrius therapeutic-control abnormal bleeding and often stops abn bleeding |
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RN considerations for D&C
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explain, support, void before and after, inspect perineal bed, no sex for 2 weeks after due to risk of infection or bleeding
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CYSTOCELE
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bladder displaced in downward position
causes: childbirth primary cause s/s pelvic pressure, fatigue, feeling of heaviness, incont-freq-urgency back and pelvic pain |
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RETOCELE
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rectum displaced
pushes toward post-partum of vagina results from tear below vagina and weaking of pelvic floor during childbirth. same s/s but rectal. fecal incont, increased flatus and rectal pressure |
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Medical management for cystocele/rectocele
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medical management-pessaries (hold uterus in place) Kegels
SURGICAL-cystocele-anterior colporrhapy Rectocele-posterior colporrhaphy |
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RN considerations for medical/surgical management
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exam peri pads for drainage, lap site for drain, encourage to void and empty
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