Female Reproductive Disorders
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16 terms
Terms | Definitions |
|---|---|
Dysmenorrhea | Painful menstrual flow Most common in young women Painful uterine cramping; lower abdomen and back pain Tx: NSAIDS, oral contraceptives, heat packs, relaxation techniques, low-fat food choices |
Premenstrual Syndrome | Caused by changes in the level of serotonin and fluid shifts Physical and emotional symptoms Occurs in women age 20-40 Symptoms include: depression, angry outbursts, anxiety, headache, bloating, unclear thinking Tx: counseling, exercise, change in eating habits, antidepressants (SSRI) |
Endometriosis | Uterine tissue implantation outside the uterine cavity (on an ovary) Monthly menstruation/bleeding occurs out of place causing scars; possibly infertility Affects women of all ages Symptoms include:pain(prior to mentruation), pelvic tenderness, painful sexual intercourse TX: like dysmenorrhea, endostatins, removal of adhesions |
Dysfunctional Uterine Bleeding | excessive bleeding Due to hormonal imbalance - no ovulation occurs → increase progesterone → uterus overgrowth occurs →shedding of uterine lining (heavy bleeding) TX: hormone manipulation, NSAIDS, D&C, endometrial ablation |
Menopause | Normal cessation of menstrual periods Amenorrhea for 12 months Ovaries no longer produce estrogen S/S: hot flashes, vaginitis, menstrual irregularity TX: HRT (oral, transdermal, intravaginal), exercise, calcium supplements |
Toxic Shock Syndrome (TSS) | Exotoxins produced from bacteria cross the vaginal mucosa and enter bloodstream Related to use of tampons S/S: quick onset of fever, hypotension, sunburn-like rash in eyes/skin TX: remove infection source, fluid balance restoration, IV antibiotics, pressors |
Uterine Prolapse | Downward displacement of uterus Decrease of pelvic support Occur in stages S/S: painful intercourse, backache, pressure on pelvis TX: pelvic support to elevate uterus (pessaries/spheres), estrogen therapy, surgery |
Total vaginal hysterectomy (TVH) | Presence of small fibroids on uterus Removal of uterus & cervix through vagina |
Total abdominal hysterectomy (TAH) | Present of large leimyomas Removal of uterus & cervix via bikini incision |
Surgery - POST-OP | Incision/site, bleeding, dressing assessment Assess pain, vital signs, labs (esp. H&H,) fluid intake INTERVENTIONS Cough & deep breathing, incentive spirometry, early ambulation Emotional supports, community resources |
Endometrial Cancer | - inner uterine lining Most common; slow growth; bleeding leads to early detection S/s: postmenopausal bleeding |
Cervical Cancer | squamous/columnar cells transform to cancerous cells (transformation zone) Caused by HPV exposure to cells on outside of cervix S/s: May present as warts |
Ovarian Cancer | - tumors growing on ovary surface Rapid growing, spread quickly Metastasize to distant sites via blood/lymph circ. May be linked to excessive estrogen exposure Leading cause of death of reproductive cancers S/s: abdominal pain, GI disturbances Low survival rate - diagnosed in later stages |
Cancer Treatments | Vary amongst cancers Chemotherapy Radiation Surgical procedures Palliative care SUPPORT, SUPPORT, SUPPORT!! |
Assessment | Pap smears, abnormal bleeding, discharge, Abdominal/back pain, gas, incontinence, external appearance Family support Knowledge of cancer and overall health Pelvic exam: speculum, lubricant Inspected for color, shape, dilation, herpes, discharge, nodules, masses, bleeding |
Nursing Diagnosis | Anxiety and Fear Acute Pain Anticipatory Grieving Risk for Sexual Dysfunction Ineffective Coping Potential for Hemorrhage |
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