Medical-Surgical Nursing, 9th Ed., Lewis, Dirksen, Heitkemper & Bucher | Registered Nurse (RN) School Study Aid
Infertility
- No Conception After 1 Year
- Artificial Insemination
- In Vitro Fertilization (IVF)
- Clomiphene Citrate (Clomid)
- Menotropins
- GnRH Agonists
- Treat Underlying Disorders
- Emotional Support
- Multiple Gestations
Amniocentesis
- Transabdominal Puncture
- > 14 weeks gestation
- Genetic and Congenital Anomalies
- Fetal Hemolytic Disease
- Fetal Lung Maturity
- Miscarriage
- Hemorrhage
- Infection
- RhoGAM (Rh Immune Globulin)
Spontaneous Abortion Overview
- Bleeding < 20 weeks Gestation
- Identify Type
- Bed Rest
- Monitor for Hemorrhage
- Save Pads and Linens
- RhoGAM
- Dilation and Curettage (DandC)
- Cerclage
- Emotional Support
Carboprost (Hemabate)
- Prostaglandin F2-alpha Analog
- Smooth Muscle Contraction
- Postpartum Hemorrhage
- Abortion
- GI Distress
- Hypertension
- Fever
- Bronchoconstriction
- Identify Cause of Fever
Buspirone (Buspar)
- Increases Serotonin
- Anxiety
- Dizziness
- Insomnia
- Delayed Effect
- Safer with Alcohol than Other Anxiolytics
- Low Side Effect Profile
- Low Abuse Potential
Dysfunctional Uterine Bleeding
- Bimodal Age Distribution
- Painless Vaginal Bleeding
- Amenorrhea
- Menorrhagia (Heavy Menstrual Bleeding)
- Metrorrhagia (Bleeding Between Menses)
- Balloon Thermotherapy
- Hormone Medications
- Dilation and Curettage (DandC)
- Monitor for Anemia
Ectopic Pregnancy
- Lower Abdominal Pain
- Delayed Menses
- Abnormal Vaginal Bleeding
- Shock
- Referred Shoulder Pain
- Cullen Sign
- Methotrexate
- Surgery
- RhoGAM
Menopause Lab Findings
- Decreased Estrogen
- Lack of Negative Feedback
- Increased FSH
- Increased LH
- Increased GnRH
- Small Amount of Estrogen From Androgen Conversion
- Increased Androgens = Hirsutism
Alendronate (Fosamax)
- Inhibits Osteoclasts
- Osteoporosis
- Paget's Disease
- Esophageal Ulcers
- Musculoskeletal Pain
- Vision Changes
- Atrial Fibrillation
- Osteonecrosis of the Jaw
- Take on Empty Stomach
- Remain Upright
Vaginitis
- Infection
- Postmenopausal Atrophy
- Vaginal Discharge
- Pruritus
- Antifungals (Miconazole, Clotrimazole)
- Antibiotics
- Estrogen Hormones
- Abstinence
- Good Hygiene
- Recurrent Vaginitis
Pelvic Inflammatory Disease (PID) Assessment
- Untreated Cervicitis
- May Be Asymptomatic
- Dysuria
- Vaginal Discharge with Odor
- Fever
- Dyspareunia
- Lower Abdominal Pain
- Spotting
- Cervical Motion Tenderness
Pelvic Inflammatory Disease (PID) Interventions
- Antibiotics
- No Intercourse for 3 Weeks
- Semi-Fowler's Position
- Analgesics
- Monitor Temperature
- Treat Partners
Endometriosis
- Endometrial Tissue Outside Uterus
- Retrograde Menstrual Flow
- Dysmenorrhea
- Cyclic Pelvic Pain
- Irregular Vaginal Bleeding
- Pain with Defecation
- Dyspareunia
- Medications to Decrease Ovulation
- NSAIDs
- Surgery
Cervical Cancer Assessment
- Human Papillomavirus (HPV)
- Metrorrhagia
- Leukorrhea
- Pain
- Abnormal Pap Test
- May Be Asymptomatic
- HPV Vaccine
Cervical Cancer Screening
- Women Aged 21-65 Years
- Pap Smear Every 3 Years
- Women Aged 30-65 Years
- Can Opt for Co-testing (Pap Smear + HPV Testing) Every 5 Years
- Identify Lesions
- Cryotherapy
- Loop Excision
- Cold Knife Conization
Norepinephrine (Levophed)
- Alpha Agonist
- Beta-1 Agonist
- Severe Hypotension
- Decreases Renal Blood Flow
- Arrhythmias
- Hypertension
- Tissue Necrosis
- Last Resort Medication
Contraception
- Preventing Unplanned Pregnancy
- Spermicides
- Diaphragm
- Cervical Cap
- Contraceptive Sponge
- Male Condom
- Oral Contraceptive
- Intrauterine Device (IUD)
- Injectable Progestins