repro

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cassiekay10
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232961
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repro
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2013-09-05 22:44:23
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repro
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  1. doxcycline
    Vibramycin
    4
    • tetricycline
    • for inf of gon and syph
    • preg- infant stained teeth*
    • kids under 8 stained teeth*
  2. valtrex
    valacyclovir
    3
    • antiviral - herpes
    • started at first sign!*
    • does not prevent spread
  3. depo provera
    medroxyprogesterone
    6
    • contraceptive, prevent preg*
    • risk for clot, pulm embolism, wt gain/loss, w/drawel blding for 3-7 days after stopping*
  4. ortho-tricyclen
    norgestimate/ethinyl estradiol
    3
    • bc
    • regulate menstrual cycle and prev preg*
  5. leuprolide
    lupron
    6
    • tx prostate ca*
    • endometriosis, uterine fibroids
    • s/e cva, mi, decr test size*
  6. folic acid
    folate
    2
    given during preg to promote fetal development and prevent neural tube defects
  7. fluconazole
    diflucan
    3
    • tx yeast infections*
    • decr k
    • incr triglycerides
  8. finasteride
    proscar
    3
    • benigh prost hyperp; bph and male pattern baldness
    • bph takes 6-12 mo for response*
  9. tadalafil
    cialis
    4
    • ed, dose given 30 min before sex*
    • may work up to 36 hr
    • may cause priopism* (wont go down)
  10. sildenafil
    viagra
    4
    • ed, priopism
    • s/e mi, sudden death*
  11. fimbrae
    1
    • brings egg into tube
    • come on in!
  12. cilia, peristalsis, and rugae
    1
    move egg along tube
  13. urethra functions
    1
    urine and repro
  14. prostate
    1
    surrounds urethra
  15. where does fertilization take place
    1
    fall tubse
  16. when ovum is expelled
    what forms
    2
    • solid yellow mass
    • corpus medium
  17. tx pms
    4
    decr etoh, sugar, caf, nicot
  18. times when normal for amenorrhea
    5
    after 40, preg, menopause, emotional dis, anorexia
  19. you can still become preg
    1
    when beginning meno
  20. cannot become pregnant
    1
    after total hysterectomy
  21. epididymisis tx
    1
    elevate
  22. best time breast exam
    1
    one week after period
  23. sings of lump/breast ca
    3
    puckering, dimpling, inverted nipple
  24. mammogram
    1
    detects lumps before they are palpable
  25. teaching pap smear
    2
    no douche/ sex for 48 hrs
  26. gonorhea women
    1
    may not show sx
  27. pap smear is for
    1
    cerv ca only
  28. hysterectomy surgery risk
    3
    dvt - walk, exercise to prevent
  29. pms tx
    1
    depends on severity of sx
  30. douching may
    2
    • change pH
    • incr infections
  31. pms teaching
    10
    helpful dietary interventions include lowering intake of refined sugar, nicotine, red meats, caffeine, salt, and etoh and INCREASING intake of carbohydrate-rich foods, particularly during the week before menstruation.Regular exercise and relaxation techniques.Support groups.
  32. menstrual cycle
    Increased FSHOvarian follicle releases estrogenOvum begins to matureThickening of endometriumDecreased FSHLH releasedOvulation occurs and Corpus Luteum formsProgesterone released by CLLining of uterus thickens and proliferatesIF NO FERTILIZATION:Ovum dies, corpus luteum degeneratesDecreased estrogen & Decreased ProgesteroneEdometrium degenerates - Menses begins
  33. menopause
    cessation of menses. ovarian activity gradually ceases bw the ages of 45-55; avg is 52 years.when menstrual flow has been completely absent for 1 year, menopause is said to have taken place.End of female's reproductive years.may be surgically induced.
  34. menopause s/s
    decr in menstrual flow, irregular mensesatrophy of internal organsdecr levels of estrogen and progesteronenervousness, sweating, palpitations, severe havasomotor disturbances = hot flashesDX: s/s, hormonal levels, pap smearRX: estrogen replacement therapy--risk for CA, vaginal creams
  35. dysmenorrhea
    painful/difficult menstruation. Primary (no cause) or secondary (pathological cause).s/s: lower abd cramp, ache in lower back/pelvis, emotional instability, n/v/d, ha, dizzy, fatigue.DX: s/s, pelvic exam to eliminate secondary causeRX: primary tx sx; heat applications, reg. exercise, NSAIDS. Secondary tx cause, disease.
  36. amenorrhea
    absence of menstrual flownormal before menarche, preg, after menopause, and lactation.Abnormal: endocrine funct, tumor, wasting state (anorexia), decr amnt of bd fat, psycho state (emotional).DX: s/s, hx, pelvic exam, homonal levelsRX: based on cause
  37. Dysfunctional uterine bleedingDUB -
    excessive/irregular uterine blding w no apparent cause. Takes many forms, including excessive flow, prolonged duration, and intermenstrual blding. May be caused by variety factors. Pregnancy must be r/o.
  38. menorrhagia
    excessive blding @ menses; >7 days or >80 mlcause- endocrine imbalance, tumors, cysts, polyps, and abnormal bld coagulation.s/s: heavy flow, cramps, clotsDX: pad count, hormonal levels (usually > estrogen and < progserone); D&C, biopsyRX: D&C, based on causeComplication: anemia
  39. metorrhagia
    irregular blding at time other than menses. Causes same as menorrhagia. s/s: pink-brown spotting to frank blding. If pregnant - may indicate abortion @ ovulation, ca, spont abortion, ectopic, polyps, infection.DX: hx, pe, pap smear, hormonal levelsRX: based on cause.
  40. rapport
    . explain procedure2. provide privacy for changing into gown3. remain w pt4. acknowledge embarrassment and allow pt to verbalize, explore feelings.5. establish a relaxed atmosphere by addressing womans questions and concerns.
  41. teaching before pap
    1. explain procedure2. do not douche, have sex, use tampons, or apply any vaginal preps (medicinal or deodorant) for at least 48 hours before exam.
  42. pap smear comfortable
    1. have pt empty bladder2. encourage pt to deep breathe during exam3. mild analgesic after cervical bx
  43. mammogram testing
    3
    • baseline 35-40
    • 40s q 1-2 y
    • 50s annually
  44. postional for pelvic exam
    3
    • lithotomy- adjust stirrups and put head up
    • drape pt
    • modify for poor mobility/arthritis
  45. ectopic pregnancy
    complication
    1
    peritonitis
  46. ectopic
    rx
    2
    surg, tx Rh factor
  47. ectopic
    NSG
    4
    minotor s/s, emotional support, explanation, answer ?s
  48. self breast exam
    2
    • monthly
    • one week after menses
  49. gonnorrhea s/s
    men
    4
    urethritis, dysuria, pur. dc, swelled peepee
  50. gonorrhea gay men
    2
    • proctitis (rectal)
    • pharyngeal gon (asymp)
  51. gonorrhea women s/s
    6
    mild-none, pur dc, vague fullness, ache abd, burn, freq, and urgency of bladder
  52. gonorrhea tx
    RSV
    3
    • Rocephin
    • Suprax
    • Vibramycin
  53. 3syphillis tx
    • easy to cure in early stages
    • PNC
    • mandatory HIV testing
  54. 5syp sx
    primary
    • single chacre (firm, red, sml, painless)
    • 3-6 wk, advances wo tx
  55. 10syp sx
    secondary
    • skin rash, muc mem lesions, dont itch, rough red-brwn spots on palms and feet, fever, swollen lymphs, sore throat, hair loss, ha, wt loss, muscle ache, fatigue
    • advances wo tx
  56. 8syp sx
    latent
    • hidden- remains for years
    • damage to internal organs (brn, eye, hrt, bld ves, liver, bone, jnts)
    • dif coordinating muscle movements, paralysis, numb, blind, dementia, death
  57. 10genital herpes
    s/s
    local infl, pain, lrg inguinal lymph nodes, ha, flu-like, dyruria, urinary retention, papillary lesions (one or more, red, painful, papules), ulcerative areas (worsen 10-15 d, heal 3-4), transmitted to baby thru inf, c section req, oral-genital transmission
  58. 2genital herpes
    tx
    • acyclovir/antivirals and symptomatic care
    • meds do not prevent recurrance
  59. 8chlamydia
    s/s
    • pain/dif urination, abn vag dc/blding, pain/blding c sex, irr menses, testic pain, nonspecific urethritis/epididymitis, 1/3 women asympt, premature birth
    • baby eye inf- all babies tx
  60. 3chlamydia
    tx
    • all babies eye ointment
    • axithromycin, doxycycline
  61. 4condolomata acuminata
    gen warts
    s/s
    • soft, moist, flesh-colored bumps on vulva, vag, cervix, perineum, anal, urethra, and glans penis
    • appears wks-mos after inf
  62. 4condolomata acuminata
    gen warts
    tx
    removal of symptomatic warts via pt applied creams, solutions, acids, intralesional interferon, surg (laser-cryo, cautery, loop electrosurg excision)
  63. 8trichomoniasis
    s/s
    malodorous, copious, frothy-thick/thin, white-yell-grn-gry dc, infl vag, cerv erosions, blding, prostatitis, urethritis, reversible sterility, preg-prematurity & low birth wt
  64. 1trich tx
    metromidazole
  65. 8chancroid
    s/s
    tender gen ulcers, lymphadenopathy and tender buboes 1-2 wk after primary, buboes unilateral, painful, sphere shape, skin inflamed - abcesses, dyspuria, dysuria, pain
  66. 4chancroid
    tx
    • azithromycin
    • cerftriaxone
    • cipro
    • reythromycin
  67. 5hep b
    s/s
    jaundice, anorexia, fever, gi upset, infl liver
  68. 5crabs
    s/s
    itchy, red papules, adhere to hair around pubic, anus, abd, and thighs
  69. 1crabs tx
    kwell lotion
  70. 2vasectomy teaching
    • sperm found up to 6 wks later
    • alternate form bc til sperm count 0
  71. 1lumpectomy
    rem tumor
  72. 2partial/segmental mas
    rem tumor and portion surrounding tiss
  73. 2simple/total mas
    entire brst and ax nodes
  74. 3modified radical mas
    brst, ax, lining over chest wall muscle
  75. 2radical mas
    same as modified plus chest wall under brst
  76. 9menopause s/s
    decr flow, irr menses, atrophy organs, low estr and prog, nervous, sweat, palp, severe ha, vasomotor (hot flashes)
  77. 3menopause
    dx
    s/s, h levels, pap
  78. 2monopause
    tx
    • estrogen replacement tx (risk for ca)
    • vag creams
  79. 7dysmenorrhea
    s/s
    low abd cramp, ache low back/pelvis, emotional, n/v/d, ha, dizzy, fatigue
  80. 3dysmenorrhea
    definition
    • painful/dif menses
    • primary no cause
    • secondary pathologic
  81. 2dysmenorrhea
    dx
    s/s,pelvic exam to eliminate secondary
  82. 5dysmenorrhea
    tx
    • prim tx by symptoms
    • apply heat
    • exercise
    • NSAIDS
    • second tx by cause
  83. 3amenorrhea
    is
    • absence of menses
    • normal during preg, before menarche, after menopause, & lactation
    • abnormal during enocrine dysfunct, tumor, anorexia, low bd fat, emotional
  84. 4amenorrhea
    dx
    s/s, hx, pel exam, h levels
  85. 1amenorrhea
    tx
    based on cause
  86. 2dysfunctional uterine blding
    dub
    is
    • excessive/irr blding w no known cause
    • must r/o preg
  87. 2dub menorrhagia
    is
    • escess blding at menses >7d or >80ml
    • cause endocrine imbal, tum, cyst, polyps, abn blding coagulation
  88. 2dub metorrhagia
    s/s
    • pink-brwn spotting to frank bld
    • preg may indicate abortion at ovulation, ca, spont abort, ect, polyps, inf
  89. 4dub metorrhagia
    dx
    hx, pe, pap, h level
  90. 2dub menorrhagia
    tx
    d&c, based on cause
  91. 1dub menorrhagia
    complication
    anemia
  92. 3dub menorrhagia
    s/s
    heavy flow, cramps, clots
  93. 4dub menorrhagia
    dx
    • pad count, h levels (incr est & prog)
    • d&c, bx
  94. 2dub metorrhagia
    is
    • irr, blding other than menses
    • cause same as meno
  95. 1metorrhagia
    tx
    based on cause
  96. 5rapport
    • explain procedure
    • privacy for changing
    • stay w pt
    • ackowledge embarrassment- allow pt to verbalize- explore feelings
    • establish relaxed atmosphere- address ?s and concerns
  97. menstrual cycle
    • ↑ FSH
    • Ovariam follicle releases ESTROGEN
    • Ovum begins to mature
    • Edometrium thickens
    • ↓ FSH
    • LH released
    • Ovulation occurs & Corpus Luteum forms
    • Progesterone released by CL
    • Uterus lining thickens & Proliferates
    • IF NO FERTILIZATION:
    • Ovum dies, CL degenerates
    • ↓Est & ↓Prog
    • Endometrium degenerates & menses begin

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