PMS but more severe and 7 to 10 days b4 menstruation. Cause unkown
S/S = weight gain, headache, nervousness, irritability, personality changes, depression, abd bloating pain, tenderness of the breasts, breast enlargement, cravings 4 sweets, swelling of ankles, feet, and hands, anxiety, or increased physical activity.
Nurse does = tells pt 2 keep menstrual diary for @least 2months, tx depends on severity, supplement medical keep a regular schedule 4 meals, eating 6 small meals per day, avoid salt b4 menstrual, dont drink caffeine, don't drink alcohol, exercise 3 to 5x a wk 4 25 to 30mins, get sleep, manage stress
Tx = hormonal therapy, short term tranquilizers, or antidepressants,