CHAPTER 14 Women’s Health^517
TREATMENTS
- Most patients are able to be managed in an outpatient setting with antibiotics:
- ofloxacin and metronidazole
- ceftriaxone and doxycycline
- azithromycin and metronidazole
- Those who are pregnant, who present with an abscess or peritonitis, or with
GI symptoms require inpatient treatment.- cefotetan and doxycycline
- clindamycin and gentamycin
- azithromycin and metronidazole
- Sexual partners must also be treated.
NURSING DIAGNOSES
- Pain, discomfort
- Sexual dysfunction
- Risk of infection
NURSING INTERVENTIONS
- Teach patient about:
- Spread of the disease.
- Practicing safe sex.
- Medication use and side effects.
- Necessity of treating all partners.
Trophoblastic Disease
Trophoblastic neoplasias are abnormal cells growing from a shell that forms
between the embryo and the endometrium. The four disease entities are called
hydatidiform mole (partial or complete), invasive mole, choriocarcinoma, and pla-
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