Medical-surgical Nursing Demystified

(Sean Pound) #1

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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