CHAPTER 14 Women’s Health^513
- Dyspnea due to pressure from the diaphragm from an enlarging tumor
- Ascites—abnormal abdominal fluid
INTERPRETING TEST RESULTS
- An elevated CA-125 indicates a tumor may be malignant.
- Transvaginal ultrasound for detection of disease.
TREATMENTS
- Treatment depends on the staging at diagnosis.
- Surgical staging is necessary.
- Complete abdominal hysterectomy, with bilateral salpingo-oophorectomy,
omentectomy, and node dissection. - Complete removal of all visible tumor and metastasis-debulking.
- Chemotherapy:
- cisplatin
- carboplatin
- paclitaxel
- Radiation.
NURSING DIAGNOSES
- Ineffective breathing pattern
- Hopelessness
- Anxiety
NURSING INTERVENTIONS
- Monitor CBC to check anemia.
- Check vaginal bleeding.
- Check incision site.
- Abdominal assessment—check for bowel sounds, distention.