The Surgical Removal of the uterus
What is a hysterectomy
When do you get your patient OOB?
ASAP
The two hormones produced in the ovaries
Estrogen and progesterone
When is pain assessed?
On admission, with each assessment, and following pain meds
Name three complications from a hysterectomy
Hemorrhage, DVT, Bladder dysfunction, infection, constipation, obstruction
A salpingectomy
What is the surgical removal of the fallopian tubes
Name 5 nursing assessments specific to the post-op patient?
Incision, DVT, Pain, Bleeding, Emotional status, Lung sounds, Bowel
Sign of infection
Fever, white count, pain
Painful sexual intercourse, Fistula, new or worsening urinary problems.
The surgical removal of leiomyomas
What is a myomectomy
Your pt. whom just had a vaginal hysterectomy wants to take a bath. You?
advise that showers are necessary
Name 3 topics of education specific to oophorectomy patients
Hormone replacement, emotional status, pain, infection,
Site of entry for UAE
Groin- Femoral artery
What GI complication is most common following GYN surg?
Constipation
A colporrhaphy
The repair of pelvic organ prolapse
PCA verification by 2 nurses occurs when?
Initial programming, changing of medication bags, change in dose, wasting, change in caregiver
Name 5 S&S of PID
Abd pain, fever, painful intercourse, foul smelling discharge, abnormally heavy periods, fatigue, N&V, rebound tenderness
1st void after foley removal should occur within?
What is 4 hours
Name 3 complications of uterine fibroids
SAB, PTL, malposition of the fetus, Bladder compression, infection, bowel obstruction, secondary infertility
The three types of Hysterectomies
What are Partial, Total and Radical
Your patient asks how UAE works. What do you tell them?
The blood flow to the fibroid was stopped. Creating the inability for growth.
What does UAE stand for?
Umbilical Artery Embolization
Following a UAE, this pulse needs to be assessed with each assessment
What is pedal
Name three complications from PID
Scar tissue, Infertility, chronic pelvic pain, sepsis