Women’s Health Case Study – Flashcards
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1. Feeling out of CONTROL with drinking? 2. ANNOYED when people question your drinking? 3. GUILTY feelings about it? 4. Have to take an EYE OPENER in the morning?
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CAGE questionnaire
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gravida
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G
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para
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P
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term
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T
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preterm
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P (second)
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abortions
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A
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living
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L
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progesterone contraceptive, inhibits secretion of gonadotropins (inhibits ovulation), thickens cerviacl mucus, thins endometrial lining (prevents implantation of fertilized egg)
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Medroxyprogesterone acetate/ Depo Provera
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loss of bone density, thromboembolism, breast/cervical cancer, bleeding irregularities, weight gain, anaphylaxis, impaired liver function, convulsions, depression, ectopic pregancy
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Adverse effects of Depo Provera
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CYP3A4 inhibitors, HIV protease inhibitors, antibiotics
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Depo interactions
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three months
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Depo dosing
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0-0.7%
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Depo pregnancy risk
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still not advised for women w/hx of DVT or CV disease, higher risk for blood clots in smokers
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Estrogen contraceptives
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Must rule out pregnancy before admin via HCG test or waiting until 1st normal period
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if more than 13 weeks of depo shot
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2 years due to decreased bone density
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Cannot take depo longer than
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most common vag infection, frequently occurs in pregnancy, imbalance of vag flora w/predominance of harmful bacteria
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bacterial vaginosis
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multiple sex partners, frequent sexual intercourse, douching, smoking
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bacterial vaginosis risk factors
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grayish, malodorous discharge, pain, itching, burning
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bacterial vaginosis symptoms
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sexuality patterns altered related to BV infection as evidenced by positive clue cells, increased vaginal pH, and symptomatology of vaginal discharge
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Nursing diagonses for bacterial vaginosis
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N/V, metallic taste, causes vomiting with alcohol, stomach discomfort
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Metronidazole/Flagyl side effects
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bacterial vaginosis, candida (yeast), trichomoniasis
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Types of vaginitis
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IUDs, Depo, Iplanon (rod in arm, secretes estrogen over time), sterilization, injections
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Most effective contraceptives
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some work up to 10 years, paragard, mirena, skyla, lileta
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IUDs
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STIs
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all patients diagnosed with BV should be screened for
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Side effects, alcohol use
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Educate about Flagyl
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BV is not sexually transmitted
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Tell patients
