Pelvic inflammatory disease (Nursing management (• Administer…
Pelvic inflammatory disease
PID is a clinical syndrome that describes simultaneous infection of several organs in the female reproductive system, with or without the involvement of the pelvic peritoneum
• In most instances the infection is acute, whereby the infecting organisms colonise the vagina and cervix.
• Causing a low grade vaginitis and cervicitis.
• The infection ascends to the uterus and fallopian tubes causing endometritis and salpingitis.
• The endometrium may be necrotic in appearance.
• Salpingitis is most noticeable, which cause the tube to become congested, occluded with limited mobility.
• Sexually transmitted diseases
• Childbirth and abortion
assessment and common findings
• Lower abdominal pain that ranges from moderate to severe and worse on movement.
• Urinary frequency and urgency
• Pyrexia and tachycardia
• Nausea and vomiting
• If an abscess had formed, abdominal distension and rigidity.
Through blood sample, cervical swab and laparoscopy.
• Administer prescribed medication (antibiotic and analgesics)
• The antibiotic of choice will depend on the infecting organism
• A single dose of Ciprofloxacin 500mg orally may be prescribed to treat gonorrhorea
• Provide plenty of water to drink
• Monitor and accurately record vital signs
• Using gloves, observe vaginal discharge
• Wash hand before and after attending to the patient.