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Pelvic inflammatory disease (Nursing care plan (Bleeding ((Bleeding, …
Pelvic inflammatory disease
Definition
Pelvic inflammatory disease is a syndrome that describes infection of several organs in the female reproductive system with or without the involvement of the pelvic peritoneum.
Pathophysiology
The infection colonises the Virginia and the cervix causing low grade vaginitis and cervicitis. The infection ascends to the uterus and fallopian tubes causing endometritis, salpingitis and oophoritis.
Clinical manifestation
-urinary frequency and urgency
-dyspareunia
-lower abdominal pain that ranges from moderate to severe and worsen on movement.
-nausea and vomiting
-on palpation, lower abdominal tenderness with guarding denoting peritonitis.
Management
-Administer prescribed medication
-A single dose of ciprofloxacin 500 mg orally may be prescribed to treat infection
-monitor vital signs
-Observe virginal discharge
-maintain patient’s personal hygiene by offering daily baths
Risk factors
-Sexually transmitted diseases
-Pregnancy
-Childbirth and abortion
Nursing care plan
Bleeding
Bleeding
-observe pad for bleeding
-monitor and record vital signs
-monitor and record fluid intake and output
Pain
-assess pain adequately to get baseline data
-allow the patient to assume the position that relieves pain
ensure that the catheter is draining as the extended can also cause pain
Urine retention
-insert urinary catheter
-monitor fluid intake and output
-assess bladder distension and restlessness