Pelvic inflammatory disease 
Definition
Is an inflammatory condition of pelvic cavity
Pathophysiology
Infection can cause peri hepatic inflammation
When the organisms invades peritoneum
Infection tend to unilateral
In gonorrheal infection it passes through
To organs, these post partum and post abortion
..
Nursing care plan
Nursing management
Rationale
Nursing diagnosis
To kill bacterial infections
To alleviate chances of acquiring infections
Health education about hygiene and protected sex
Give paracetamol as prescribed
Altered hygiene related to vaginal discharge
Self image disturbance due to smelly discharge
Pharmacological management
Intravenous fluids
Bed rest
This occurs during pregnancy due to ncreased blood supply
Cervical canal into uterus during menstruation likely.
Organism ascend from lower tract to upper side
Broad spectrum intravenous antibiotics
Diagnostic test
Blood culture
Physical examination
Risk factors
Early age first intercourse
Multiple sexual partners
Sex with a partner with STDs
Frequent intercourse
Clinical manifestation
Unusual viginal discharge
Lower abdomen pain and tenderness
Fever
Nausea
Pain increases during voiding
Altered thermoregulation due to infection proven by parexia
To lower elevated body temperature :
Give antibiotics as prescribed
Sonography
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Reference
Mogotlane S, Chauke M, Matlakala M, Mokoena J, Young A. 2018. Juta’s complete textbook of medical surgical nursing. 5th edition. Cape Town. Mogotlane S