Please enable JavaScript.
Coggle requires JavaScript to display documents.
Menorrhagia, Definition, Hysteroscopy, Sonohysterogram, Pap test, Adnexal…
Menorrhagia is menstrual bleeding that lasts more than 7 days. It can also
be bleeding that is very heavy.
Clinical Manifestation
Have a menstrual flow that soaks through one or more pads or tampons every hour for several hours in a row
-
-
-
-
-
-
• Are tired, lack energy,
or are short of breath
-
Differential Diagnosis
- Hyperprolactinemia
- Hyperthyroidism and thyrotoxicosis
- Hypothyroidism
- Obesity
- Pelvic Inflammatory Disease
- Pituitary Microadenomas
- Pregnancy diagnosis
- Uterine cancer
- Vaginitis
Definition
-
-
Pathophysiology
- Disruption of normal menstrual cycle
-
-
-
-
-
-
- Adnexal tumors
- Adrenal Carcinoma
- Adrenal Incidentaloma
- Anovulation
- Cervicitis
- Eletive abortion
- Endometrial Carcinoma
- Endometritis
- Gestational Trophoblastic Neoplasia
-
Medication
I. Symptomatic
- NSAIDS - Tab Aspirin 300 mg qid
-Antifibrinolytic - Tranexamic acid Capsule Tren 250 mg
- Contraceptives - Tab Levonorgestrel 0.75 mg
- Progesterone - Cerazette 75 mcg
-
Procedure or surgery
- Dilation and Curettage (D&C)
- Uterine artery embolization
- Focused ultrasound
- Myomectomy
- Endometrial ablation and resection
- Hysterectomy
-
Nursing care
- Rest in bed according to supine, recumbent, semi Fowler's and Fowler's position.
- Take and monitor vital sign such as blood pressure, pulse rate, respiration rate, temperature, and pain score to show progress toward recovery.
- Insert and monitor intravenous normal saline drip to avoid electrolyte imbalance.
- Administer medication according to prescription such as right patient, right medication, right dosage, right route, right time, right documentation, right refuse.
- Take blood specimen and label sample for investigation purpose.
- Record tracking and save documentation to support diagnosis and as proof of activities.
- Give health advice or health education
- Monitor and record input and output chart
- Asses for sign of bleeding
-
Health education
- Attend follow up treatment according to the time and date given by doctor.
- Take the medication with correctr dosage and timing according to doctor prescription such as 2 times per day (BD), 3 times per day (TDS), 4 times per day (QID), immediately (STAT) and when necessary (PRN).
- Consume a balance diet based on the food pyramid such as intake of high proteins food, carbohydrate food, vegetables and frutis.
- Encourage drinking 8 glasses of boiled water a a day to prevent dehydration in the body.
- Avoid drinking alcohol and smoking cigarettes because it can affect the health.
- Practice a healthy and active lifestyle by doing light exercise such as jogging, walking, yoga and so on for a speedy recovery capabilities.
- Educate patient on the signs and symptoms of bleeding
- Advice patient to refer with blood transfusion centre after episodes of frequent bleeding occurs
-
-
Prognosis
-
- Can cure with early treatment
- Cannot cure if late or no treatment, can leads to sever complication
-
-