Ectopic Pregnancy

Click here to load reader

download Ectopic Pregnancy

of 33

  • date post

    27-Nov-2014
  • Category

    Documents

  • view

    265
  • download

    2

Embed Size (px)

Transcript of Ectopic Pregnancy

CARDENAS, Jaymar CARPIO, Marco Angelo CASABUENA, Christia CASTILLO, Maria Fe CELISPARA, Hanna Mariel CENTENO, Jhuwena CENTENO, Mier CILEK, Monika COBARRUBIAS, Jedidiah Thomas CONDE, Ma. Angela Francesca CONG, Jan Ferbe CONOL, Jenine Ezra

Ectopic PregnancyIn line with the partial fulfillment in Related Learning Experience

CARDENAS, Jaymar CARPIO, Marco Angelo CASABUENA, Christia CASTILLO, Maria Fe CELISPARA, Hanna Mariel CENTENO, Jhuwena CENTENO, Mier CILEK, Monika COBARRUBIAS, Jedidiah Thomas CONDE, Ma. Angela Francesca CONG, Jan Ferbe CONOL, Jenine Ezra

IntroductionEctopic pregnancy is any pregnancy that occurs outside the uterus. The vast majorities (95%) of these are in the fallopian tubes. Other possibilities are the ovary, cervix, or abdominal cavity. It occurs in about 1 out of 200 pregnancies. It is very serious because when the pregnancy grows in these abnormal areas, it can easily cause massive, rapid bleeding, which can result in a decrease in fertility and even death. Usually, some sort of anatomical problem exists which traps the fertilized egg in the tube. Pelvic Inflammatory Disease (PID), which leads to scarring of the tubes, is the most common cause, comprising about 30%-50% of all ectopics. Pelvic infections include chlamydia and gonorrhea. Common symptoms that a woman may experience early in an ectopic pregnancy: a) Abdominal pain b) Late or missed period c) Vaginal bleeding d) Tissue passage from the vagina e) Pregnancy symptoms Ectopic pregnancy is usually found in the first 5-10 weeks of pregnancy.

CARDENAS, Jaymar CARPIO, Marco Angelo CASABUENA, Christia CASTILLO, Maria Fe CELISPARA, Hanna Mariel CENTENO, Jhuwena CENTENO, Mier CILEK, Monika COBARRUBIAS, Jedidiah Thomas CONDE, Ma. Angela Francesca CONG, Jan Ferbe CONOL, Jenine Ezra

ObjectivesAt the end of the case presentation, the researcher will be able to have a deeper understanding about Ectopic Pregnancy. Specifically, students will be able to: have an overview about the complication, Ectopic Pregnancy enumerate treatment and management of Ectopic Pregnancy formulate an appropriate nursing care plan for patients undergoing Ectopic Pregnancy

CARDENAS, Jaymar CARPIO, Marco Angelo CASABUENA, Christia CASTILLO, Maria Fe CELISPARA, Hanna Mariel CENTENO, Jhuwena CENTENO, Mier CILEK, Monika COBARRUBIAS, Jedidiah Thomas CONDE, Ma. Angela Francesca CONG, Jan Ferbe CONOL, Jenine Ezra

Personal ProfileName: Patient LA Gender: female Birthday: April 6, 1984 Age: 25 years old Nationality: Filipino Religion: Catholic Civil Status: Married

CARDENAS, Jaymar CARPIO, Marco Angelo CASABUENA, Christia CASTILLO, Maria Fe CELISPARA, Hanna Mariel CENTENO, Jhuwena CENTENO, Mier CILEK, Monika COBARRUBIAS, Jedidiah Thomas CONDE, Ma. Angela Francesca CONG, Jan Ferbe CONOL, Jenine Ezra

Nursing TheoryLydia Hall Care, Core, Cure TheoryCare Core

Cure

CARDENAS, Jaymar CARPIO, Marco Angelo CASABUENA, Christia CASTILLO, Maria Fe CELISPARA, Hanna Mariel CENTENO, Jhuwena CENTENO, Mier CILEK, Monika COBARRUBIAS, Jedidiah Thomas CONDE, Ma. Angela Francesca CONG, Jan Ferbe CONOL, Jenine Ezra

Care, Core, Cure TheoryThe theory contains of three independent but interconnected circlesthe core, the care and the cure. According to the theory, the core is the person or patient to whom nursing care is directed and needed. It has been mentioned that the core has goals set by the patient herself and not by any other person, and that these goals need to be achieved. The core, in addition, behaved according to his feelings, and value system. The cure, on the other hand is the attention given to patients by the medical professionals. It has been explicit in stating that the cure circle is shared by the nurse with other health professionals. These are the interventions or actions geared on treating or curing the patient from whatever illness or disease he may be suffering from. Some interventions in relation to this are prescribing pharmacologic therapies and performing diagnostic tests. The highlight however is the care model. This is the part of the model reserved for nurses, and focused on performing that noble task of nurturing the patients, meaning the component of this model is the motherly care provided by nurses, which may include, but is not limited to provision of comfort measures, provision of patient teaching activities and helping the patient meet their needs where help is needed.

CARDENAS, Jaymar CARPIO, Marco Angelo CASABUENA, Christia CASTILLO, Maria Fe CELISPARA, Hanna Mariel CENTENO, Jhuwena CENTENO, Mier CILEK, Monika COBARRUBIAS, Jedidiah Thomas CONDE, Ma. Angela Francesca CONG, Jan Ferbe CONOL, Jenine Ezra

Care, Core, Cure TheoryThat means that if all three circles exhibit harmony and balance, the patient will be the one to benefit from it all since his needs are being put into priority but the meeting of it depends on which circle of the model is responsible for meeting such activities. It was hard not to see that in all of the circles of the model, the nurse is always presents, but the bigger role she takes belongs to the care circle where she acts a professional in helping the patient meet his needs and attain a sense of balance. In relation to Patient LA, the patient serves as the core together with the relatives whom nursing care is needed and must be given. The patient sets goal for the relief and this must be achieved according to what the patient feels. On the other hand, the attention the nurses give to the patient serve as the cure. The patient will achieve his goal with the help of all the medical team. Lastly, the care which is the task for the nurses. It focuses on performing the tasks. The nurses will give necessary interventions and actions that gears in treating and curing the patient (core). These three components, the patient, the attention and the care by the nurse should have balance and each one has benefit to one another not to the patient only.

CARDENAS, Jaymar CARPIO, Marco Angelo CASABUENA, Christia CASTILLO, Maria Fe CELISPARA, Hanna Mariel CENTENO, Jhuwena CENTENO, Mier CILEK, Monika COBARRUBIAS, Jedidiah Thomas CONDE, Ma. Angela Francesca CONG, Jan Ferbe CONOL, Jenine Ezra

History of Present Illness 2 days prior to admission she had experienced abdominal pain. As well as nausea and vomiting. Consultation was done and advice her to do a pregnancy test. Few hours before admission the patient has undergo to ultrasound and found out that the embryo was in the left fallopian tube and not in the uterine wall. The patient had decided to remove the embryo.

CARDENAS, Jaymar CARPIO, Marco Angelo CASABUENA, Christia CASTILLO, Maria Fe CELISPARA, Hanna Mariel CENTENO, Jhuwena CENTENO, Mier CILEK, Monika COBARRUBIAS, Jedidiah Thomas CONDE, Ma. Angela Francesca CONG, Jan Ferbe CONOL, Jenine Ezra

Physical AssessmentConjunctiva 1. Color, texture and presence of lesions in the bulbar conjunctiva 2. Color, texture and presence of lesions in the palpebral conjunctiva Pinkish or red in color; with presence of small capillaries; moist; no foreign bodies; no ulcers Pinkish or red in color; with the presence of small capillaries; moist; no foreign bodies; no ulcers Due to fluid and blood loss

pale

pale

Due to fluid and blood loss

Abdomen

No swelling, no warmth, no redness, no pain, no tenderness when palpated

(+) pain

Ruptured fallopian tube

CARDENAS, Jaymar CARPIO, Marco Angelo CASABUENA, Christia CASTILLO, Maria Fe CELISPARA, Hanna Mariel CENTENO, Jhuwena CENTENO, Mier CILEK, Monika COBARRUBIAS, Jedidiah Thomas CONDE, Ma. Angela Francesca CONG, Jan Ferbe CONOL, Jenine Ezra

Definition of TermsCuldocentesis Incision made into the wall of vagina, usually the posterior wall, close to cervix. This was formerly used to confirm diagnosis of ectopic pregnancy but has now replaced by laparoscopy Endometrium The mucous membrane lining the uterus, which becomes progressively thicker and more glandular and has an increased blood supply in the latter part of the menstrual cycle. Blastocyst Early stage of embryonic development that consists of hollow ball of cells with a localized thickening (inner cell mass) that will develop into the actual embryo Corpus luteum The glandular tissue in the ovary that forms at the site of a ruptured follicle after ovulation. It secretes the hormone progesterone, which prepares the uterus for implantation.

CARDENAS, Jaymar CARPIO, Marco Angelo CASABUENA, Christia CASTILLO, Maria Fe CELISPARA, Hanna Mariel CENTENO, Jhuwena CENTENO, Mier CILEK, Monika COBARRUBIAS, Jedidiah Thomas CONDE, Ma. Angela Francesca CONG, Jan Ferbe CONOL, Jenine Ezra

Anatomy and Physiology

CARDENAS, Jaymar CARPIO, Marco Angelo CASABUENA, Christia CASTILLO, Maria Fe CELISPARA, Hanna Mariel CENTENO, Jhuwena CENTENO, Mier CILEK, Monika COBARRUBIAS, Jedidiah Thomas CONDE, Ma. Angela Francesca CONG, Jan Ferbe CONOL, Jenine Ezra

Embryo

CARDENAS, Jaymar CARPIO, Marco Angelo CASABUENA, Christia CASTILLO, Maria Fe CELISPARA, Hanna Mariel CENTENO, Jhuwena CENTENO, Mier CILEK, Monika COBARRUBIAS, Jedidiah Thomas CONDE, Ma. Angela Francesca CONG, Jan Ferbe CONOL, Jenine Ezra

Uterus: The uterus (womb) is a hollow, pear-shaped organ located in a woman's lower abdomen between the bladder and the rectum. The narrow, lower portion of the uterus is the cervix; the broader, upper part is the corpus. The corpus is made up of two layers of tissue. In women of childbearing age, the inner layer of the uterus (endometrium) goes through a series of monthly changes known as the menstrual cycle. Each month, endometrial tissue grows and thickens in preparation to receive a fertilized egg. Menstruation occurs when this tissue is not used, disintegrates, and passes out through the vagina. The outer layer of the corpus (myometrium) i