Exam 1
Outline mdc 3
Rasmussen
university
, Exam 1 Outline mdc 3 Rasmussen
University
Breast Cancer
Screening: self-examination (mammograms start at age 45), mammogram
Risks factors: NON-MODIFIABLE- Increased age, genetics (mutations in BRCA1/BRCA2), Family history,
late menopause, early menarche. MODIFIABLE: Lack of exercise, diet, alcohol consumption, obesity, lack
of breastfeeding, breast implants, smoking, medications such as birth control and hormone therapy. NO
PREGNANCIES (NULLIPARITY)
Endometrial Cancer
S/s: Postmenopausal bleeding is main symptom, watery bloody discharge, low back/pelvic/abdominal
pain.
Treatment: Total hysterectomy- needs to walk afterword’s.
Pt teaching post-op- Respiratory depression, check drains, pain management, DVT/PE (give
heparin/lovenox), infection, bleeding, check for urinary retention, mobilize the patient, pulmonary
hygiene.
Uterine Leiomyoma (Fibroids/myomas)
S/s: Abdominal distention, bleeding, uterine enlargement, abdominal enlargement, heavy menstrual
cycles
Diagnostic assessment: CBC- iron deficiency anemia from heavy bleeding.
Cervical Cancer- leads to HPV
Treatment: Cervical ablation
Pt. teaching post-op ablation- Refraining from sexual intercourse for 2-3 days after the procedure, do
not use tampons pr douche, do not take tub baths, report vaginal bleeding, foul smelling drainage, or
fever, bed rest, avoid heavy lifting.
Vaccine: Gardasil: 11-13 for both boys and girls, 3 doses total over 6 months.
Toxic shock
Prevention: Change tampons regularly Q4H, Avoid using super-absorbent tampons, only unwrap the
tampon if you are going to use it immediately, do not handle the tampon more than you need to, wash
your hands thoroughly before and after inserting tampon.
Risk factors: Use of highly-absorbency tampons, history of use of diaphragm, use of contraceptive
sponges, immunosuppression, deep skin infection.
Treatment: removal of infection source, restoring fluid and electrolyte balance, antibiotics
Prostate Cancer
Where is the most common site for metastasis? BONE
Outline mdc 3
Rasmussen
university
, Exam 1 Outline mdc 3 Rasmussen
University
Breast Cancer
Screening: self-examination (mammograms start at age 45), mammogram
Risks factors: NON-MODIFIABLE- Increased age, genetics (mutations in BRCA1/BRCA2), Family history,
late menopause, early menarche. MODIFIABLE: Lack of exercise, diet, alcohol consumption, obesity, lack
of breastfeeding, breast implants, smoking, medications such as birth control and hormone therapy. NO
PREGNANCIES (NULLIPARITY)
Endometrial Cancer
S/s: Postmenopausal bleeding is main symptom, watery bloody discharge, low back/pelvic/abdominal
pain.
Treatment: Total hysterectomy- needs to walk afterword’s.
Pt teaching post-op- Respiratory depression, check drains, pain management, DVT/PE (give
heparin/lovenox), infection, bleeding, check for urinary retention, mobilize the patient, pulmonary
hygiene.
Uterine Leiomyoma (Fibroids/myomas)
S/s: Abdominal distention, bleeding, uterine enlargement, abdominal enlargement, heavy menstrual
cycles
Diagnostic assessment: CBC- iron deficiency anemia from heavy bleeding.
Cervical Cancer- leads to HPV
Treatment: Cervical ablation
Pt. teaching post-op ablation- Refraining from sexual intercourse for 2-3 days after the procedure, do
not use tampons pr douche, do not take tub baths, report vaginal bleeding, foul smelling drainage, or
fever, bed rest, avoid heavy lifting.
Vaccine: Gardasil: 11-13 for both boys and girls, 3 doses total over 6 months.
Toxic shock
Prevention: Change tampons regularly Q4H, Avoid using super-absorbent tampons, only unwrap the
tampon if you are going to use it immediately, do not handle the tampon more than you need to, wash
your hands thoroughly before and after inserting tampon.
Risk factors: Use of highly-absorbency tampons, history of use of diaphragm, use of contraceptive
sponges, immunosuppression, deep skin infection.
Treatment: removal of infection source, restoring fluid and electrolyte balance, antibiotics
Prostate Cancer
Where is the most common site for metastasis? BONE
