Nursing on the ectopic pregnancy.doc

 PAGE \* MERGEFORMAT 6 Nursing on the ectopic pregnancy Fertilized egg outside the uterine cavity as the site of implantation of ectopic pregnancy, often called an ectopic pregnancy. Clinically divided into the mass-type, unstable and shock-type. Because fertilized eggs grow outside the uterine cavity is divided into different parts: tubal pregnancy, ovarian pregnancy, abdominal pregnancy, broad ligament pregnancy, cervical pregnancy. ectopic pregnancy is a common acute abdomen in gynecology and obstetrics, the incidence rate of about 1% of pregnant women is one of the major causes of death to the most common tubal pregnancy. now to nursing as follows: First, the nursing assessment 1. Menopausal History 2. Pain 3. Vaginal bleeding 4. Syncope and shock 5. Abdominal mass 6. Daily living, social conditions 7.B super heart, blood and biochemical test results. Second, the nursing (A sick room to keep quiet, comfortable, time window to take the air in the winter to keep warm. (B depending on conditions and activities to master proper rest. 1. Mass type: mass did not rupture, conservative treatment will be required absolute bed rest, supine taken to minimize sudden changes in body position or the factors that increase the abdominal pressure to prevent the mass break, to reduce the recurrence of internal bleeding, wait for his condition stable or urine pregnancy test to negative, may be appropriate to get out of bed, then gradually increase the volume of activity. 2. Unstable angina: early still need to mass-based processing, first 1-2 days of bed rest, the first 3-4 days on the bed activities, 5-6 days to sit up in bed, to be in stable condition or urine pregnancy test to negative, may be appropriate to get out of bed. 3. Shock: The patient should take the supine position, and take the infusion, blood transfusions, oxygen, warmth and other emergency measures. (C) the close observation of abdominal pain, bloating, vital s