Ultrasound device for fetal assesstment

Jan 31, 2009

Ultrasound is a medical device or equipment utilizes reflected soundwaves as they travel in tissue to produce a picture . For pregnancy as early as 5-8 weeks gestation the sac can be measured by the ultrasound device and fetus can be seen in the sac when it is already 8 weeks gestation. Cardiac rate and fetal activity can be seen on the 10th weeks of gestation. Ultrasound is really very useful throughout the pregnancy from fifth weeks pregnancy. Used to detect abnormalities , hydatidiform mole, multiple pregnancies, fetal death, fetal presentation, placental position and fetal weight. It measures to determined gestational age and growth . Usually the portable ultrasounds used to visualized breathing movements, cardiac activity , swallowing anfd fetal movements.

Zeolite

Jan 30, 2009

Yes. Antioxidants is exactly what we need now adays. Our foods we are taking in usually are processed with some preservatives. Hogs and poultries not 100% safe because they receives also some antibiotics and vaccinations and some steroids to obtain a heavier weight . These are all harmful to our body. Organic pure Zeolite powder is an antioxidant that get rid all the harmful toxins in our body . It is proven by so many users that they gain a perfect body wellness free from cancer and cardiovascular diseases because. The Zeolite provides perfect wellness. This harmful toxins must be eradicate and needs a powerful anti oxidants like ZeoCleanse tm because Low levels of antioxidants, or inhibition of the antioxidant enzymes, causes oxidative stress and may damage or kills the cells of the body .

  • ZeoCleanse improves the immune system-- increased your resistance in any kind of diseases
  • Helps balance the bodies' pH (acidity levels) -to prevent acidosis or any acid imbalance
  • Removes heavy metals and toxins (mercury, lead, arsenic, pesticides, viruses, etc. - ZeoCleanse helps our body has the ability to excrete heavy metals and toxins, leads or viruses because these are very dangerous factors and pathogens of a disease
  • Provides a sense of mental clarity, improvement in general sense of well being- ZeoCleanse prevents fast aging and looks always young with clear mind and person works mentally efficient.
  • This is 100% natural so there is no side effects but very effective. It is also prepared as an antioxidant for dietary supplements to have a complete nutritional need of the body and detoxification to cleanse out all toxins in your body.

Amniocentesis

Amniocentesis is a procedure to remove amniotic fluids from the uterine cavity by aspirating with needle inserted through the abdominal and uterine wall to the amniotic sac. This is to determine fetal maturity and fetal well being. First the nurse or gynecologist must have to explain to the patient about the procedure and little knowledge and the purpose and to assured the patient that everything will be fine to reduce anxiety of the patient. Placed the patient comfortably to lie on her back and pillow under her head . This position may reduces pain and discomfort while performing the procedure to her. . If 20 weeks gestation, make sure that the mother empty her bladder to reduce the possibility of injury to the mother's bladder. but if less the 20 weeks gestation should be full bladder to hold the uterus steady and far from pelvis. Monitor vital signs and fetal heart beat as basis of any complication if there is any. After the procedure , observe for any bleeding or premature labor. And also instruct the woman if she feels discomfort , bleeding , pain or cramping after the procedure must have to complain and the nurse report to the gynecologist.

Defective Medical Device

Jan 27, 2009

Cardiovascular disease is a heart disease in particular and one health problems of so many. Usually due to their high level of cholesterol that may lead to hypertension, heart attact and cardiac arrest .Cardiac Arrest is a sudden and unexpected cessation of respiration and effective circulation . It is very important that the personnel must have the skills and techniques of resuscitation from cardiopulmonary arrest. Useful brain function can be preserved if ventilation and circulation is re-established within 2-3 minutes. First check the carotid or groin femoral pulse if these are absent and if pupils dilated. If pulse absent and dilated pupils requires artificial ventilation and external cardiac compression.Within seconds a skilled nurse or doctor must call for help and provide initial effective ventilation and circulation. During the older times nurses and doctors do it manually but now adays used defibrillator machines . Yes there are defibrillator machines on the market and Medtronic Sprint Fedilis Defebrillation manufactured by Medtronic Inc which was used in the Hospital but unfortunately was defective and so many patients was fractured. The Defective defibrillator leads is the cause of fractures and a main factor of death of so many patients . And now , there is an advised drom Medtronic Inc. for Medtronic Defibrillator Recall that all their leads unused are should be returned back to them.
Because the company itself alarmed of growing death of patient due to the use of
Sprint Fidelis Defibrillator Lead. This is a big damaged in your part and it is your right to file Defibrillator lead Lawsuit against the Manufacturer. There are medical device attorneys to consult from. Call or fill out online , they have expert lawyer are available to review the case.

Conjunctivitis occur in Children

Jan 26, 2009

Conjunctivitis is an inflammation of the conjunctiva of the eye. The eye appeared red eye, watery, itchyness and eye lids binds together after long period of sleep. Usually washing with water to open eyelids. .
Conjunctivitis usually follows respiratory tract infection or maybe allergic reaction or have acquired the disease from infected person. It is easily spread to other members of the family if not careful of the secretion which leads to cross contamination. There must be a good and proper handwashing. Towels, handkerchief and clothings must be separated from other members of the family. Used tissues must be disposed properly .
Consult the doctor for proper management , treatment and advices.


Proper way of administering eye drop solutions:
For an eyedrop solution - drop at the inner canthus of the eye or in the eye by pulling down the lower eyelid then closed or open for several times to spread the solutions in other parts of the eyes

Start up Small business

Jan 24, 2009

Long time back i resigned from my work after i gave birth of my first child. I thought that my savings is already enough to start up for my own business because i planned not to work anymore as an employee. I really envy of my friends who resigned and put up their small business and became a bigger business. They were also advising me that i should have to resign also like them and put up small business. I think this case of mine, need to loan and i must try to scout in the internet because there are online companies offers cash money to start up business. The best loan company in the internet is ulservicesonline.com offers start up business loans nationwide. You can obtain the unsecured start up business you need very quick and easy to keep your business operational as soon as possible you want.
Personal, Business , Home, Student, Auto and other kinds of Loans and Credit is also offers by the ULservice Online either secured and unsecured to meet all every needs of the client . This services is available in 50 states with quick processing and application approved within a second . So fast is it? What are you waiting for? apply now any of the unsecured personal loan, unsecured business loan or lines of credit you need. No collateral needed or pronouncing of any income documents and you don't need to pay anything for application and annual fee .

Nutritional Deficiencies with Severe Chronic LIver Disease

Jan 21, 2009

Nutritional Deficiencies- common complication of patient with severe chronic liver disease of all types because liver cells no longer capable to make vitamins for the body as like the following:

  • Vitamin A deficiency
  • Vitamin B- beriberi
  • Thiamine- polyneuritis, wernicke -Korsakoff psychosis
  • reboflavin deficiency- skin and mucous membrane characterized by lession on the skin
  • pyridoxine deficiency- "rum fit"
  • Vitamin K deficiency- hypoprothrombinemia- characterized by spontaneous bleeding -ecchymoses
  • Vitamin C deficiency- scurvy
  • Folic acid deficiency- macrotic anemia

Reflexes of the Newborn

Landau's sign- when baby is suspended horizontally with head depressed against trunk and neck flexed, legs will flex and be drawn up to trunk
Crossed extensor reflex- when one leg is extended and the knee is held straight, while the sole of foot is stimulated, the opposite leg will flex.
Side turning-placing baby prone with head in mid-line will elicit the baby's turning his head to the side
Parachute reflex - while the infant is held prone and lowered quickly toward a surface, he will extend arms and legs
Stepping reflex- when infant is held upright with dorsum of foot gently touching edge of table, he will bend his hips and knees and put foot on table. This will elicit stepping response in the opposite foot. Series of alternating stepping actions will result when infant is moved forward so that 1 foot at a time touches the firm surface
Auditory blink reflex- eyes quickly close if examiner loudly claps her hands about 30 cm.(11.5 inches) from infant's head
Recoil of arm- when both arms are extended simultaneously by pulling outward and grasping wrists, both arms will flex at elbow when released.
Withdrawal reflex-pricking sole of foot will result in the baby's leg being flexed at hip, knee, and ankle

Curtains makes your house cool

Decorating a house is exiting especially if it is new house. A house without curtain looks empty that reflects also to the personality of a person. It is inspiring to put curtains to make the house gorgeous and elegant. Putting curtains it is necessary to use Double wrought iron curtain are great for the decorative side panels or full drapes up front with light filtering sheers on the back curtain rod and it is safer to use. It is a decoration that you fell so warmth and cool and inspiring to live in a beautiful house. We can get the best product of curtains in the internet because it is easy to find that kind. We can buy elegant wrought iron double curtain rod at wroughtironhaven.com at very low price and affordable

Wow! year 1790 curtain rod is already introduced by Gunsmith and blacksmith Clarence and wife conducting demonstration or war style curtain rods for the museum. I don't expect that a curtain rod is historical during the older times.They create curtain rods for the museum as their complete way to preserved their history. They had demonstrate the art of forge welding curtains rods by the hands of a blacksmith. That is how they value the importance of curtain rods in a museum how it accurately made with perfect art. That is why there are still various antique style curtain rods available now a days because the beauty is still glamorizing.

I am sure you have also some ideas of your own for window treatments shop at their hardware for curtains, blinds and window shades with coordinating home decor collections. Ready-made draperies with custom curtain rods and many more. They have various designs to choose from that suits to your style .

ACQUIRED IMMUNODEFICIENCY SYNDROME

Jan 19, 2009

AIDS- ACQUIRED IMMUNODEFICIENCY SYNDROME - caused by retrovirus that attacks helper T macrophages which the cells that protect us from disease.

STAGES OF AIDS INFECTION:

FIRST STAGE:

  • positive antibodies in the blood stream
  • swollen lymph nodes
SECOND STAGE
  • related complex syndrome
  • weight loss
  • night sweats
  • fatigue
  • fever
  • diarrhea
THIRD STAGE
  • full blown AIDS
  • develop pneumonia
  • skin cancer
  • neuromuscular disease
  • psychological disturbances
  • die after several years

MODE OF TRANSMISSION:
  • transmitted by blood- through blood transfusion when the blood is infected with AIDS virus
  • transmitted through semen or vaginal fluid - when making sex with multiple partners or a single infected partner
  • transmitted through needle-using addicts
  • AIDS virus can cross the placenta- infant can acquired the infection through intrauterine exposure
EFFECT ON PREGNANCY
  • premature rupture of the membrane
  • preterm delivery
EFFECT ON THE FETUS:
  • infant acquire the disease


PREVENTION:
  • use of condoms decrease the risk of acquiring the disease
  • monogamy with sexual partner who is not infected

my nursing notes

No scam!

Jan 18, 2009

This site entitled :About new rich /Contact me " is site by someone who is not endorsed or approved by Nouveau Riche University. He created a form for the readers to write who wants to participate in his intention is to know the honest reaction, opinion whether negative , positive or no comment about Nouveau University . Well this is nice site , to help readers may know the real thing about NRU as the best university with aims and goal to help students become the best and richest in the world through real estate investing . Nouveau Riche University Scam? Of course! It is not a scam.

There is a question to those who have heard about the success of students and proffessionals came from Nouveau Riche University. It is normal to disbelief at once if they don't have backgound on real estate investing and they will say that it is Nouveau University Scam. Since Nouveau Riche is totally committed to education and wealth creation, never stop providing all the trends lawfully in this business. Conducted again a meeting with the best expert individuals to shares all the knowledge and strategies under the law without illegal matters.

Nouveau Riche University has a private website for the members of the community to publish all their all their real estate investment deals with supposed positive cash flow. Every deals publish in the investor Concierge website with all the pictures , numbers, breackdowns and all the figures how it aarived the net income.This website to ensure and prove to every readers who doubts and saying Nouveau Riche University Scam.

The Future of the World!!

Nouveau Riche University Blog published the meeting (CHAIRMAN'S CALL) which was held before the Christmas and new Year . It was the announcement of the top five achiever or who are called by the chairman as the Nouveau Riche Five Star Winner Cycle. They are the highest sales within just only three months. The top five was so happy and shares their stories how they have achieves volumes of sales in very short of time. They said that it is their determination, patience, proper management and right strategies.

Listeners in the Chairman's Call was fully feed of inspiration through the testimonies and real stories like Andre & Tami Popa who able to earned &154,500 in one month only last December. He just migrated in USA for his purpose is to just try his luck to earn money at least to live discently but unexpected when he join Nouveau Riche University earn more that what he expected. You can read their face book to learn more on their stories and testimonies.

Laura Palmer Noone, former president of the University of Phoenix, has been named chief executive officer at Nouveau University, a Scottsdale school with a small-business and entrepreneurial focus that admitted its first student last month.She is one of the best chief executive university all over the world. Not only specializing his career as leader of the universities but also focusing in managing several Charitable Institution. She is gifted with Intelligent mind and willingly shares for students and a good heart to less fortunate individuals. Laura Palmer is presently leads the Nouveau Riche University and no wonder sooner or later, students from this university will be the future of the world.






FAST EARNING!!

It is my first time to hear story of students who have a huge earnings while studying. Yes The Nouveau Riche College is one of the largest university in USA. Created blog exclusively for the students, instructor, employee or independent student advisor to publish in their blog their amazing stories how they become rich , how they have acquired huge money , and how they picked up dollars through real estate investing. Like the story of 2 students Glenn and Chelly who dream of owning properties soon. They enrolled in the Nouveau Riche University at Zero properties and learned and join the "NRU WEALTH CYCLE" this is one of the most profitable business generated by real estate investors. Glen and Chelly through their determination, they have achieved their goal of owning TEN rental properties. Glen and Chelly are not the only successful students who became successfully owns rental properties in just a short period of time while enrolled in NRU.

And this are the five individuals who achieved the highest volume of sales and become also the inspiration of the students, employees and offecers of Nouveau Riche University. It is really an amazing success ! created several face book and inviting others to join them. This is also serves to discuss and shares about their knowledge or more strategies to upgrade real estate investing and also make fun to promote.



NEWBORN-CHARACTERISTIC

CRIES

SUCKING

EXTREMELY SENSITIVE SKIN

MAKES DESCRIMINATING SOUNDS

SLEEPS FOR LONG INTERVALS

HAS LITTLE HEAD CONTROL (HEAD LAG)

Immunization

RECOMMENDED SCHEDULE FOR ACTIVE IMMUNIZATION OF INFANTS AND CHILDREN

2 months of age- DTP, OPV

  • can be initiated as early as 2 weeks in ares od high epidemicity or during epidemics

4months of age- DTP, OPV
  • 2 months interval desired for OPV to avoid interference from previous dose

6 months of age DTP (OPV)
  • OPV is optional may b given in areas with increase risk of polio virus exposure

15 months of age Measles, Mumps Rubella (MMR)
  • MMR preffered to individual vaccines, tuberculin testing may be done

18 months of age DTP, OPV

24 months of age HBPV

4-6 years DTP, OPV


14-16 years tetenus toxoid


DTP- Diphtheria and tetanus toxoid with pertussis vaccine

OPV- oral poliovirus vaccine contains attenuated poliovirus type1,2, and 3

MMR- live measles, mumps, and rubellaviruses in a conbined vaccine

Haemophilusl b polysaccharide vaccine

Td -adult tetenus toxoid ( full dose) and dephtheria toxoid (reduceed dose in combination

For all products used, consult manufacture's package insert for instructions for storage, handling and administration. Biologics prepared by different manufacturers may vary, and those of the same manufacturer may change from time to time

Personal Loan

Now a days finances is very complicated , It is very hard to manage our finances due to non-stop daily expenses. There are times that we need money unexpectedly and no other remedy.
Apply personal loans if you need a relief of unexpected expenses. But this personal loan is applicable to any purpose you want like if you wish for a vacation or buy cars , house improvement or repair and many more the decision is on you . The ULServices Online offers unsecured personal loans , which does not need any collateral anymore or bank account, no application fees needed because this loan offered are generated to meet the immediate need of every costumer for any purpose they want. Your identity information is safe and secured from identity theft because this site will never hack . So quick and easy processing and you are at the right path of choosing this company because accredited, licensed and well established that is why they can offer low and flexible interest rates and low monthly payment plan. No hassles in applying loans for they have already ensures the costumer to avail the loan as simple as possible. They can apply loan wherever they are, at home or office or anywhere just contact through phone, fax or e-mail to complete the requirement. That is convinient is it? They offer also other kind of loan and they have already assisted and lend to more than 5,000 clients successfully.

Genetal Warts

Jan 15, 2009

There are many diseases that are transmitted by sexual contact Almost all of them are troublesome and most of them are not yet treatable especially disease causing virus.

Genital warts are common skin benign tumor caused by virus. A small slowly growing virus belonging to the papillomavirus group as single multiple soft, fleshy papillary or painless growth around the anus, vaginal area (for female), penis (for male), urethra or perineum. It is called as "venereal wart" because it is a sexually transmitted disease which around 20 million people in the US are now carrier of papillomavirus. This is transmitted through sexual contact with the infected partner. It may be diagnosed based on the clinical presentation and Colposcopy used to diagnosed certain lesions in the cervical area. Lesions may enlarged and produces tissue distraction on the patient . Symptoms of genetal warts starts with tiny flesh- colored and cauliflower -shaped lesions in the genetals. Discomforts arises from genetal area due to dampness of vaginal fluid excretion. Lesions in the cervix are painful and bleeds if distracted during intercourse. Most of the time infected individual complained of tingling ang burning sensation over the lesion and on the papules over the shaft of the penis.

Genetal warts and pregnancy, the warts enlarged during pregnancy and extremely vascular and may obstruct the birth canal for delivery. And this is one of the problem of infected mother who are pregnant because the possibility to pass the infection like laryngeal papillomatosis when passing the baby in the infected birth canal. This is life threathining condition .well you so many more information if you search ongenitalwart-s.com this site concentrates all about genetal wart review. This is really important to all of us to be educated and aware always on sexually transmitted diseases.

No more Discomforts

Many individuals develop constipation because they delay each bowel movement as long as possible because of their neurotic habit of delaying to defecate. They did not mind the possible complication. Constipation is the decrease in the frequency in defecation and also an abnormal dryness of stools and hard to evacuate . A person who has not bowel movement for 3 or more days suffers discomfort not like those bowel movement everyday with moist stool and no difficulty.. Other factors is due to lack of exercise, faulty diet (usually oily and no fiber content) , weakness and fatigue. . Constipation may cause irritability of the colon and lower abdominal pain.

People are now interested in alternative medicine especially those person are health conscious. They prefer Colon cleanse to cure number of ailments like chronic constipation, acne, chronic fatigue, candida and almost all kinds of digestive tract problems. On top of this, it is carried out using natural methods, so it has no negative side effects and this colon cleanser proven by so many since the the ancient time of Egypt. On the 17 century cleansing enema is their fashion and they will do it for 3-4 times a day. It means that their whole system is so clean because excreted all waste products accumulated in the colon thus no chance of the digestive wall to absorbs waste products in the digestive system. No wonder that their alternative medicine can cures different ailments. Russians on the 19th century when colon irrigation was famous . They do colon irrigation to prevent the toxins from fecal to be absorbed by the lining of the digestive system. Well that's really true, toxins from fecal may poison our body if reaches into our blood stream. Colon Cleanse Reviews ,has many more information on colon cleans on this website, search on coloncleanse-r.com You will learned more!

Vaccination

Jan 14, 2009

Mothers are aware that breast milk is the complete source of nutrition for infants. It contains carbohydrates, protein, and fats, and provides digestive enzymes, minerals, vitamins, and hormones that all infants requires. It contains antibodies from the mother that may help the baby to increase resistance against infections but not all contagious disease. Breast feed newborn do not have protection from diseases like whooping cough, polio and Hepatitis B. and there vaccinations available.
Now a days, there are expectant mothers are now unaware that she is a carrier of Hepatitis B and unknowingly pass it on to her child through breast milk. Infants who catch hepatitis B from their mothers at birth are at greater risk of suffering from liver cancer or liver failure later in life. Infant vaccination- no exceptions, even if mother and baby appear to be in good health- is the only sure method of guaranteeing protection against the disease.

No More Worries

Jan 13, 2009

Now a days, you are not confident of your credit cards , so many identity thefts around the world. Millions of victims reported are not yet solved until now. I am very sure that you have credit card too and you don't want to be a victim also.Why not enroll for credit card protection from theft? Search on id-theft-security.com this will help you to wipe away your worries to loss you wealth and huge assets. Your identity is surely protected.

Lifelock promotion code offers 3o days free plus $11 off if you signed a membership for one year. It is the best life lock you could count on and trusted by so many. CNN, CNBC and Wall Street Journal even featured the LifeLOck because they trust and recognized Life lock's services as the most advanced, safe and easy to use.

Once you enrolled, you are already guaranteed protected from credit card theft and Lifelock.com is not only giving services to members but also providing missionary services to the American Red Cross. and Girls Club. Plus giving free identity thefts to the victim of hurricain Katrina. and U.S Veterance and family.

Lifelock protects your credit card when someone try to stole your identity of your credit card and if anyone of your family wants to make fraud of your documents. This assure you that you are much protected and you can go for any where for a vacation or business travels around the world you will be worry free and sleep well. LifeLock is more than an identity theft protection service; LifeLock is an identity theft prevention service. Prevents anybody who try to search for your identity . So what more you're looking for ? this is the trusted life lock ! enroll now!

Woman's breast

Jan 11, 2009

Female breast increase in size begins at the tenth year to sixteenth year. As puberty starts, the hormone works to develop the mammary glands and nipples start to protrudes
The breast is a glandular organ with many lobules, its secretion passes through collecting ducts to the nipple.
In some women, they experience tingling sensation an tenderness of the breast a week before the menstrual period due to hormonal disturbances. But gradually disappear on the menstrual period.
Breast enlarge for 8 weeks after child birth and the nipples become more prominent and sensitive until ready for breastfeeding.
The breast shrink , become flabby and flattened and excess fats disappear after lactation.

No more Worries on Acne

Jan 9, 2009

Acne is one problem of teenagers and young adults. They feel insecure and develops inferiority complex . I am glad there is an murad acne products which is branded by Murad Acne Complex . They offers clarifying cleansers, exfoliating acne. treatment gel, acne spot treatment , clarifying mask plus free items gift in one set order.Only $29.95 with 2 free gifts and $7.95 S&H for each shipment . Offers Home Delivery Program to supply the products for 30 days or 60 days for contineous treatment as soon as you order online. Three to five days, acne products at your doorstep once you have accomplished to give your credit card information to Murad Acne Complex. And you can call them anytime for cancellation if ever you have changed your mine.

Acne complex is very effective, 90 % acne on your face disappears after four weeks of using and totally clears on the eighth weeks. So many experienced and testified and guaranteed 100%. This murad acne complex formulated by world renowed dermatologist Dr. Howard Murad. He is seen in tv and featured because of his very popular anti acne products Try now ! murad acne products clears your face from acne and breakouts and relieved your worries and feeling of embarrassment when facing other people. For ordering online and further information search on acnecomplex.com/

Postpartum Assesstmant

Jan 6, 2009

Place the mother in bed comfortably .
Check the fundus if firm at regular intervals
Check number of perenial pads that should not saturate too much fresh blood within 8 hours
Check vital signs at regular basis as a routine responsibility in the ward unless there is abnormality
Check bowel and bladder elimination . Should at least urinate at first hour
Check breast engorgement and condition of nipples . advised breast feeding
Inspect incision if no signs of infection.

Rags to Riches

From fortune magazines enumerated all the billioners all over the world. Yes they are the kings and a families who have successful businesses scattered all over the world. Like SAM MOORE WALTON, 73 and family Bentonville ARKANSAS $21.1 39.3% of Wal-Mart. Last year, with sales of $32.6 billion, Wal-Mart outsold not just the mom and pop stores it's been putting out of
business in small towns across America, but also retailing giant Sears, at least domestically. This performance really lifted the stock, making the Waltons America's richest family. Due to successful investment of Nouveau Riche is featured and will be feature too in the Fortune Magazine and CNN like this rich people who become rich from investing business.

It is nice to know about t the Nouveau Riche' community Website for Independent Student Advisors. Unbelievable , they just only making fun but they are earning much out of it. No university like this who helps students start business at their early age especially when their parents can not afford them to go to college. You can say to them that they are students and business men at the same time. So lucky they are!

According to wikipedia Rags to riches refers to a situation in which a person rises from poverty to wealth or sometimes from obscurity to fame.

These stories give the poor hope that they can rise to fame and wealth. They are most popular in societies such as the United States where confidence in the ability to move between social classes is an important part of the national identity. Well i believe that this poor students of Nouveau Riche will soon rise to fame and wealth!

Leukoplakia and Kraurosis

Jan 1, 2009

Kraurosis is a disease of the vulva when skin becomes thin dry ,white and easily fissure until appeared shrunken and leathery. Patient tend to be much irritated of itchyness. The itchyness may lead to the development of cancer of the vulva.



Leukoplakia characterized by ithyness, burning senation , and grayish white patchy on the vulvar skin.

Management of Carcinoma of the Vulva

Carcinoma of the Vulva called Vulvectomy. Excision of the superficial and deep inguinal lymph nodes.
Patient prepared emotionally and physically before the operation by explaining a brief about the surgery until she understand and anxiety relieved. Consent of operation must signed by the patient or immediate relative. Skin preparation by shaving the pubic hair, perineal and at the inguinal region.Pre operation medications be given as ordered by the preparation. and sent to operating room.
From the operating room, let the patient in bed as comfortable and perineal dressing must be keep on place. report to the physician if dressing soak with fresh blood and if bleeding persist. Because serous drainage , dressing should changed frequently for the first 3 days. Proper care of drains to prevent dislodgement.Put pillows under the knee to to relieved discomfort on the incision. Turning is important and comfort to achieved with pillows. May walk on the 2nd or third day.
Cleaning of the wound daily to prevent infection with soap solution with antiseptic or warm saline
Exposed the stitches to air frequently or exposed to dry heat with heating lamp
Low residue diet to prevent defecation and possibility to contaminate the wound
Care of the catheter that should be in place that always should be in place.
Analgesics to be given for pain as prescribed
Keep patients room to a pleasant environment by proper disposal of soiled linens and immediate removal of soiled dressing and adequate ventilation.
Give proper instruction to the one who take care of the patient at home.
Encouraged to gradual resumption of physical and gradual activities

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