1. The Reproductive System Nelia B. Perez RN, MSN Academic Coordinator College of Nursing

2. REPRODUCTIVE SYSTEM: FEMALE

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44. Chapter 47 Management of Patients With Female Reproductive Disorders

66. BREAST SELF EXAMINATION

70. Advantages of BSE Women can use BSE to asses their breasts. When they perform BSE properly and regularly, they can not any changes in their breasts and seek further evaluation. Examination should be done every month and at the end of menses in all menstruating women.

71. Barrier to BSE The major barrier to BSE is the lack of CONFIDENCE

88. The next slide is a video about breast awareness and how to perform BSE

100. Chapter 52 Management of Patients With HIV Infection and AIDS

101. HIV and AIDS

124. Burn Injuries

130. Assessment of Burn Injury Takes several weeks to heal. Scarring may occur. Takes several weeks to heal. Scarring may occur. Superficial: Pink or red; blisters form (vesicles); weeping, edematous, elastic. Superficial layers of skin are destroyed; wound moist and painful. Deep dermal: Mottled white and red: edematous reddened areas blanch on pressure. May be yellowish but soft and elastic – may or may not be sensitive to touch; sensitive to cold air. Hair does not pull out easily Second degree In about 5 days, epidermis peels, heals spontaneously. Itching and pink skin persist for about a week. No scarring. Heals spont. If it does not become infected w/in 10 days - 2 weeks. Pink to red: slight edema, which subsides quickly. Pain may last up to 48 hours. Relieved by cooling. Sunburn is a typical example. First Degree Reparative Process Assessment of Extent Extent / Degree

139. Rehabilitative phase - final phase of burn care - overlaps the acute care phase and goes well beyond hospitalization - goals of this phase are designed so that the client can gain independence and achieve maximal function Acute phase - begins when the client is hemodynamically stable, capillary permeability is restored, and diuresis has begun - usually begins 48 - 72 hours after the time of injury - emphasis during this phase is placed on restorative therapy, and the phase continues until wound closure is achieved - the focus is on infection control, wound care, wound closure, nutritional support, pain management, and physical therapy

140. FLUID SHIFTING IN BURNS OLIGURIC PHASE – Intravascular to Interstitial Hct increased, renal output decreased, hyper K, hypo Na, hypo CHON, metabolic acidosis DIURETIC PHASE – Interstitial to Intravascular Hct decreased, renal output increased, hypo K, hypo Na, hypo CHON, metabolic acidosis

142. ½ in 1 st 8 hours ½ in next 16 hours crystalloid only (lactated Ringer’s)‏ PARKLAND (Baxter)‏ 4ml/kg/% BSA for 24hr period ½ in 1 st 8 hours ½ in next 16 hours ¾ crystalloid, ¼ colloid D5W maintenance BROOKE 2ml/kg/% BSA + 2000ml/24hr (maintenance)‏ Infusion Rate Solution Formula Brooke and Parkland (Baxter) Fluid Resuscitation Formulas for 1 st 24hrs after a Burn Injury

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