ECTOPIC PREGNANCY

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6 Terms

1
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what is an ectopic pregnancy?

  • fertilized egg is not inside the uterus, implants, grows outside the uterus

  • not viable

  • usually occurs in the fallopian tube (from damage)

    • scarring from pelvic operation

    • pelvic inflammatory disease

  • found on ultrasound

2
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what is pelvic inflammatory disease (PID)?

  • inflammation and infection of fallopian tubes causing them to scar over and the egg can not travel to the uterus

3
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what are clinical manifestations of ectopic pregnancy?

  • asymptomatic for weeks until pregnancy outstretches the ability to contain it

  • unilateral lower abdominal pain

  • abnormal vaginal bleeding or spotting

  • delayed menstrual period

  • positive pregnancy test

4
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what are complication to ectopic pregnancies?

  • medical emergency: ruptured fallopian tube

  • hemorrhage (hemoperitoneum)

    • into the diaphragm and phrenic nerve causing shoulder pain

  • unilateral abdominal pain

  • hypotension

    • dizziness, tachycardia

  • referred shoulder pain

<ul><li><p><strong>medical emergency: ruptured fallopian tube</strong></p></li><li><p>hemorrhage (hemoperitoneum)</p><ul><li><p>into the diaphragm and phrenic nerve causing shoulder pain</p></li></ul></li><li><p>unilateral abdominal pain</p></li><li><p>hypotension</p><ul><li><p>dizziness, tachycardia</p></li></ul></li><li><p>referred shoulder pain</p></li></ul>
5
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<p>what are interventions for an ectopic pregnancy?</p>

what are interventions for an ectopic pregnancy?

  • medical

    • methotrexate

    • manage pain with Tylenol

  • surgical

    • depending on size/stage

    • for ruptured

6
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methotrexate

  • chemotherapy drug

  • stops the division of rapidly dividing cells

  • urine is toxic up to 72 hrs after admin