Symptom Flow Chart: Vaginal Discharge

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Jenny Choi, Veronica Huff, Ruzanna Pahlavuni, Benita Petroisan, Kristina Ramos

SYMPTOM FLOW CHART


Symptom of Interest

VAGINAL DISCHARGE

Disease associated CHLAMYDIA RETAINED PLACENTA


with symptom
Symptom Cluster:  Yellow/white discharge  Bleeding/bloody discharge
 minimum of 3  Vaginal itching  Boggy uterus
other associated  Burning/painful  Malodorous lochia or vaginal discharge
s/sx urination  Severe back pain
 Possible asymptomatic  Delivery: labored and partial separation of
 Sexual history placenta

Diagnostics:  Pelvic exam  Ultrasound


 What will  Endocervical culture  Pelvic exam
differentiate this  Urine analysis
disease
 Lab tests
Treatment: Independent Independent
 Independent Fx  Administer  Prepare for D & C
 Dependent Fx antibiotics  Massage uterus
 Perineal hygiene  Monitor uterus for fundal height, consistency
 Partner’s test and position
 Monitor vital signs
Jenny Choi, Veronica Huff, Ruzanna Pahlavuni, Benita Petroisan, Kristina Ramos
 Maintain IV fluids
Dependent  Monitor lochia for color, amount, consistency
 Antibiotic and odor
medications such as  Monitor for s/s of shock
Azithromycin,  Monitor pad count and blood loss volume
Amoxicillin and Dependent
Erythromycin  D&C
Nsg Implications:  Teach infection control  Teach to report if bleeding persists and
 Patient/ family  Abstinence presence of clots
Education  Retest in 3 months
 Potential  Pelvic rest Complications:
complications Complications:  Anemia
 Infertility  Shock
 Pelvic inflammatory  Sepsis
disease
 Sepsis

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