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    Ectopic Pregnancy

    Uploaded by

    Jonielyn Laguna

    Copyright:

    © All Rights Reserved
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    Ectopic Pregnancy

    Uploaded by

    Jonielyn Laguna
    7 views13 pages

    Copyright

    © © All Rights Reserved

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    PPTX, PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    7 views13 pages

    Ectopic Pregnancy

    Uploaded by

    Jonielyn Laguna

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 13

    Ectopic

    Pregnancy
    Table of contents

    01. 02. 03.


    Signs and
    Definition Diagnostic Test
    Symptoms

    04. 05. 06.


    Pharmacological Prognosis Pathophysiology
    Treatment
    What is ectopic
    pregnancy?
    Ectopic Pregnancy

    An ectopic pregnancy is one that implants outside of the uterine


    cavity. Implantation may occur in the fallopian tube, on the ovary, the
    cervix, on the outside of the fallopian tube, the abdominal wall, or on
    the bowel.
    Signs and Symptoms

     Vaginal bleeding

     Missed period

     Abdominal
    tenderness or pain

     Shoulder pain
    Diagnostic Tests

    Transvaginal
    Blood Test
    Ultrasound
    Treatment
    01. 02.

    Surgery Medicine
     Salpingectomy (removal of ruptured
     Methotrexate
    fallopian tube)

     Salpingostomy (incision into the


    fallopian tube to remove the
    pregnancy)
    During the treatment of methotrexate you should avoid the following:

    Heavy Exercises Prescription pain


    medication and NSAIDS

    Sexual Intercourse Prolonged exposure to


    sunlight

    Vitamins and foods that


    Alcohol contain folic acid
    Prognosis

    For most human history, ectopic pregnancies were


    fatal. Now the risk of death from ectopic
    pregnancies is less than 1 in 1000.
    ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

    Subjective: Acute pain After 8 hours of INDEPENDENT: • To determine presence of After 8 hours of
    related to nursing intervention • Monitor maternal vital hypotension and nursing
    “Sakit akong tiyan” ruptured of the patient will feel signs. tachycardia caused by intervention the
    (my tummy hurts) as fallopian tube relief or lessen the ruptured or hemorrhage patient pain has
    verbalized by the pain. • Monitor for presence and • To further assess the been eased as
    patient. amount of vaginal present situation indicating evidence by
    bleeding. hemorrhage. decrease pain
    Objective: scale of 6/10 from
    - Facial Grimacing • Monitor for increase pain • Increased pain and 9/10.
    - Guarding behavior and abdominal distention abdominal distention
    - Pain scale 9/10 and rigidity. indicates rupture and • Goal partially
    - v/s taken as follows possible intra-abdominal met.
    hemorrhage.
    T- 36.5 • Monitor CBC
    P- 85 • To determine the amount of
    R- 23 blood loss.
    BP- 110/90
    • Provide comfort • Promotes relaxation and
    measures like back rubs may enhance patient’s
    and deep breathing. coping abilities by
    refocusing attention.

    COLLABORATIVE:
    • Administer analgesic as • To maintain acceptable
    indicated. level of pain.
    ETIOLOGY PATHOPHYSIOLOGY MANIFESTATIONS
    Previous ectopic S&S typically begins 4-6 weeks after LMP
    pregnancy
    Lower abd pain and guarding
    Anatomic alteration of fallopian tubes
    Fallopian tube surgery (tubectomy)
    Vaginal bleeding
    Endometriosis Inflammation Disruption of SM contraction and
    Tenderness in ectopic area
    damages ciliary beat within tubes that assists
    Ruptured appendix transport of oocytes or embryo.
    fallopian tubes Enlarged uterus
    Smoking
    Upregulation of pro- Promotes embryo Cervical motion tenderness
    Bicornuate uterus inflam of cytokines implantation (closed cervix)
    History of PID Normal Pregnancy
    Ectopic pregnancy – a pregnancy in which
    (salpingitis) S&S (B,A,N,U)
    the fertilized egg attaches outside the uterine
    endometrium

    Such as the fallopian tube (95%):


    ampulla (70%), isthmus (15%),
    fimbriae (8%), cornual (2%); ovary Tubal
    Advanced maternal age (>35) (3%), abdomen (1%), cervix (<1%) Rupture
    Kartagener Syndrome
    (ciliary dyskinesia) Slows down Bleed into Severe abd pain
    transport of Hemorrhagic shock abd cavity
    Intrauterine Device (IUD) fertilized eggs Shoulder pain
    In vitro fertilization Tachycardia Irritate Phrenic nerve
    Hormone Hypotension peritoneum irritation - causes
    Hormone therapy Syncope hiccups
    dysregulation
    Thank you for
    listening!

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