Shared Flashcard Set

Details

Kegina Project
set 1: cc (common complaints of pregnancy)
19
Health Care
Graduate
01/31/2010

Additional Health Care Flashcards

 


 

Cards

Term

 

 

 

 

Backache

Definition

1. R/O PTL and UTI


2. Comfort measures

 

  • maintain good posture
  • wear supportive bra
  • avoid excessive bending, walking, lifting
  • observe good body mechanics
  • sleep on firm mattress with pillows for support
  • exercise, especially yoga, swimming, relaxation
  • sit with spine supported and neutral spine position
  • heat/ice
  • pregnancy girdle
  • low-heeled shoes
3. Complementary measures
  • body work
    • acupuncture
    • chiropractic
    • osteopathy
    • physical therapy
    • Bowen therapy
    • massage
    • shiatsu
    • reflexology
  • homeopathy
  • nutritional suggestions
    • calcium, 1500 mg daily
    • magnesium 750 mg daily
MH (2004), 26-27

 

Term

 

 

 

 

Carpal Tunnel Syndrome

Definition

1. Comfort measures

 

  • discontinue repetitive motions
  • maintain good posture
  • wear supportive bra
  • elevate arms
  • relaxation exercises
  • stabilization of wrist (i.e., splint)
  • massage
2. Medical intervention--if no improvement refer to orthopedist for possible corticosteroid injections or surgery

3. Complementary measures
  • body work
    • osteopathy
    • chiropractic
  • homeopathy
  • nutrition
    • vitamin B6 supplementation
    • magnesium supplementation
  • Chinese medicine
    • acupressure (kidney meridian and pericardium 6 for 7-10sec 3 times each)
    • acupuncture
    • Shiatsu
MH (2004), 27-28

 

Term

 

 

 

 

Constipation

Definition

1. Comfort measures

 

  • exercise
  • rest
  • decrease stress
2. Nutrition
  • whole grains
  • fibrous fruits/vegetables
  • dried fruits (esp. figs/prunes)
  • other fruits/juices
  • at least 8 non-caffeinated beverages/day
  • vitamin B rich foods
  • limit consumption of muscle meats to 2-3 times/week
  • carob powder added to blended drinks/foods
3. Medical interventions
  • changing brand of iron supplement
  • natural bulk laxatives (avoid other laxatives): Metamucil/Citrucel/psyllium
  • colace is a safe stool softener, but only to be used when other methods have failed
4. Complementary measures
  • homeopathy
  • Chinese medicine
    • acupuncture
    • shiatsu (stomach meridian)
    • acupressure (stomach 36: 3 times for 7-10sec)
  • reflexology--intestinal zone; clockwise motion
  • herbs
    • psyllium seeds: 1-2 tsp soaked in water
    • dandelion decoctions
MH (2004), 28-29

 

Term

 

 

 

 

Dyspareunia

(discomfort during intercourse)

Definition

1. R/O preexisting dyspareunia

2. Reassurance of normality

3. Alternative positioning

4. Ice to perineum for vascular engorgement

5. Alternative means of sexual gratification

 

MH (2004), 30

Term

 

 

 

 

Dyspnea of Pregnancy

Definition

1. Indications for referral: cyanosis, pain, abnormal heart/lung sounds, deterioration of vital signs, fever, cough


2. Comfort measures

 

  • fresh air
  • breath slowly
  • stand up and stretch with deep breathing
  • elevate head of bed
  • relaxation exercises
  • hands & knees
3. Complementary measures
  • Chinese medicine: shiatsu of lung 1 and pericardium 6
MH (2004), 30

 

Term

 

 

 

 

Edema of Lower Extremities

Definition

1. R/O preeclampsia, varicosities, thrombophlebitis

 

2. Comfort measures

 

  • avoid restrictive clothing
  • vary position often
  • minimize long periods of standing/walking
  • elevate legs throughout day
  • rest on left side
  • exercise
  • massage
3. Complementary measures
  • osteopathy
  • Chinese medicine
    • acupuncture
    • shiatsu
    • acupressure (kidney meridian, kidney 7, stomach 36, bladder 23, kidney 3)
  • reflexology: lymphatic system zone, kidney, liver, and GI tract
  • herbs
    • dandelion tea (diuretic)
    • parsley (1/4 oz fresh/day)--uterine stimulant and contraindicated with GI disease
MH (2004), 30-31

 

Term

 

 

 

 

Fatigue

Definition

1. Exclude anemia (if present rec. supplement) and inadequate nutrition

 

2. Comfort measures

 

  • reassurance of normality
  • regular exercise
  • good posture
  • well-balanced meals
  • naps
3. Complementary measures
  • Chinese medicine: shiatsu
4. Nutrition
  • B vitamins
  • increase protein
MH (2004), 31-32

 

Term

 

 

 

 

Gas Discomfort

Definition

1. Exclude PTL, UTI, round ligament pain

 

2. Comfort measures

 

  • exercise
  • prevent constipation
  • eat 4-5 small meals/day
  • chew slowly
  • more fruits/vegetables
  • cook vegetables
  • avoid gas-forming foods
  • knee-chest position/squats
  • abdominal massage
  • avoid combining carbs/proteins in same meal
  • eat fruit alone
3.Medical intervention
  • simethicone: Maalox/Mylanta
4. Complementary measures
  • homeopathy
  • nutrition
    • probiotics: yogurt/kefir
  • herbs
    • dill
    • papaya
    • ginger
    • peppermint
MH (2004), 32-3

 

Term

 

 

 

 

Headache

Definition

1. Exclude sinusitis, seasonal allergies, ocular strain, migraines

 

2. R/O preeclampsia after 20 weeks

 

3. Comfort measures

 

  • adequate hydration
  • rest
  • fresh air
  • yoga
  • eat small frequent meals
  • relaxation
  • cool or warm wet washcloth on forehead
  • ice pack
  • bath with epsom salts
  • massage
4. Medical interventions
  • acetaminophen/Tylenol
5. Complementary treatments
  • chiropractic
  • biofeedback
  • massage
  • magnet therapy
  • homeopathy
  • Chinese medicine
    • acupunture
    • shiatsu
    • acupressure (In Do, bladder 10)
HN (2004), 33-34

 

Term

 

 

 

 

Heartburn (pyrosis)

Definition

1. Comfort measures

 

  • relaxed mealtimes
  • eat slowly/chew thoroughly
  • avoid: coffee, alcohol, chocolate, fats
  • avoid cold foods/liquids
  • pat of butter before meals
  • more raw foods
  • drink only glass of water with 1 tbsp apple cider vinegar w/meals
  • avoid eating or lying down 3 hours before bedtime
  • yogurt
  • raw almonds
  • good posture
  • flying exercise (raise/lower arms while tailor sitting)
  • wear loose-fitting clothing
  • use extra pillow
  • avoid cigarettes
2. Medical interventions
  • antacids (may reduce iron absorption): Maalox/Gelusil
    • Tums/calcium carbonate may cause severe rebound heartburn
    • milk of magnesia can cause diarrhea and contraindicated w/kidney stones. Chronic use can cause magnesium toxicity.
    • amphojel can cause constipation and interfere with calcium absorption
    • simethicon: Maalox/Mylanta ok but unproven
  • antisecretory antihistimines
    • Pepsid AC (B), Tagamet (B), Zantac (B), Axid Pulvules (C)
3. Complementary measures
  • osteopathy
  • homeopathy
  • Chinese medicine
    • shiatsu
    • acupressure: stomach meridian, stomach 36, pericardium 6, bladder meridian, conception vessel 22
  • reflexology: esophagus, stomach, intestine zones and sedation of solar plexus and diaphragm
  • herbs
    • papaya
    • marshmallow root
    • catnip
    • ginger
    • peppermint (steep 1 tsp/1 cup water for 20 mins or5gtt tincture)
MH (2004), 34-36

 

Term

 

 

 

 

Hemorrhoids

Definition

1. Comfort suggestions

 

  • drink lots of water
  • rest in left lateral position
  • elevate the foot of bed
  • avoid standing or sitting for long periods
  • Kegel exercises
  • do not sit for long periods or strain on toilet
  • exercise daily
  • warm sitz baths 4-6/day for 20 min followed by 1 min in cold water
  • cornstarch or baking soda in sitz bath for itching
  • witch hazel compresses
  • ice
  • avoid donut pillows
  • avoid spicy foods
2. Medical interventions
  • Preparation H/other topical analgesics
3. Complementary measures
  • homeopathy
  • Chinese medicine
    • acupuncture
    • shiatsu
    • acupressure
  • nutrition
    • vitamin B6, 25 mg with every meal
    • vitamin C
    • vitamin E
    • bioflavonoids
    • raw garlic/onions
  • reflexology (lymphatic system/intestinal/rectal zones)
  • herbs
    • comfrey (limited use in pgcy, only external compresses)
    • horse chestnut
    • plantain leaves (4 oz to 1/2 gal steeped 8 hrs) as sitz bath
    • pilewort ointment (5 g/100 mL) or suppository
    • nettle leaf tea (1c/day)
    • garlic suppository
    • grated raw potato suppository

 

Term

 

 

 

 

Insomnia

Definition

1. Comfort measures

 

  • exercise daily
  • avoid caffeine
  • decrease fluids before bed
  • avoid large meals w/in 2 hrs of bed
  • sleep regular hours
  • nonstimulating activities before bed
  • warm bath/warm drink (milk) before bed
  • set environment
  • massage
  • pillows for comfort
  • relaxation techniques
  • naps
2. Complementary measures
  • homeopathy
  • Chinese medicine
    • acupuncture
    • shiatsu
    • acupressure (bladder 10, 31, 32)
  • nutrition
    • vitamin B deficiencies implicated
    • calcium/magnesium supplement before bed
    • oats
  • herbs
    • valerian root (10-25 gtt tincture, bid to tid, or 1 c of tea--1 tsp herbs/150 mL water--up to several cups/day)--Avoid prolonged use
    • skullcap tea
    • catnip tea

 

Term

 

 

 

 

Leg Cramps

Definition

1. supplement with calcium and magnesium

2. comfort measures

 

  • exercise
  • good posture
  • elevate legs
  • warm bath
  • push-away exercise (stretch calfs)
  • flex feet with toes up with cramp
  • massage toward heart

  • 3. Complementary measures
  • homeopathy
  • Chinese medicine
    • acupressure (stomach, gallbladder, and bladder meridians. bladder 57)
  • herbs
    • cramp bark

 

 

Term

 

 

 

 

Leukorrhea

Definition

1. R/O vaginal infex/ROM

2. reassurance of normality

3. comfort measures

 

  • cotton underwear
  • avoid commercial feminine hygiene products
4. Complementary measures
  • Chinese medicine
    • shiatsu (kidney meridian)
  • Nutritional suggestions
    • L. acidophilus 2 caps tid
    • vitamin B complex 100 mg tid
    • vitamin B 50 mg tid
    • vitamin C w/biofavonoids qd

 

Term

 

 

 

 

Nausea/Vomiting

Definition

1. After 1st tri R/O emotional problems, hydatidiform mold, hyperemesis gravidarum

2. comfort measures

 

  • eat before getting out of bed
  • get out of bed slowly
  • light protein snack at bedtime
  • always carry food
  • avoid strong odors/spicy food/fatty food
  • suck on hard candies
  • dry food/carbonated drinks may be better tolerated
  • fresh air
  • vitamin B foods
  • ginger
3. Medical interventions
  • antiemetics/antihistamines
  • doxylamine/pyridoxine
  • hydroxyzine/metoclopramide (Vistaril)
  • dramamine
  • compazine
  • droperidol
  • phenergan
  • anzemet/kytril/zofran
4. complementary measures
  • homeopathy
  • hypnosis
  • Chinese medicine
    • acupressure (pericardium 6--wristbands, stomach 36)
    • acupuncture
  • reflexology
  • nutrition
    • barley/oat broth
    • yogurt/kefir
    • 1tsp apple cider vinegar in 8 oz water 1st thing in morning
  • herbs
    • RRL (1oz/2 c water or 1ml tincture)
    • peppermint tea
    • black horehound tea
    • catnip tea
    • meadowsweet
    • peach leaf tea
    • spearmint tea
    • lemon balm tea
    • basil tea

 

Term

 

 

 

 

Ptyalism

(excessive salivation)

Definition

1. comfort measures

 

  • suck on hard candies
  • decrease starch 
  • avoid dairy
  • fruit better tolerated
2. complementary measures
  • homeopathy (ipecacuanha)

 

Term

 

 

 

 

Round Ligament Discomfort

Definition

1. R/O UTI, PTL, GI complications

2. comfort measures

 

  • pelvic girdle
  • pillows in bed
  • exercise/pelvic rocking
3. Medical intervention
  • tylenol
4. complementary intervention
  • osteopathy

 

Term

 

 

 

 

Urinary Frequency

Definition

1. R/O UTI

2. reassurance of normality

3. comfort measures

 

  • increase fluids during day/decrease before bedtime
  • limit caffeine
4. complementary measures
  • shiatsu (kidney meridian)

 

Term

 

 

 

 

Varicosities

Definition

1. Comfort measures

 

  • maternity support hose/ace wraps
  • avoid constrictive clothing
  • avoid crossing legs
  • exercise (mild)--walking
  • avoid long periods of standing
  • lie on left lateral
  • for vulvar varicosities--foam pad can be worn
2. teach s/s of deep vein thrombosis and avoid injury to varicosities

3. During delivery avoid laceration of vulvar varicosities and progressive ambulation

4. complementary measures
  • homeopathy
  • Chinese medicine
    • acupuncture
    • shiatsu
  • nutrition
    • vitamin C
    • vitamin E
    • biofavonoids
    • raw garlic/onions
    • okra
    • buckwheat
    • oats
    • wheat germ
    • dark leafy greens
  • herbs
    • comfrey (small doses as compress only)
    • horse chestnut
    • nettle leaf tea (1c/d)
MH (2004) 45-6

 

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