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Diseases » Ectopic pregnancy » Treatments
 

Treatments for Ectopic pregnancy

Contents
  1. Ectopic pregnancy: Introduction
  2. Latest treatments for Ectopic pregnancy
  3. News about treatments
  4. Buy Products Related to Treatments for Ectopic pregnancy
  5. Ectopic pregnancy: Introduction

Treatments for Ectopic pregnancy

The list of treatments mentioned in various sources for Ectopic pregnancy includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • Hospital admission
  • Intravenous access
  • Laparoscopy should be attempted if the patient is hemodynamically stable
  • Adequate analgesia
  • Salpingostomy
  • Salpingectomy
  • Methotrexate
  • Folic acid antagonist
  • A ruptured ectopic pregnancy requires a laparotomy with removal of blood clots

Ectopic pregnancy: Is the Diagnosis Correct?

The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Ectopic pregnancy may include:

Hidden causes of Ectopic pregnancy may be incorrectly diagnosed:

Ectopic pregnancy: Marketplace Products, Discounts & Offers

Products, offers and promotion categories available for Ectopic pregnancy:

Ectopic pregnancy: Research Doctors & Specialists

Research all specialists including ratings, affiliations, and sanctions.

Latest treatments for Ectopic pregnancy:

The following are some of the latest treatments for Ectopic pregnancy:

Hospital statistics for Ectopic pregnancy:

These medical statistics relate to hospitals, hospitalization and Ectopic pregnancy:

  • 85% of hospital consultant episodes for female infertility were single day episodes in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 0.007% (3,441) of hospital bed days were for female infertility in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 0.005% (597) of hospital consultant episodes were for male infertility in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 99% of hospital consultant episodes for male infertility required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • more hospital information...»

Hospitals & Medical Clinics: Ectopic pregnancy

Research quality ratings and patient incidents/safety measures for hospitals and medical facilities in specialties related to Ectopic pregnancy:

Hospital & Clinic quality ratings » »

Choosing the Best Treatment Hospital: More general information, not necessarily in relation to Ectopic pregnancy, on hospital and medical facility performance and surgical care quality:

Medical news summaries about treatments for Ectopic pregnancy:

The following medical news items are relevant to treatment of Ectopic pregnancy:

Buy Products Related to Treatments for Ectopic pregnancy

 
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Book Excerpts: Treatment of Ectopic pregnancy

Treatments of Ectopic pregnancy: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the treatments of Ectopic pregnancy.

Amenorrhea: Treatment
(In a Page: Signs and Symptoms)

  • Imperforate hymen requires surgical correction
  • Androgen insensitivity syndrome: Excise testes after puberty because of increased risk of testicular cancer
  • Absent müllerian structure or presence of Y chromosome: Psychological counseling
  • Ovarian failure: Consider hormone replacement therapy
  • Polycystic ovarian syndrome
    –Oral contraceptives decrease ovarian androgen secretion
    –Weight reduction decreases peripheral estrogen
    –Clomiphene to enhance fertility
    –Cyclic progesterone prevents endometrial hyperplasia
  • Functional hypothalamic amenorrhea
    –Weight gain and reduction in intensity of exercise
    –Consider oral contraceptives to prevent osteoporosis
    –Exogenous gonadotropins or pulsatile GnRH may be necessary

» READ BOOK EXCERPT ONLINE »

Source: In a Page: Signs and Symptoms, 2004

Amenorrhea – Secondary: Treatment
(In A Page: Pediatric Signs and Symptoms)

  • Correction of systemic illness, malnutrition, eating disorder, or other stress
  • Hyperprolactinemia
    –Prolactinoma: Treat with dopamine agonist
    –Medication-induced: Cessation of the offending agent
  • Polycystic ovary syndrome
    –Weight loss
    –Oral contraceptives
    –Antiandrogen agents such as spironolactone
    –Insulin sensitizers such as metformin
  • Ovarian failure
    –Treat with estrogen-progestin replacement
  • Asherman syndrome
    –Treat by surgical excision of adhesions

» READ BOOK EXCERPT ONLINE »

Source: In A Page: Pediatric Signs and Symptoms, 2007

Amenorrhea – Primary: Treatment
(In A Page: Pediatric Signs and Symptoms)

  • Underlying chronic illnesses, malnourished states, or hypothyroidism should be treated
  • Stop medications causing hyperprolactinemia (e.g., antidepressants, phenothiazines) if safe to do so
  • Prolactinomas can be treated medically with a dopamine agonist
  • Other pituitary tumors will need treatment according to their specific type
  • Patients with ovarian insufficiency or hypogonadotropic hypogonadism need estrogen therapy for breast development, and then should cycle estrogens and progestins to establish menses

» READ BOOK EXCERPT ONLINE »

Source: In A Page: Pediatric Signs and Symptoms, 2007

Abdominal distention: Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))

If the patient displays abdominal distention, quickly check for signs of hypovolemia, such as pallor, diaphoresis, hypotension, a rapid thready pulse, rapid shallow breathing, decreased urine output, and altered mentation. Ask the patient if he’s experiencing severe abdominal pain or difficulty breathing. Find out about any recent accidents, and observe him for signs of trauma and peritoneal bleeding, such as Cullen’s sign or Turner’s sign. Then auscultate all abdominal quadrants, noting rapid and high-pitched, diminished, or absent bowel sounds. (If you don’t hear bowel sounds immediately, listen for at least 5 minutes in each of the four abdominal quadrants.) Gently palpate the abdomen for rigidity. Remember that deep or extensive palpation may increase pain.

If you detect abdominal distention and rigidity along with abnormal bowel sounds and if the patient complains of pain, begin emergency interventions. Place the patient in the supine position, administer oxygen, and insert an I.V. line for fluid replacement. Prepare to insert a nasogastric tube to relieve acute intraluminal distention. Reassure the patient and prepare him for surgery.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Signs & Symptoms (Third Edition), 2006

Amenorrhea: Treatment
(Professional Guide to Diseases (Eighth Edition))

Appropriate hormone replacement re-establishes menstruation. Treatment of amenorrhea not related to hormone deficiency depends on the cause. For example, amenorrhea that results from a tumor usually requires surgery.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Ectopic pregnancy: Treatment
(Professional Guide to Diseases (Eighth Edition))

If culdocentesis is positive or the patient has peritoneal signs consistent with a surgical abdomen, laparoscopy and laparotomy are indicated. The ovary is preserved as a rule; however, ovarian pregnancy may necessitate oophorectomy. Interstitial pregnancy may rarely require hysterectomy; abdominal pregnancy requires a laparotomy to remove the fetus, except in rare cases, when the fetus survives to term or calcifies undetected in the abdominal cavity.

Supportive treatment includes transfusion with whole blood or packed red cells to replace excessive blood loss, administration of broad-spectrum antibiotics I.V. for septic infection, and administration of supplemental iron by mouth or I.M.

Methotrexate I.M. is also a therapeutic option in stable patients, avoiding surgery in most cases.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Abdominal distention: Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))

If the patient displays abdominal distention, quickly check for signs of hypovolemia, such as pallor, diaphoresis, hypotension, rapid and thready pulse, rapid and shallow breathing, decreased urine output, poor capillary refill, and altered mentation. Ask the patient if he’s experiencing severe abdominal pain or difficulty breathing. Find out about any recent accidents, and observe the patient for signs of trauma and peritoneal bleeding, such as Cullen’s sign  or Turner’s sign. Then auscultate all abdominal quadrants, noting rapid and high-pitched, diminished, or absent bowel sounds. (If you don’t hear bowel sounds immediately, listen for at least 5 minutes.) Gently palpate the abdomen for rigidity. Remember that deep or extensive palpation may increase pain.

If you detect abdominal distention and rigidity along with abnormal bowel sounds, and the patient complains of pain, begin emergency interventions. Place the patient in the supine position, administer oxygen, and insert an I.V. line for fluid replacement. Prepare to insert a nasogastric tube to relieve acute intraluminal distention. Reassure the patient and prepare him for surgery.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006

Amenorrhea: Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))

After diagnosis, answer the patient’s questions about the type of treatment that will be provided and its expected outcome. Because amenorrhea can cause severe emotional distress, provide emotional support. Be sure to encourage the patient to discuss her fears and, if necessary, refer her for psychological counseling.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006

Abdominal distention: Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

If the patient displays abdominal distention, quickly check for signs of hypovolemia, such as pallor; diaphoresis; hypotension; rapid, thready pulse; rapid, shallow breathing; decreased urine output; poor capillary refill; and altered mentation. Ask the patient if he’s experiencing severe abdominal pain or difficulty breathing. Find out about any recent accidents, and observe the patient for signs of trauma and peritoneal bleeding, such as Cullen’s sign or Turner’s sign. Then auscultate all abdominal quadrants, noting rapid and high-pitched, diminished, or absent bowel sounds. (If you don’t hear bowel sounds immediately, listen for at least 5 minutes.) Gently palpate the abdomen for rigidity. Remember that deep or extensive palpation may increase pain.

If you detect abdominal distention and rigidity along with abnormal bowel sounds and the patient complains of pain, begin emergency interventions. Place the patient in the supine position, administer oxygen, and insert an I.V. line for fluid replacement. Prepare to insert a nasogastric tube to relieve acute intraluminal distention. Reassure the patient, and prepare him for surgery.

» READ BOOK EXCERPT ONLINE »

Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

Amenorrhea: Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

After diagnosis, answer the patient’s questions about the type of treatment that will be provided and its expected outcome. Because amenorrhea can cause severe emotional distress, provide emotional support. Be sure to encourage the patient to discuss her fears and, if necessary, refer her for psychological counseling.

» READ BOOK EXCERPT ONLINE »

Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

Abdominal distention: Nursing considerations
(Nursing: Interpreting Signs and Symptoms)

▪ Position the patient comfortably, using pillows for support.

▪ If the patient has flatus, place him on his left side to help flatus escape.

▪ If the patient has ascites, elevate the head of the bed to ease his breathing.

▪ Insert a nasogastric tube for bowel compression; monitor amount and type of drainage.

▪ Administer drugs to relieve pain, and offer emotional support.

▪ Prepare the patient for diagnostic tests, such as abdominal X-rays, endoscopy, laparoscopy, ultrasonography, computed tomography scan or, possibly, paracentesis.

▪ Prepare the patient for surgery, if indicated.

Patient teaching

▪ Teach the patient to use slow deep breathing to help relieve abdominal discomfort.

▪ If the patient has an obstruction or ascites, tell him which foods and fluids to avoid.

▪ Emphasize the importance of oral hygiene to prevent dry mouth.

▪ Explain the underlying disorder and treatment plan.

» READ BOOK EXCERPT ONLINE »

Source: Nursing: Interpreting Signs and Symptoms, 2007

Amenorrhea: Nursing considerations
(Nursing: Interpreting Signs and Symptoms)

▪ In patients with secondary amenorrhea, physical and pelvic examinations must rule out pregnancy before diagnostic testing begins.

▪ Prepare the patient for tests, such as progestin withdrawal, serum hormone and thyroid function studies, and endometrial biopsy.

Patient teaching

▪ Explain to the patient all tests and procedures.

▪ Explain the underlying disorder and treatment plan.

▪ Encourage the patient to discuss her fears and, if necessary, refer her for psychological counseling.

» READ BOOK EXCERPT ONLINE »

Source: Nursing: Interpreting Signs and Symptoms, 2007



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