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Uterine myoma is the most common tumors of female genitalia tract. Myoma commonly called
fibroid. It is the benign tumor of the smooth muscle in the wall of the uterus. Hysterectomy has
been common therapy in patients who have completed reproduction. Total abdominal
Hysterectomy plus bilateral Salphingo OOpherectomy TAHBSO- this procedure removes the
uterus, cervix, one ovary and one fallopian tube, while one ovary and one fallopian tube are left
in places. Fibroids can be present and be apparent. However, they are clinically apparent in up
to 25% of the women. Although myoma is generally considered to be the slowly growing tumor
in 20-40% o the women at the age of 35 and more uterine fibroids of significant sizes with
severe clinicical symptoms. Moreover myoma can be replase in 7-28% of patient after surgical
treatment and in certain cases it may even turn to malignant tumor, this could causes significant
morbidity including prolongrd or heavy menstrual bleeding, pelvic pleasure, and pain in rare
cases reproductive dysfunction. Myoma affects one of every woman. ¾ of the woman with this
condition, however experienced on symptoms. Abortions, long term use of inadequate
contraceptive pills, chronic sub acute and acute inflammation of the uterus and its appendices ,
stress, ultraviolent radiation, cystic formation of avary are the following causes.



After this case study, students will be able to extend and improve their knowledge and
understanding with regards to the causes, effects, complications, signs and symptoms and
nursing implications for Cerebrovascular Infarction for them to be able to attain a
comprehensive and thorough learning experience with regards to their study that would benefit
not only them but also the readers and for the patients that they will be catering in the future
with such kind of disease.

O Study the patient¶s history of past and present illness

O Conduct physical assessment
O Be able to review the anatomy and physiology of the affected organs and system
O Trace and analyze the pathophysiology of the disease.
O Classify the ordered drugs and associate its action and effects to the patient.
O Construct nursing care plan for the patient.
O Evaluate the client¶s condition from the time of the admission up to the present.

ãay 1
A 46 years old female admitted @ OB ward and following orders are given: Admit to ward,
secure consent for TAHBSO, give cefuroxime IV 1 hour prior to admission. At 4am, ss enema
was given and vital signs monitored every shift.
May 4, 2010 patient was brought to the operating room and the following post operative orders
were given: patrint to the recovery room after procedure. Monitor vital signs every 15 minutes
with O2 inhalation of 4 lpm. Run present IVF @ 30 gtts/min. after IVF consume ã5LR, ã5NM to
follow for the next 8 hours. Cefuroxime 750 mg q 12o IV, tramadol HCL 100 mg q 8o IV for 3
doses to start. Input and output hourly and record. At 4 pm the patient was transfer to ward.

Patient may have clear liquid diet once with flatus and full diet once with bowel movement. Last
ordered IVF to complete if the patient is stable. At 1pm, foley catheter removed c oral
medications of cefuroxime 500 mg BIã, mefenamin=c acid q6, FeSO4 tab once a day and
vitamin C 599 g I tab once a day.

ãay 4

There is no objection for discharge. Home medications instructed and patient may go home.
Patient was discharged accompanied by sister.


After few days of conducting thorough study about the case of Patent J, we were
able to trace the history of her disease. We have come up with the assessment of the
patient biological data and physical assessment as well as the medical information with
regards to the client¶s condition. Apart from that, we were also able to have a clearer
view on how the disease the disease affects the patient¶s body by tracing the
pathophysiology of the disease. By understanding fully the mechanism and affects of
the disease to the patient, we have identified and trace some medications and how
these drugs affect the patients physiological functioning. Appropriate therapeutic care
well planned and provided to the client and lastly, we have come up with a discharge
plan pertaining to the patients recovery.


Mefenamic Acid must be given TIã O.ã for pain.
M Instruct the relative to follow medication regimen.

E Encourage the patient to have some exercise.

Educate and instruct the family of the patient of the proper taking of
T medications on time and the proper wound care to avoid contamination
and infection at the surgical site.
Encourage ambulation for her early recovery.

H Inform the patient the importance of proper hygiene from head to toe.

Inform the family of the patient to have her checkup 2 weeks after
discharge for the continuity of treatment.
O Instruct the family of the patient to monitor if there is any sudden change
to the patient and report immediately.

In order to attain proper diet, the patient should be guided to the

prescribed foods as advised by her physician. Her meals should incluce
Vitamin C rich foods for wound healing.