Nursing Interventions for Uterine Fibroid

A uterine fibroid (also uterine leiomyoma, myoma, fibromyoma, leiofibromyoma, fibroleiomyoma, and fibroma) (the plural of myoma is myomas or myomata) is a benign (non-cancerous) tumor that originates from the smooth muscle layer (myometrium) and the accompanying connective tissue of the uterus.

Fibroids are the most common benign tumors in females and typically found during the middle and later reproductive years. While most fibroids are asymptomatic, they can grow and cause heavy and painful menstruation, painful sexual intercourse, and urinary frequency and urgency. Some fibroids may interfere with pregnancy although this appears to be very rare.
In the US, symptoms caused by uterine fibroids are a very frequent indication for hysterectomy. Fibroids are often multiple and if the uterus contains too many leiomyomata to count, it is referred to as diffuse uterine leiomyomatosis. The malignant version of a fibroid is extremely uncommon and termed a leiomyosarcoma.
(wikipedia)


Nursing Interventions for Uterine Fibroid

Impaired Urinary Elimination: Retention related to the suppression by the neoplastic tissue mass in the surrounding area, impaired sensory / motor.

Goal:
Clients urinate a normal amount and pattern of regular or no interference

Results Criteria:
The amount of urine 1500 ml/24 hours and regular pattern, no bladder distention and edema

Impaired Urinary Elimination Nursing Interventions for Uterine Fibroids :
  • Monitor inputs and outputs as well as the characteristics of urine
  • Determine the client's normal voiding pattern and note the variations
  • Encourage clients to increase fluid intake
  • Check all the urine, note the presence of stones and send output to a laboratory for analysis
  • Investigate complaints of a full bladder: suprapubic palpation to distention. Note the decrease in urine output, edema periorbital / dependent
  • Observations of changes in mental status, behavior or level of consciousness
  • Supervise laboratory tests, samples of electrolytes, BUN creatinine
  • Take a urine for culture and sensitivity
  • Give the drug as indicated, for example:
  • Note the catheter patency was settled, when using
  • Irrigation with acidic or alkaline solution as indicated