Homework Answers
Diagnosis:- Mastitis
Pathophysiology:- Mastitis is the sudden inflammation of the beast in women usually caused by bacterium staphylococcus aureus.The bacterial organism invade the breast through cracks in the nipples, the exposed lympathic ducts or milk ducts.The breast become swallow, painfull, red , garden and tender.The lympathic system's node and vessels are commonly enlarged and tender.
Health promotion and disease prevention:-
- Education about good breastfeeding technique should be given to the women that can help prevent sore and cracked nipples that may lead to mastitis.
- Air dry nipples after each breast feeding sessions.
Risk factors:-
- Previous bout of mastitis while breastfeeding.
- Sore or cracked nipples
- Wearing tightfitting bra
Expected findings:-
- Redness,swelling, tenderness of the affected breast
- Fever
- Discharge from nipple or feel a hard lump.
Laboratory test:-
A small sample of breast milk for testing just to determine whether there is bacterial infections and also to identify the type of bacteria for treatment.
Diagnostic procedure:-
Physical examination of beast and symptoms of patients help in easy diagnosis of mastitis.
Safety consideration:-
- Breast feed frequently especially when breast are full.
- Breast feeding position should be correct
- Avoid tight bra.
Nursing Care:-
- Making sure that baby is correctly attached to the breast.
- Expressing milk from the breast if needed.
- Air dry nipples after breastfeeding.
Therapeutic procedure:-
Antibiotic course is needed for 10 days and pain relievers may be recommended such as acetaminophen, ibuprofen.
Medicines:-
- NSAID
- Penicillin antibiotics
- Cephalexin
Client Education:-
-Education about good breastfeeding technique should be given.
- Keep nipples clean and dry after each breastfeeding.
Interprofessional care:-
- Apply an ice pack or warm compress to the affected breast to help reduce pain.
- Rest as much as possible
- Air dry nipples after each breastfeeding.
Complications:-
Breast Abscess and sepsis
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