Post Partum Blues

• 4th – 5th days• overwhelming feeling of depression, inability of sleep

and lack of appetite• cause by sudden hormonal change – progesterone• allow crying: therapeutic• may lead to postpartum psychosis/ depression

Oral Meds

• If difficulty swallowing – crush tablet and mix with food

• DO NOT CRUSH! –sustained-release–Enteric-coated

• Position: Sitting/ side lying

Thrombolytic

Converts plasminogen to plasmin

breaks down fibrin and fibrinogen

dissolving thrombus

Menstrual Cycle

• Hypothalamus – initiates menstrual cycle – GnRH• Pituitary – initiates follicular phase – FSH, LH• Ovaries – initiates uterine phase – Est, Prog• FSH- ovulation• LH – implantation• Est – thickening of endometrial lining 8th fold• Progest – increase blood supply to uterus

• Ovarian– Follicular 1st ½ - FSH– Luteal 2nd ½ - LH

• Uterine – Proliferative 1st ½ -

Est– Secretory 2nd ½ -Prog

• 1st ½ - FSH and Est• 2nd ½ - LH and Prog

15. MENSTRUAL CYCLE

The hormone that initiates’ menstruation: GnRH

The normal amount of blood loss: 30-50 ml

The normal duration: 5-7 days

The first menstruation: Menarche

Testosterone – male secondary sex characteristics

2. Hormones

Begins to decline after 55 yearHormone that maintains

spermatogenesisProduction is stoimulated by

LUTEINIZING HORMONERELEASED BY Leydig cells

2. Hormones

Estrogen – hormone of womanhood - secreted by Graafian Follicle- responsible for the

production of clear, elastic, cervical mucus

- + SPINNABARKEIT,FERNING- Increases SODIUM retention

Oxytocin- stimulates the letdown reflexProgesterone – hormone of pregnancyGnRH – initiates menstruation

9. EPI Made of live attenuated vaccines:

- OPV; MeaslesMost sensitive to heat:

- OPV; Measles (store at 15°C to 21°C)

NOT contraindications:- Moderate fever- Malnutrition- Mild respiratory infection- Cough- Diarrhea and vomiting