click below
click below
Normal Size Small Size show me how
Smash 1
Drugs affecting Sexuality and Reproduction
Question | Answer |
---|---|
What is the action of estrogen (Premarin) | promote the growth and development of female sex organs and the maintenance of secondary sex characteristics in women |
Estrogen (Premarin) Uses | non-estrogen secreting breast cancer, prostate cancer, post menopausal hormone replacement |
Precautions/Contradictions of Estrogen (Premarin) | pts with Hx of heart disease, preggo, breast cancer, thrombolotic disease |
ADRs of estrogen (Premarin) | 1. Thombolitic event. Increase blood coagubility. increase LDL decrease HDL. Decrease bowel motility |
Estrogen (Premarin) promotes... | Secondary sex characteristics, maintenance of skin and muscle mass, retain sodium and water. maintain bone density |
What to monitor when taking estrogen (Premarin)? | BP, and teach about clots. Monitor liver. Diabetics have problems with estrogen. If pregnant stop taking! |
medroxyprogesterone (Provera) is used for? | Lining of the uterus. Maintain fetal growth. Prevents monthly cycle. Helps with ammorrhea. |
Precautions/ contradictions of medroxyprogesterone (Provera) | Fluid retention, pregnancy, HTN, CHF, liver problems. Conta in thrombophlembitis |
ADRs of medroxyprgesterone (Provera) | Menstrual irregularities, stop having menses. mental depression, wt gain. |
Nursing care for medroxyprogesterone (Provera) | Monitor Wt, s/sx depression, menstrual cycle. explain is does not protect against STD's |
What is Ovcon 35? | Contraceptive that contains both estrogen and progestins |
People on Ovcon...nuva ring, patch experience what kind of bleeding? | Withdrawl bleed..not really an actual period |
Precautions and contradictions of Ovcon 35 | HTN, problems with clotting, esp if you smoke |
ADRs of Ovcon 35 | Diarrhea, constipation, BP (check every time, can be unpredictable HTN), diabetics more problems because of glucose intolerance |
Drug interactions of Ovcon 35 | Metabolized in the liver, carbomaizapines. Some antibiotics cause ineffectiveness. |
Nursing care for Ovcon 35 | Monitor BP and weight. Teach what to do with a missed poll. avoid smoking, take oral dose with food to decrease nausea. |
What is oxytocin used for? | Putting a person into labor |
Why is oxytocin a catagory X? | It will either cause a miscarriage or put someone into labor |
What should you monitor on mom and baby when taking oxytocin? | Baby -- rapid Mother -- contractions can be so intense they can rupture uterus. |
testosterone enanthate (Delatestyl) is used for what? | Delayed puberty, steroid use. if you have chemo and gonads are fried, must take for rest of life. Males with hypogonadism |
Precautions/contradictions with testosterone enanthate (Delatestyl) | Males with breast or prostate cancer, hypercalemia or severe liver/renal disease. caution in cardiac pts. |
testosterone enanthate (Delatestyl) ADRs | acne, facial hair, abnormal hair loss, clit enlargement, gycocomastia, impotence, priaprism, can cause fluid retention |
sildenafil (Viagra) Precation/contradiction | Do not use with a pt using any type of Nitro |
Why use sildenafil (Viagra)in peds? | Decreases pulmonary hypertension. |
sildenafil (Viagra) ADRs | HA, flushing, vision problems |