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NRTC55 Chapter 20
Reproductive/Urinary Meds Review
| Question | Answer |
|---|---|
| Female hormone med have what 3 names? | Estrogen, estradiol, progestin |
| Side effects for female HRT | increased r/o clot, increased r/o breast cancer, irregular menstrual bleeding |
| What should not happen in post menopausal women and should be reported? | Vaginal bleeding |
| Progestin targets what female body part? | Uterus |
| How long should HRT be? | 3-4 years |
| Common SE of OC | HTN and breakthrough bleeding |
| What is an important teaching regarding OC and other meds? | Decreases effectiveness of OC and other contraceptive action must be taken |
| What is priapism and what med can cause this? | painful erection lasting more than 4h, -- PDE5 (sildenafil, taldalifil, vardenafil) |
| What is the primary use for OC? | Prevention of pregnancy |
| What female hormone also treats prostate cancer? | Estrogen |
| Avoid donation of blood after which drug? | finasteride |
| sildenafil can be given to women to treat what? | pulmonary HTN |
| what does tamulosin treat in men? | BPH |
| How long does finasteride take to be therapeutic? | 6 mo |
| What should you instruct when patient misses a dose of OC? Should this be followed when more than one missed dose? | take that day's dose with the missed dose; NO |
| Nursing interventions for all diuretics | monitor I&O, daily weights, monitor electrolyte levels, fall precautions |
| Which diuretic is most extensive/effective | Loop Diuretics (furosemide) |
| First line of tx for HTN (diuretic) | hydrochlorothiazide |
| When the renal system is impaired what diuretic is NOT given | Thiazides |
| Take diuretics at what time of day? (preferably) | AM |
| DDAVP or desmopression is given to treat what | enuresis |
| oxybutynin is to alleviate what | bladder spasms |
| Osmotic diuretics are given for what | increased ICP |
| Spironolactone is what kind of drug | potassium sparing diuretic |
| Whats the risk with spironolactone | Hyperkalemia |
| Where are gonadotropic drugs produced? | pituitary gland |
| Furosemide causes what that should be immediately reported? | hearing loss or tinnitus--- drug is ototoxic |