Class 8 Reproductive System Flashcards

0
Q

Describe monophasic oral contraceptives

A

Constant delivery dose of estrogen and progesterone

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1
Q

Describe use of androgens

A

Treatment of hypergonadism

Replacement therapy

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2
Q

Describe biphasic oral contraceptives

A

Equal estrogen dose in every tan but amount of progesterone is decreased until end of cycle (mimics cycle)

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3
Q

Describe triphasic oral contraceptives

A

Both estrogen an progesterone concentration is varied throughout cycle

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4
Q

Use of estrogen and progestin products

A
  • prevention of fertilization by inhibiting ovulation
  • treatment of menopausal signs and symptoms
  • treatment of uterine dysfunction
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5
Q

Female glands that secrete hormones

A

Hypothalamus
Pituitary gland
Ovaries

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6
Q

Describe oral contraceptives

A
  • Used to prevent pregnancy
  • Combo and estrogen and progestin
  • Prevents fertilization by inhibiting ovulation
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7
Q

What does the hypothalamus secrete for females

A

Gonadotropin releasing hormone

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8
Q

What does the pituitary gland secrete for females

A

Follicle stimulating hormone

Lutenizing hormone

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9
Q

What do the ovaries secrete?

A

Progesterone

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10
Q

Considerations of oral contraceptives

A
  • Monitoring patient
  • contraindicated with stroke, mi, CAD, estrogen dependant tumor patients
  • pts older then 35 is t increased risk for strokes
  • patient education
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11
Q

Patient teachings

A
  • Take as directed
  • Follow instructions for missed dose
  • Report caf redness or pain, dyspnea, chest pain
  • avoid smoking (increases stoke risk)
  • perform monthly breast exams
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12
Q

Define HRT

A

Hormone replacement therapy of estrogen and progestin for treating symptoms of menopause

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13
Q

Define ERT

A

Estrogen only replacement therapy used to treat symptoms of menopause

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14
Q

Describe a uterine abnormality

A

Abnormal bleeding caused by imbalance of estrogen and progesterone

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15
Q

Types of bleeding

A
Amenorrhea
Oligomenorrhea
Menorrhagia
Breakthrough bleeding 
Post menopausal bleeding
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16
Q

Define amenorrhea

A

No bleeding

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17
Q

Define oligomenorrhea

A

Infrequent bleeding

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18
Q

Drug of choice for uterine abnormality treatment

A

Progestins

19
Q

Considerations for progestin therapy

A
Health history
Drug history
Cardiovascular status 
Lab assessment (CBC, liver functiom)
Monitor side effects
Can cause photosensitivity
20
Q

Contraindications for Progestins

A

Breast or genital cancer history
Thromboembolism disorders
Pregnancy or lactating

21
Q

What decreases effects of oral contraceptives

A

Antibiotics decrease effects of oral contraceptives which increase risk for pregnancy

22
Q

Male glands that regulate hormones

A

Hypothalmas
Pituitary
Gonads/ testes

23
Q

What does hypothalamus secrete for males?

A

Gonadotropin releasing hormone

24
Q

What does pituitary gland secrete for guys?

A

Lutenizing hormone

Follicle stimulating hormone

25
Q

Define benign prostatic hyper trophy

A

Enlargement Of prostate due to increased age

26
Q

Define androgens

A

Group of male sex hormones that mediate normal development and maintenance of primary make sex characteristics

Mainly testosterone

27
Q

Define androgenic activity

A

Activity that’s produced by testosterone that promotes development and maintenance of make reproductive system and make sex characteristics

28
Q

Define hypoganadism

A

Reduction or absence of hormone secretion or other physiological activity of the gonads (testes)

29
Q

Availability of testosterone

A

Intramuscular shots
Pellets
Patches
Buccel tablets

30
Q

UTI side effects other then abnormalities in urine

A

Change in cognition or behaviour
Abdominal pain
Flank pain

31
Q

Describe anabolic steroids

A

Testosterone like compounds

Considered schedual 3 due to potential abuse risk

32
Q

Adverse effects of anabolic steroids

A
Decreased sperm count 
Increased cholesterol levels
Causes impotence 
Permanent liver damage 
Behavioural changes
33
Q

Nursing considerations

A
Monitor condition of patient
Educate patient 
Physical assessment
- needle marks, muscles
Emotional assessment
- sexuality, aggression
Monitor lab results
Monitor side effects
34
Q

Characteristics of BPH

A
Urinary retention
Pain and distension
Dribbling
Force of stream delayed/less powerful
Hesitancy
Dysuria
35
Q

Action of reductase inhibitors

A

Inhibits enzyme responsible for converting testosterone to DHT

36
Q

Effects if reductase inhibitors

A

Decreases growth of prostate gland

Promotors hair growth in men

37
Q

What does DHT stand for an what does it do

A

Dihydrotestosterone

Principal androgen responsible for stimulating prostate growth and secondary sex characteristics

38
Q

Action of alpha 1 adrenergic blockers

A

Relax smooth muscle in bladder, prostate and urethra to decrease constriction to ease urinary obstruction

39
Q

Adverse effects of alpha 1 adrenergic blockers

A
  • Fatigue
  • Dizziness
  • Headache
  • Tachycardia (from stimulating baroreceptors)
40
Q

Nursing considerations for alpha 1 adrenergic blockers

A
  • Monitor patients condition
  • Physical exam
  • Changes in urinary elimination
  • Vital signs
  • Alert to hypotension
  • Used w/ caution in pts w/ asthma and heart failure d/t bronchi constriction and bradycardia
  • pregnant nurses avoid touching crushed due to teratogenic effects
41
Q

Name a drug classified as reductive inhibitor

A

Finasteride

42
Q

Name an androgen

A

Testosterone

43
Q

Name an anabolic steroid

A

Nandrolone

44
Q

Name three a adrenergic blockers

A

Doxazosin
Tamaulosin
Terazosin