contraceptives

Question 1

levonorgestrel

Answer 1

plan b

Question 2

norethindrone

Answer 2

ortho microner, microner

Question 3

ulipristal

Answer 3

ella

Question 4

ethinyl estradiol and desogestrel

Answer 4

apri, mircette, desogen, ortho-cept

Question 5

ethinyl estradiol and drospirenone

Answer 5

yasmin, yaz

Question 6

ethinyl estradiol and levonorgestrel

Answer 6

alesse, lutera, trivora, triphasil, lybrel

Question 7

ethinyl estradiol and norethindrone

Answer 7

loestrin, loestrin FE

Question 8

ethinyl estradiol and etonogestrel

Answer 8

NuvaRing

Question 9

which contraceptives can pharmacists furnish?

Answer 9

self-administered hormonal contraceptives like oral, transdermal, vaginal, and depot injections(IM)

Question 10

what do you have to measure for pts if you are considering furnishing a combined hormonal contraceptive?

Answer 10

blood pressure

Question 11

counseling points for pharmacist?

Answer 11

use/administration, dosage, effectiveness, potential side effects, safety, recommend preventative health screenings, information that the hormonal contraceptives don’t protect against STDs

Question 12

what training do pharmacists complete to furnish?

Answer 12

one hour of board-approved education, or training program during PharmD program at accredited school

Question 13

what hormonal contraceptive can pharmacists choose?

Answer 13

safe as category 1 or 2

Question 14

what can you give/not give for high/low risk of recurrent DVT/PE with/withoutanticoagulant therapy?

Answer 14

anything but CHC

Question 15

what can you give/not give for acute DVT/PE?

Answer 15

anything but CHC

Question 16

what can you give/not give if the patient has major surgery with prolonged immobilization?

Answer 16

anything but CHC

Question 17

what can you give if the pt has diabetes with no complications?

Answer 17

anything

Question 18

what can you give/not give for diabetes with one of the pathies?

Answer 18

anything but DMPA and CHC

Question 19

what can you give/not give for diabetes with a vascular disease or diabetes for more than 20 years?

Answer 19

anything but DMPA and CHC

Question 20

what can you give/not give if the patient had a stroke?

Answer 20

no DMPA or CHC, can start implant/POP but cannot continue them

Question 21

what can you give/not give for hypertension

Answer 21

no CHC, no DMPA if vascular disease or BP of 160/100

Question 22

what can you give/not give if pt is pregnant?

Answer 22

nothing

Question 23

breastfeeding of any kind is a nono with CHC except for when (2 instances) (can still use implant, DMPA, and POP during this time)

Answer 23

more than 42 days postpartum and 30-42 days postpartum without risk for VTE

Question 24

what can you give/not give if the pt currently has breast cancer or past breast cancer

Answer 24

cannot give anything besides Copper IUD

Question 25

what can you give/not give for current pelvic inflammatory disease?

Answer 25

can start anything besides Copper IUD and LNG IUD (but can you still continue these two)

Question 26

when are CHC not an option for migraines?

Answer 26

migraines with aura

Question 27

when are CHCs not an option with smoking?

Answer 27

age is at least 35 and it doesn't matter how many cigs they smoke

Question 28

contraindications for Combination oral contraceptives

Answer 28

renal impairment, adrenal insufficiency, high risk of arterial/venous thrombotic diseases, undiagnosed abnormal uterine bleeding, breast cancer or other estrogen/progestin sensitive cancer, liver tumors orliver disease, pregnancy, co-administration with hepatitis C drug combinations containing ombitasvir, paritaprevir/ritonavir, with or without dasabuvir

Question 29

what can be used with liver tumors?

Answer 29

benign focal nodular hyperplasia can be used with anything; any other liver tumor- you can only use the copper IUD

Question 30

what are the low/moderate/high doses for estrogen(ethinyl estradiol)

Answer 30

low is 25 mcg max moderate is 30-35 mcg high is at least 50 mcg

Question 31

progestin androgenic activity(discontinuation is the same) ranking from low to high

Answer 31

3rd & 4th generation < 2nd generation < 1st generation

Question 32

progestin bleeding risk from low to high

Answer 32

3rd < 2nd

Question 33

progestin and VTE risk

Answer 33

levonorgestrel < drospirenone

Question 34

what to do (take missed pills/start new pack/use protection) if you miss 1 active pill in a row during any week

Answer 34

just take the pill (you end up taking 2 pills in one day), no protection needed

Question 35

what to do (take missed pills/start new pack/use protection) if you miss 2 active pills in a row during weeks 1 or 2

Answer 35

just take the pill and will need to use protection for 7 days

Question 36

what to do (take missed pills/start new pack/use protection) if you miss 2 active pills in a row during weeks 3 or 4

Answer 36

start a new pack and use protection for 7 days; if sunday start, use the old pack until following Sunday then start the new pack on Sunday; if you miss your period 2 months in a row then call provider because you might be pregnant

Question 37

what to do (take missed pills/start new pack/use protection) if you miss 3 active pills in a row during an week

Answer 37

start a new pack and use protection for 7 days; if Sunday, continue old pack until Sunday

Question 38

what to do if you miss inactive pills

Answer 38

keep taking 1 pill a day, so skip the one you missed; don't need protection

Question 39

when starting oral contraceptives, when do you need a back up method for contraception

Answer 39

if doing Sunday start instead of day 1 start, and need back up for 7 days

Question 40

main signs of estrogen excess

Answer 40

cyclic weight gain due to fluid retention, dysmenorrhea, and menorrhagia

Question 41

signs of estrogen deficiency

Answer 41

vasomotor symptoms, nervousness, decreased libido, early cycle breakthrough bleeding and spotting; absence of withdrawal bleeding (amenorrhea)