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GU disorders > contraceptives > Flashcards

contraceptives Flashcards

1
Q

levonorgestrel

A

plan b

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2
Q

norethindrone

A

ortho microner, microner

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3
Q

ulipristal

A

ella

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4
Q

ethinyl estradiol and desogestrel

A

apri, mircette, desogen, ortho-cept

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5
Q

ethinyl estradiol and drospirenone

A

yasmin, yaz

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6
Q

ethinyl estradiol and levonorgestrel

A

alesse, lutera, trivora, triphasil, lybrel

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7
Q

ethinyl estradiol and norethindrone

A

loestrin, loestrin FE

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8
Q

ethinyl estradiol and etonogestrel

A

NuvaRing

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9
Q

which contraceptives can pharmacists furnish?

A

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

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10
Q

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

A

blood pressure

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11
Q

counseling points for pharmacist?

A

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

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12
Q

what training do pharmacists complete to furnish?

A

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

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13
Q

what hormonal contraceptive can pharmacists choose?

A

safe as category 1 or 2

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14
Q

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

A

anything but CHC

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15
Q

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

A

anything but CHC

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16
Q

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

A

anything but CHC

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17
Q

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

A

anything

18
Q

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

A

anything but DMPA and CHC

19
Q

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

A

anything but DMPA and CHC

20
Q

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

A

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

21
Q

what can you give/not give for hypertension

A

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

22
Q

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

A

nothing

23
Q

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

A

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

24
Q

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

A

cannot give anything besides Copper IUD

25
Q

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

A

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

26
Q

when are CHC not an option for migraines?

A

migraines with aura

27
Q

when are CHCs not an option with smoking?

A

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

28
Q

contraindications for Combination oral contraceptives

A

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

29
Q

what can be used with liver tumors?

A

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

30
Q

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

A

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

31
Q

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

A

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

32
Q

progestin bleeding risk from low to high

A

3rd < 2nd

33
Q

progestin and VTE risk

A

levonorgestrel < drospirenone

34
Q

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

A

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

35
Q

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

A

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

36
Q

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

A

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

37
Q

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

A

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

38
Q

what to do if you miss inactive pills

A

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

39
Q

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

A

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

40
Q

main signs of estrogen excess

A

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

41
Q

signs of estrogen deficiency

A

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

GU disorders (3 decks)

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