EHC 2 Flashcards
why do we need to know which contraception a patient is on before giving EHC?
because theres different lengths of time needed for cover to reestablish
how many days for COC to reestablish cover??
seven days
how many cays for POP to reestablish cover?
in general 2 days
which pills in COC are most important?
first and last 7 pills as if you miss these then the 7 days pill free period is elongated and cover is compromised
what to advise if they are starting a COC at day 6 or later?
add precautions for 7 days
what is quick starting method
if HC is started after days 1-5
how long can you get immediate cover if changing from a COC (non ED)-POP
for immediate cover, omit pill free period and start POP immediately- no bleed here
how long do you need precautions if changing from a COC (ED)-POP
add precautions for 2/7 if ED(placebo) pills are taken
do you have cover in your PFP?
yes if taken previous 21 correctly
starting POP: cerazette? precautions for
if you start in days 1-5 then immediate cover
if > day 6 then need precautions for 2/7
starting POP: micronor/ noriday? precautions for
no need for precautions, can be taken at any point in the cycle and will be effective immediately
changing from POP- COC qlaira
precautions?
needs 9 days precautions
changing from POP- COC (incl zoely)
precautions?
additional precautions for 7 days
when is COC classed as a missed pill? when is EHC indicated?
zoely and qlaira?
> 24 hours late
if 2 missed in >24 hours
missing one doesnt effect but 2 does
Z&Q: EHC is needed if 1 or more is missed in 12 hours
if missed pill for Z or Q then how long do you need to build cover?
Z: 7 days
Q: 9 days
when is POP classed as a missed pill?
precautions after this?
when is EHC indicated?
micronor/ noriday: >3 hours late
cerazette/ cerrelle: >12 hours late
precautions for2 days
if 1 or more pills are missed in 3/12 hours and UPSI before 2 more tablets are correctly taken?
if someone has missed their COC and its the 23 hour point what pills should they take?
take the missed dose and then 30 minutes later take the next days dose
continuing contraception after EHC:
what do you do on the day of taking either LNG or EO
omit today unless already taken
continuing contraception after EHC:
LNG continuing?
miss todays
restart tomorrow and continue pill for 7 days with precautions to build cover
continuing contraception after EHC:
EllaOne continuing
omit todays and an additional 5 days after as progesterone stops ellaone working
then use additional precautions until the next mensural period
if unrealistic then say precautions for 14 days after taking the pill, 16 days for qlaira and 9 days for POCs.
can you take EHC more than once in the same month
yes but must be the same time
when to take a pregnancy test?
if period is more than 5 days late for LNG or >7 days for EO
