Reproductive Flashcards
Is BPH a common condition of aging?
Yes
What is BPH? What are the clinical manifestations?
Benign prostatic hypertrophy (common with males)
— enlarged prostate leading to urinary stasis, obstruction, and infection
CM:
— dysuria
— difficult initiation of urine stream
— UTI
— incontinence
— incomplete bladder emptying
What is the pharmacologic therapy goal for males with BPH?
Shrink prostate or relax smooth muscle of urinary tract; increase quality of life
What is finasteride? What is important to note regarding nursing?
Category X; harmful to women and pregnant women
What is tamsulosin?
What is sildenafil?
What is going on with menopause hormonally?
Decrease in estrogen levels
What are contraceptive drugs?
Combination of estrogen and progesterone
*prevention of pregnancy
Routes:
— oral
— transdermal
— intravaginal
What are contradictions to contraceptives?
— pregnancy category X
**higher risk for clotting; DVT, MI, CVA, PE
— smoking = increased risk of clot formation
— antibiotics make contraceptive less effective
— increased risk for endometrial cancer and breast cancer
What are adverse effects to female hormones?
— menstruales irregularities
— changes in libido
— fluid retention; edema, headache, dizziness
— GI effects; nausea, vomiting, bloating, abdominal cramps
— CLOT FORMATION
What does the acronym BEGELS w/ Cream Cheese stand for regarding female hormones?
B= breakthrough bleeding
E= edema
G= GI effects
E= embolism
L= lost libido
S= stop smoking
C= contraceptives less effective with antibiotics
C= cardiovascular events, increased risk
A patient comes to the clinic asking for contraceptives/female hormones, what do you assess?
— age
— lifestyle
— menstrual cycle
— child-bearing status
— wellness exams
— cancer screenings
*risk for clotting/cardiovascular events
What are some interventions with a patient taking female hormones?
— educate about cessation of smoking (nicotine)
— educate route, timing, AE
— must be taken same time each day
— missed dose: use alternate form of contraception for 7 days
— less effective with antibiotics
* may take oral contraceptive with food if GI distress occurs
What is osteoporosis?
Decreased bone density, usually with old age
— women after menopause higher risk due to lower levels of estrogen
What is raloxifine?
What is alendronate?
