reproductive Flashcards

1
Q

GnRH

A

stimulates the anterior pituitary to release FSH and LH

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2
Q

causes of infertility for women

A

Ovulation Disorder
Blocked fallopian tubes
Endometriosis
Anomalies of the uterus
Advanced age

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3
Q

drugs for infertility

A

clomiphene citrate

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4
Q

pharmacokinetics for infertiliy drugs

A

drug dependent (may see certain side effects with certain drugs)

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5
Q

adverse effects for infertility drugs

A

multiple births
hot flashes

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6
Q

Drugs that alter uterine motility (inhibit)

A

tocolytics

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7
Q

tocolytics drug

A

magnesium sulfate

high dose IV can stop uterine muscles from contacting

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8
Q

drugs used during labor and delivery

A

uterotionics

used to stop post partum hemmorhage

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9
Q

uterotonics drug

A

oxytocin

smaller doses: delivery baby - larger doses: stop bleeding

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10
Q

lactation induction drug

A

metoclopramide

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11
Q

estrogen drug

A

conjugated estrogen

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12
Q

adverse effects for estrogen drugs

A

thromboembolic events (CVA, DVT, PE, MI)
Black box warnings:
cancer
clots
dementia

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13
Q

contraindications for estrogen drugs

A

thromboembolic disorders
CV disease
Tobacco use
family hx of breast / reproductive cancer

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14
Q

progestin drug

A

medroxyprogesterone acetate

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15
Q

adverse effects for progestins

A

CV complications
thromboembolic conditions
Black box warning:
pregnancy
CV disease
thromboembolic events
dementia

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16
Q

contraindications for progestins

A

pregnancy / lactation
CV disease
thromboembolic disorders

17
Q

estrogen-progestin combo drugs

A

Conjugated estrogen-medroxyprogesterone

18
Q

adverse effects for combo drug

A

CV complications
Thromboembolic conditions
Irregular vaginal bleeding
*Black Box Warnings
Smoking
Osteoporosis
Thromboembolic events

19
Q

contraindications for combo drugs

A

smoking
women older than 35
hx of thromboembolic problems

20
Q

patient teaching for oral contraception

A

Several antibiotics and antiseizure meds decrease effectiveness

21
Q

androgen drug

A

testosterone

22
Q

adverse effects of adrogen drugs

A

skin / hair effects - acne and hair loss
reproductive effects - increased sex drive, decreased sperm count
female adverse effects - masculine features

23
Q

androgen / anabolic steroid abuse adverse effects

A

CV effects - HTN and increased cholesterol
CNS disorders - agitation and aggression
Reproductive disorders - smol balls and reduced function

24
Q

Phosphodiesterase Type 5 Inhibitors

A

Sildenafil

25
Q

adverse effects of phosphodiesterase Type 5 Inhibitors

A

HA

26
Q

contraindictions of Phosphodiesterase Type 5 Inhibitors

A

Not healthy enough for sexual activity
Cardiac conditions medicated with nitrates - vasodilators! Drop BP!

27
Q

5-aplha reductase inhibitors

A

finasteride

28
Q

action of 5 alpha reductase inhibitors

A

Decreases proliferation of prostatic cells reducing enlargement of prostate

29
Q

contraindications for 5 aplha reductase inhibitors

A

Pregnant women should not handle the medication if broken

30
Q

alpha 1 adrenergic blocker

A

tamsulosin

31
Q

adverse effects of alpha 1 adrenergic blockers

A

orthostatic hypotension