Reproductive Health Medications

Question 1

The depo provera is a _______ shot dosed every ___ months

Answer 1

-progestin
-3mo

Question 2

Mirena lasts __ years, skyla lasts __ years, and paragard lasts up to __ years

Answer 2

mirena: 3 yrs
sklya: 5 yrs
paragard: 10 yrs

Question 3

Plan B side effects include…

Answer 3

nausea, lower
abdominal cramps, breast tenderness

Question 4

Mifepristone vs misoprostol

Answer 4

mife: anti-progesterone
miso: cervical ripening/labor induction–take 36-48 hours after mifepristone

Question 5

Instructions for missing a dose of an oral contraceptive

Answer 5

1 dose missed: take 2 pills next day
2 doses missed: take 2 pills next day and 2 day after
3 doses missed: use backup BC

Question 6

Progesterone/estrogen BC are of reduce effectiveness when taken w/…

Answer 6

-rifampin/isoniazide
-antibiotics
-anticoagulants

Question 7

What do indomethacin, nifedipine, and Mg sulfate do (used when)? Side effects?

Answer 7

-stop preterm labor
-Indo: inhibits prostaglandins
-Nife: Ca channel blocker
-mg sulfate: sfx include hypotension, bradycardia, arrythmias

Question 8

Clomiphene use, MOA, SFX

Answer 8

-fertility drug
-MOA: blocks estrogen receptors in brain, –> ‘false low estrogen signal’, –> more estrogen/FSH/LH produced
-SFX: GI stuff (N/V, constipation, anorexia), heart stuff (tachy, DVT, hypovolemia), itching, nervousness, and TWINS!

Question 9

Osteoporosis is much more common in _____

Answer 9

women–40% of women over 50 years of age will develop
osteoporotic fracture

Question 10

“-dronates” (alendronate and risedronate) inhibit ______________, preventing osteoporotic fractures. Name nursing considerations.

Answer 10

-osteoclast bone reabsorption.
-consids: irritates esophagus, take w/ 8oz water and DON’T lie down!

Question 11

Evista is used to treat X by Y. Name the side effects

Answer 11

-X: osteoporosis
-Y: stimming estrogen receptors–increases bone density
-SFX: hot flashes, leg cramps, VTE, luekopenia

Question 12

Calcitonin is a nasal spray used for what? Side effects?

Answer 12

-inhibits osteoclastic bone resorption
-SFX: facial flushing, rhinitis, hypocalcemia, malignant tumor

Question 13

Testosterone functions

Answer 13

-primary and secondary male sex characteristics
-bone and muscle tissue
-inhibition of protein breakdown
-retention of electrolytes
-stimulates RBC production

Question 13

Oral forms of testosterone have a high _____-_______ effect

Answer 13

first pass

Question 14

The transdermal testoderm patch is placed on:

Answer 14

the scrotum

Question 15

Oxymetholone, oxandrolone, nandrolone, and danazol are used for….

Answer 15

Testosterone replacement therapy

Question 16

Side effects of TRT drugs, schedule ____

Answer 16

-sterility
-CV disease
-liver issues
-Schedule III

Question 17

Propecia MOA, considerations

Answer 17

-MOA: inhibits alpha-5 reductase to prevent hair thinning
-MEN ONLY! women/children should not handle broken tablets

Question 18

“-sterides” (finasteride, dutasteride) are androgen _________. Side effects include…

Answer 18

-androgen inhibitors
-SFX: hair growth, reduced libido, hypotension, drowzy/dizzy
-use gloves to apply!!
-takes 6mo to work

Question 19

Alpha5-ad blockers (“-osins”) are used for relief from what?

Answer 19

BPH

Question 20

Tamsulosin (what type of drug) interacts with…

Answer 20

-“osin”: BPH symptom relief
-interacts w/ azoles, erythromycin and
clarithromycin

Question 21

“-fils” are used to treat __. MOA? Considerations?

Answer 21

-ED
-MOA: inhibit phosphodiesterase enzyme
-SFX: unexplained vision loss, sever hypotension when used w/ nitrates
-take 1hr before sex, only 1x day

Question 22

Alprostadil MOA/use, considerations

Answer 22

-ED drug
-MOA: prostaglandin, activates sm muscle
-inject into erectile tissue or suppository form
-SITE ROTATION!
-no more than 3x/week