Reproductive Medications Flashcards
Oral contraceptives considerations (2)
- Pill taken daily
- Adverse effects: breast tenderness, bleeding, n/v
Oral contraceptives education (2)
- Antibiotics, rifampin, phenytoin reduce effectiveness
- Don’t smoke
Ethinyl estradiol/norelgestromin (patch) consideration
Replace patch each week for 3 weeks
Ethinyl estradiol/norelgestromin (patch) education (2)
- Apply patch to butt, abdomen, upper torso, upper/outer arm
- Period starts on 4th week with no patch
Medroxyprogesterone consideration
- Injection given every 3 months during period
Medroxyprogesterone education (2)
- Use backup contraception for 7 days after first injection
- Fertility returns 1 year after stopping
Emergency contraception considerations (4)
- Larger than normal dose of oral contraceptives
- Take no later than 72 hours after unprotected sex
- 2nd dose 12 hours later
- May need antiemetics
Emergency contraception education (2)
- Discuss options with provider
- Don’t use as primary form of contraception
Etonogestrel, ethinyl estradiol vaginal ring considerations
- Placed deep into the vagina every 3 weeks
Etonogestrel, ethinyl estradiol vaginal ring education (3)
- One size fits most
- If it falls out rinse in warm water and replace within 3 hours
- Remove ring during week 4 and period should start
Intrauterine device (IUD) considerations (3)
- Not for women with diabetes, history of PID
- Risk of infection
- Can have cramping and heavier periods
IUD education (4)
- Hormonal IUD effective for up to 5 years
- Copper IUD effective for up to 10 years
- Monitor for signs of infection
- Verify string is present
Cervical diaphragm considerations (3)
- Use with spermicide
- Fitted by prescriber
- Refitted after birth or changes in weight
Cervical diaphragm education (2)
- Insert 6 hours before and 6 hours after sex
- Refit with 10 lb weight change or after birth
Condom considerations
- Use with spermicide
Condom education (3)
- Protects against STIs
- Apply/remove correctly
- Use only water-soluble lubricants
Spermicide considerations
- Available in creams, foams, gels, suppositories, films
Spermicide education (2)
- Should also use barrier method
- Insert up to 1 hour before sex
Cervical ripening medication action
Prostaglandins cause cervical softening in preparation for cervical dilation and effacement
Cervical ripening medications (2)
- Dinoprostone cervical gel
- Misoprostol