REproductive System Flashcards

Question

Oxytocin (Pitocin)

Answer 1

Monitor contractions Less than 60 secs Every 2-3 mins Stop infusion if it is longer Monitor maternal and fetal BP and pulse Magnesium can be used to relax the uterus If a patient is having contractions for 90 secs, that is too long. Oxytocin should be DC’ed Mag to counter the oxytocin by relaxing the uterus

Answer 2

``` Carboprost Dinoprostone Mifepristone On the flipside, aborificients are Used to evacuate uterine content via intense uterine contractions Abortion drug We are going to focus on these 3 drugs ```

Answer 3

Stimulate uterine activity | Dislodging any implanted throphoblast and preventing fertilization of egg

Answer 4

``` Allergies Active PID Acute CV, hepatic, renal, or pulmonary diseases Lactation Scarred uterus Acute vaginitis ```

Answer 5

``` Uterine rupture Uterine or vaginal pain Headache Paresthesia Hypotension Vomiting Diarrhea Chills Diaphoresis Backache fever ```

Answer 6

Before we end the drugs affecting the female reproductive system. We gotta talk about tocolytics It is a drug that slows uterine activity. it is for pre-term labor Terbutaline will delay arrival time of the baby Delays, but not prevent labor

Answer 7

Other uses COPD Asthma ``` Side Effects Tachycardia Angina Restlessness Tremors ```

Answer 8

Gestation >34 weeks Cervical dilation > 6 cm Because the delivery of the baby is inevitable from that point

Answer 9

Watch for magnesium toxicity Calcium gluconate antidote for Mag toxicity Endomethacine (NSAIDS) Nifedipine to suppress contraction. Watch out for orthostatic hypotension since it is mainly used to lower BP. Watch for magnesium toxicity Decreased DTR, U/O <30 ml/hr, respiratory depression Too much mag lowers these things Endomethacine – blocks prostaglandin syhnthesis which suppresses labor

Answer 10

Androgens Anabolic steroids Drugs for penile erectile dysfunction

Answer 11

``` Examples Testosterone Danazol Fluoxymesterone Methyltestosterone ``` ``` Anadrol-50 Androderm Androgel Android Androxy Axiron Danocrine DHEA First-Testosterone Testosterone – produced in the testes. Responsible for male characteristics before puberty Androgens – produced in the adrenal glands, sustains male characteristics after puberty Testosterone in the drug name ```

Answer 12

Responsible for the grown the development of male sex organs Maintenance of secondary male characteristics Increase protein anabolism Decrease protein catabolism

Answer 13

``` Allergies Pregnancy and lactation Prostate or breast Ca Liver dysfunction High potential for abuse ``` Cardiovascular disease

Answer 14

``` Sleep disorders Fatigue Androgenic effects Acne Deepening of voice Oily skin Hepatocellular carcinoma Hypercholesterolemia Polycythemia Premature epiphyseal closure ``` Cardiovascular disease In women, they become manly with deep voice and hair growth

Answer 15

Analogous of testosterone Developed to produce tissue building effects Drugs Oxandrolone Oxymetholone The second drug that affetcts the male reproductive system is anabolic steroids Developed to produce tissue building effect with led androgenic effect

Answer 16

Promote body tissue building process Reverse catabolic process Increase Hgb and RBC mass ``` Indication Anemia Cancer (give to cancer pt to increase muscle mass) Angioedema Weight gain Tissue repair ```

Answer 17

``` Allergies Pregnancy Lactation Prostate or breast Ca Liver dysfunction CVD Same as androgens ```

Answer 18

Virilization – development of male characteristics | ?

Answer 19

Drugs Slidenafil (Viagra) Tadalafil (Cialis) Verdenafil (Levitra) What is penile erectile dysfunction? A condition in which the corpus cavernosum does not fill with blood to allow for penile erection. Results from aging process and in vascular and neurological condition.

Answer 20

Acts locally to relax smooth muscle and allow filling of corpus cavernosum It would allow for sustained erection

Answer 21

``` Priapism Penile implants Bleeding disorders CAD Severe HTN Severe hepatic and renal disorder Nitrates ``` Prolonged unwanted erection. Really bad, it hurts, may need drainage Use in caution in CAD patients as it increases the risk for MI Vasodilators X2, double whammy in the ER

Answer 22

Priapism - unwanted erection that will not go away, last for hours, too much blood flow, and it is painful! Increased risk for MI