Reproductive System Medications Flashcards
Estrogens such as conjugated estrogen and estradiol (Estrace) are indicated for
- contraception
- post-menopausal osteoporosis
- dymenorrhea
- prostate cancer
Side effects of estrogens
Embolic events (DVT, PE, MI, stroke), hypertension, weight gain, edema, increased risk of some cancers
Estrogens are contraindicated in patients who
Smoke, have hypertension, have a high risk for embolic events, or have estrogen-dependent cancer (breast)
Examples of progesterones
Medroxyprogesterone (Depo-Provera) and norethindrone
Side effects of progesterones
Embolic events, menstrual changes, edema, increased risk of breast cancer
Key side effect of medroxyprogesterone (Depo-Provera)
Bone loss
Progesterones are contraindicated in patients who
Are at high risk for embolic events
With injectable medroxyprogesterone (Depo-Provera), advise patient to take _________ and _________ to reduce bone loss
Calcium; vitamin D
Oxytocin (Pitocin) and methylergonovine (Methergine) are examples of
Uterine stimulants
Uterine stimulants are indicated for
Induction/enhancement of labor, placenta delivery, postpartum hemorrhage
Oxytocin (Pitocin) side effects
Painful contractions, uterine rupture, water intoxication
Oxytocin (Pitocin) nursing consideration
Closely monitor contractions (should be 60-90 seconds in duration, every 2-3 min) and maternal/fetal BP and pulse
Medication that can be used to relax the uterus
Magnesium sulfate
Methylergonovine (Methergine) side effects
Hypertension, abdominal pain, N/V
Tocolytic indicated for preterm labor
Terbutaline (Bricanyl)
Terbutaline (Bricanyl) side effects
Tachycardia, angina, hypokalemia, dysrhythmias, restlessness, tremor
Terbutaline (Bricanyl) should only be for short-term use, so it should not be used beyond ___-___ hours due to risk for significant maternal and fetal distress
48-72
Terbutaline (Bricanyl) is used for pregnancies <___ weeks gestation
37
Besides terbutaline (Bricanyl), other tocolytics include
Magnesium sulfate, nifedipine
Testosterone is an example of an
Androgen
Side effects of testosterone
Acne, edema, liver dysfunction, polycythemia (too many RBCs), premature epiphyseal closure
Side effects of testosterone in women
Deepening of voice, baldness, hirsutism
Testosterone is contraindicated in patients with
Prostate cancer
T or F: Testosterone has a high abuse potential
True
Finasteride (Propecia, Proscar) is an androgen inhibitor indicated for
BPH, baldness
Finasteride (Propecia, Proscar) side effects
Erectile dysfunction, gynecomastia
Tamsulosin (Flomax) and doxazosin (Cardura) are peripherally acting antiadrinergic agents indicated for
BPH, baldness, hypertension (doxazosin)
Side effects of peripherally acting antiadrenergics
Hypotension, dizziness, headache, issues with ejaculation
Sildenafil (Viagra) and tadalafil (Cialis) are medications indicated for
Erectile dysfunction, pulmonary hypertension
Side effects of sildenafil (Viagra) and tadalafil (Cialis)
Priapism (prolonged erection), MI
Sildenafil (Viagra) and tadalafil (Cialis) patient education
DO NOT take with other nitrates (such as nitroglycerin) — increases risk for MI
Medications such as sildenafil (Viagra) and tadalafil (Cialis) should be used cautiously in men with
Cardiovascular disease
