Sexuality/Reproductive

Question 1

Nettie is a 56 year old female. She and Thomas have 3 children: Ed, Vera and Paul. Nettie has worked for most of her life in a restaurant owned by her family.
She is experiencing menopause and says the symptoms are intolerable. What does the HCP prescribe?

Answer 1

Conjugated Estrogen

Question 2

Classification for Conjugated estrogen (Premarin)?

Answer 2

Female hormone replacement

Question 3

Contraindications for Conjugated estrogen (Premarin)?

Answer 3

Breast cancer
vaginal, ovarian & cervical cancer
Endometrial cancer
Hepatic disease
CAD
Pregnancy
Thromboembolic disease

Question 4

Uses/action for Conjugated estrogen?

Answer 4

Binds to estrogen receptors
Uses: Atrophic vaginitis, hormonal imbalance, ovarian failure, menopause, osteoporosis.

Question 5

Interactions with Conjugated estrogen?

Answer 5

Barbiturates
Carbamazepine
Phenytoin
Rifampin
TCAs
Theophylline
Cyclosporine

Question 6

Side effects of Conjugated estrogen?

Answer 6

Libido changes
Nausea
Thromboembolic disorders

Question 7

Nursing interventions for conjugated estrogen?

Answer 7

Give at same time each day
Monitor for breakthrough vaginal bleeding
Menopausal symptoms, bone density.
Teach signs of thromboembolism.

Question 8

What is menopause?

Answer 8

Natural process of aging
Progressive decrease in estrogen secretion by the ovaries
Permanent cessation of menses
Sometimes accompanied by hot flashes, night sweats, irregular menstrual cycles, bone mass loss.