women's health

Question 1

estrogen drug

Answer 1

estradiol

Question 2

route of estradiol

Answer 2

• oral
• transdermal (decreases n/v)
• intravaginal
• im
• iv

Question 3

uses of estradiol

Answer 3

• contraception
• acne
• relief of post-menopausal sx
• prevention of post-menopausal osteoporosis (estrogen helps with bone reabsorption)
• dub
• prostate cancer treatment
• vulvar atrophy

Question 4

complications of estradiol

Answer 4

• endometrial/ovarian cancer
• risk for estrogen dependent breast cancer
• altered coagulation (increased risk of VTE, dont use if at risk for clots)

Question 5

estradiol implications

Answer 5

• educate on mammograms, breast exams, smoking cessation, s/s of vte, s/s hyperglycemia, medication dosing
• monitor coag studies (pt/inr)
• monitor s/s of vte
• teach need for pap smear
• take same time daily

Question 6

progesterone drugs

Answer 6

• norethindrone

- megesterol acetate

Question 7

progesterone routes

Answer 7

• oral
• im
• subq
• transdermal
• intravaginal

Question 8

progesterone uses

Answer 8

• contraception
• thromboembolic events
• breakthrough bleeding
• amenorrhea
• start or stop period
• breast tenderness
• edema
• jaundice
• migraines
• birth defects

Question 9

progesterone implications

Answer 9

• educate on anticipation of withdrawal bleeding 3-7 days after stopping med
• no nicotine
• monitor s/s of jaundice, bp, i&o, weight if at risk for liver problems
• breast exam/pap smear prior to start therapy and during the course of therapy
• 40 or higher at high risk for breast cancer needs mammograms