women's health drugs

Question 1

what estrogen does in the body?

Answer 1

-thickens lining of the uterus, preparing for possible implantation of fertilized egg
-influences how the body uses calcium
-helps maintain health blood cholesterol levels
-keeps vagina healthy
-prevents osteoporosis

Question 2

what does progesterone do in the body?

Answer 2

-helps prepare uterus for implantation of fertilized egg and maintain for pregnancy
-regulate BP
-improves sleep and mood

Question 3

hormone replacement therapy: estrogen use

Answer 3

treat menopausal symptoms (hot flashes, vaginal dryness)

-treat lowest dose and shortest duration possible

Question 4

hormone replacement therapy: estrogen examples

Answer 4

-Estraderm transdermal system
-climara pro
- vaginal cream
-estring
-femring
-estrogel
-estrasorb
-permarin

Question 5

hormone replacement therapy: estrogen forms

Answer 5

patch
ring
cream
pills

Question 6

hormone replacement therapy: estrogen contraindications

Answer 6

-estrogen dependent cancer
-undiagnosed vaginal bleeding
-pregnancy
-active thromboembolic disorder
-hx of clotting disorders

Question 7

hormone replacement therapy: estrogen side effects

Answer 7

HA
N/V
breast tenderness

Question 8

hormone replacement therapy: estrogen adverse effects

Answer 8

BLOOD CLOT
chemical hepatitis
HTN
edema
fluid retention

Question 9

hormone replacement therapy: estrogen interactions

Answer 9

-decrease activity of oral anticoagulants
-increase toxicity of TCAs

Question 10

hormone replacement therapy: estrogen nursing considerations

Answer 10

-take smallest dose
-give oral dose with food
-teach importance of annual checkups

Question 11

progestins: provera action

Answer 11

inhibits the secretion of pituitary gonadotropins which prevent follicular maturation and ovulation

Question 12

progestins: provera trade/generic name

Answer 12

provera (medroxyprogesterone)

Question 13

progestins: provera pregnancy category

Answer 13

D

Question 14

progestins: provera indications

Answer 14

-amenorrhea
-dysfunctional uterine bleeding

Question 15

progestins: provera contraindications

Answer 15

-undiagnosed vaginal bleed
-estrogen dependent cancer
-liver disease
-pregnancy
-DVT

Question 16

progestins: provera black box warning

Answer 16

CV disease/demation prevention
increase risk of MI, stroke, DVT

Question 17

progestins: provera side effects

Answer 17

N/V
HA
breast pain
fluid retention
amenorrhea
galactorrhea

Question 18

progestins: provera adverse effects

Answer 18

DVT
optic neuritis
HTN
stroke MI
breast cancer
ovarian cancer
jaundice

Question 19

progestins: provera monitoring

Answer 19

-pap smear
-breast exam
-pelvic exam at baseline and every 12 months after
-lipid panel

Question 20

progestins: provera nursing considerations

Answer 20

-teach on required test
-s/s of DVT/PE
-schedule of what days in a month to take provera

Question 21

depo-provera action

Answer 21

inhibits the secretion of pituitary gonadotropins

Question 22

depo-provera trade/generic

Answer 22

depo-provera/medroxyprogesterone acetate

Question 23

depo-provera containdications

Answer 23

breast cancer
liver tumors
liver disease

Question 24

depo-provera side effects

Answer 24

irregular bleed
weight gain
decrease libido
HA
acne
alopecia

Question 25

depo-provera adverse effects

Answer 25

b.b warning for significant BMD loss, use only as long term birth control (>2 years) if other methods inadequate, DVT, angioedema, depression

Question 26

depo-provera monitoring

Answer 26

-bone density -glucose levels if diabetic -pregnancy test if >14 weeks between doses

Question 27

herbs for menopause: isoflavones

Answer 27

use night sweat, hot flashes -plant based estrogens -can be found in: soymilk, soybeans, tofu

Question 28

herbs for menopause: black cohash

Answer 28

used for hot flashes, night sweats, vaginal dryness -side effect: GI upset

Question 29

herbs for menopause: evening primose

Answer 29

use for hot flashes -side effects: N/D, decrease blood clots

Question 30

herbs for menopause: don quai

Answer 30

use for hot flashes and night sweats -little research on this product

Question 31

oral contraceptives: estrogen progestin combo monophasic

Answer 31

fixed estrogen-progestin combo 12-28 day

Question 32

oral contraceptives: estrogen progestin combo biphasic

Answer 32

fixed estrogen, variable progestin 21-28 day

Question 33

oral contraceptives: estrogen progestin combo triphasic

Answer 33

3 or 4 monthly with estrogen and progestin 21-28 day

Question 34

extended cycle oral contraceptives

Answer 34

120 days

Question 35

oral contraceptives: action

Answer 35

-prevents ovulation -increase uterine mucous viscosity and inhibits implantation of ovum

Question 36

oral contraceptives: indications

Answer 36

-prevent pregnancy -endometriosis -hypermenorrhea -post coital emergency contraception -menstrual cycle irregularity -functional ovarian cyst

Question 37

oral contraceptives: side effects

Answer 37

HA migraine N/V breast tenderness

Question 38

oral contraceptives: adverse effects

Answer 38

HTN DVT PE alteration in lipid and carbohydrate metabolism

Question 39

oral contraceptives: interactions reduce effectiveness and need alternative

Answer 39

antibiotics barbiturates INH rifampin St. Johns Wort

Question 40

oral contraceptives: less effective

Answer 40

anticonvulsants hyptonics warfarin BB antidiabetic theophylline TCAs

Question 41

emergency contraception: `use

Answer 41

prevent pregnancy after sexual intercourse

Question 42

emergency contraception: action

Answer 42

prevent/delay ovulation

Question 43

emergency contraception: trade/generic name

Answer 43

plan B , take action

Question 44

emergency contraception: nursing considerations

Answer 44

-assess hx and meds -smoker? -pregnant? -educate on proper use -drug interactions -condoms -depo=loss of bone density