NR566 Final (Advanced Pharmacology for Care of the Family) 2020/2021 1. Weight change irregular menstrual bleeding IM progestin (Depo-Provera) - pts are at increased risk for osteoporosis ... b/c of low estrogen levels -BLACK BOX WARNING - dont use for longer than 2 yrs -bone density loss may extend beyond duration of tx - Delays to return to fertility may also occur with IM 1. Effects of Progestine on reproductive organs 2. Injectable & Implantable Progesterone for contraception is associated with? 3. Finasteride (Propecia, Proscar) 4. what happens in the absence of pregnancy when production of estrogen and progestin is decreased? 2. Peliosis (blood cysts in liver) liver tumors 1. Contraception Estrogens 2. LH + FSH do what? 3. Pt Administration 4. Anabolic Steroids 3. Aminoglutethimide + Rifampin Decrease effectiveness = unplanned pregnancy 1. Testosterone Drug Interactions 2. Contraception Estrogens 3. Progestins Drug Interactions 4. Progestin Adverse Reactions 4. Estrogens derived from plant sources 1. Anabolic Steroids 2. Estrogens are Pregnancy Category 3. Transdermal Formulations 4. Estrone-based Drugs 5. Pts who smoke and are older than 35 yrs 1. Relative Contraindications to Estrogen Therapy 2. Risk of non-estrogen dependent breast cancer? 3. Advance practice nurses prescribe oral contraceptives for? 4. Ethinyl Estradiol Contraindicated in what pts 6. Progesterone Medroxyprogesterone Norethrindrone Megestrol Acetate Most used in oral contraceptives & for HRT Some generations have been developed to - Address mood change - Break through bleeding - Sensitivity to progesterone agents 1. Finasteride (Propecia, Proscar) 2. Progesterones 3. Pregnancy and progestins 4. Pt education ED 7. aldosterone antagonist potassium sparing diuretic used for tx: -female hirsutism (abnormal growth of hair) -acne -relief of PMS/PMDD symptoms (25-50 mg/d) Adverse reactions - dose related + reversible when discont. -GI upset -Drowsiness -Gynecomastia -Impotence -Cutaneous (skin) eruptions - Urticaria Black Box Warning Tumorigenicity in animals Should not be used during pregnancy 1. Adverse Reactions Estrogens 2. Spironolactone (Aldactone) 3. Adverse Reactions Androgens 4. Progestin Administration [Show More]
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