Estrogens and Progestins

Nursing Pharmacology with Burnitt at Goldfarb School of Nursing

About this deck

By: Kristina Schinzing
Textbook:

Pharmacology and the Nursing Process
Created: 2011-11-28
Size: 19 flashcards
Views: 25

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What are estrogens primarily used for?

contraception and for menopausal HRT

What baseline data should be obtained before giving a estrogen?

breast examination, pelvic examination, lipid profile, mammography, and blood pressure measurement.

Who are contraindicated for estrogen?

pts with estrogen-dependent cancers, undiagnosed abnormal vaginal bleeding, active thrombophlebitis or thromboembolic disorders or a history of estrogen-associated thrombophlebitis, thrombosis, or thromboembolic disorders. they are also contraindicated during pregnancy.

What are the routes of estrogen?

oral, IM, IV, transdermal, intravaginal

What is the most common adverse effect of estrogen?

nausea, this deminishes with time. can be reduced by taking with food or at night.

Endometrial hyperplasia and cancer, breast cancer, ovarian cancer, cardiovascular events

What are the progestins

Levonorgestrel, Medroxyprogesterone acetate, megestrol acetate, norethindrone, norethindrone acetate, norgestimate, norgestrel, 17- Hydroxyprogeserone caproate.

What is the therapeutic goal of progestins

used for contraception and to counteract endometrial hyperplasia that could be caused by unopposed estrogen during HRT. otheruses include dysfunctional uterine bleeding, amenorrhea, endometriosis, and support of pregnancy in women with corpus leteum deficiency. .

What is the baseline data before giving a progestin

breast and pelvic examinations

When are progestins contraindicated?

in the presence of undiagnosed abnormal vaginal bleeding, relative contraindications include active thrombophlebitis or a history or thromboembolic disorders, active liver disease, and carcinoma of the breast.

What are the routes of progestins

oral, IM, transermal, intravaginal

What are the adverse effects of progestins

gynecologic effects (breakthrough bleeding, spotting, and amenorrhea) Teratogenic effects

What is Evista

(Raloxifene) perserves bone mineral density and reduces plasma levels of cholesterol. confers protection against breast and endometrium cancers. Evista is used to prevent and trat postmenopausal osteoporosis.

What are the adverse effects of Evista

venous thromboembolism, Fetal harm, hot flushes

what is the first half of the 28 day menstrual cylce called

follicular phase

What is the second half of the menstural cycle called

luteal phase

during what phase do estrogens produce by maturing ovarian follicles cause proliferation of the endometrium?

the follicular phase

during what phase does progesterone produced by the corpus luteum cause the enometrium to become more vascular and the endometrial glands to secrete gylcogen

the luteal phase

During the follicular phase of the menstrual cycle, estrogen has which of these effects on the female reproductive organs

Proliferation of the endometrium

The purpose of a progestin medication in hormone replacement therapy (HRT) is for which of these therapeutic effects?

Relieve vasomotor symptoms

About this deck

By: Kristina Schinzing
Textbook:

Pharmacology and the Nursing Process
Created: 2011-11-28
Size: 19 flashcards
Views: 25

About StudyBlue

“I have used this website for three exams, and I see a huge difference in my test results.”
Naj