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35 Cards in this Set
- Front
- Back
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Instructions for an estradiol vaginal ring (Estring)
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Check the placement periodically
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Instructions for alprostadil (Muse) transurethral pellets
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should not be used more than once in 24 hours
*cardiovascular side effects |
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ergonovine maleate (Ergotrate) prevents or alleviates
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postpartum uterine bleeding by stimulating uterine contractions
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_______________ softens the cervix, dilation begins, and ____________ causes regular contractions
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Dinoprostone (Cervidil), oxytocin (Pitocin)
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Estrogen may increase the risk of
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hyperglycemia
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Estrogen-progestin (Demulen) combination is used to treat
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irregular menses
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manifestations of anabolic steroids abuse
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Answer: enlarged clitoris
Also: hostility or aggressiveness onset of acne hypertension increased LDL decreased HDL Males: testicular shrinkage Females: lowered voice, facial hair growth, decreased breast and uterus size, elongation of the clitoris, and male-pattern baldness |
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first-line drug for the treatment of infertility related to anovulation
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Clomiphine (Clomid)
*non-steroidal estrogen agonist |
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to prevent seizure activity in pre-eclampsia
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magnesium sulfate
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Reduced deep tendon reflexes may indicate
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magnesium toxicity
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Drug for therapeutic abortions
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tromethamine (Hemabate)
*Causes a rapid onset of tetanic (spastic, sustained, irregular) uterine contractions which may result in fetal hypoxia/anoxia or death |
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FDA approved for the treatment of premature labor
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Ritodrine (Yutopar)
*beta-adrenergic that relaxes smooth muscle |
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One serious side effect of follitropin alfa (Gonal-F) is
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ovarian hyperstimulating syndrome (sudden, severe lower-left quadrant pain)
*signals a ruptured ovary, a medical emergency possibly requiring surgical repair |
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Dinoprostone (Cervidil) is a
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very potent uterine stimulant
*remove immediately if contractions are tetanic (irregular, sustained, and spasmodic) |
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the benefits of estrogen replacement therapy
ie. estradiol transdermal (Climara) |
helps body use calcium which prevents osteoporosis
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estrogen facilitates
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calcium uptake
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Contraindications to combination oral contraceptive pills include
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history of or risk for hypercoagulation states such as DVT, myocardial infarction (MI) or cerebral vascular accident (CVA)
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finasteride (Proscar)
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decreases serum testosterone levels resulting in drug-induced impotence (not ED)
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if taking sildenafil citrate (Viagra), report
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Sustained chest pain at rest, irregular heart rate
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Associate sildenafil citrate (Viagra) with
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potential cardiovascular impairment
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The absorption of testosterone transdermal (Androderm) is
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4-5 times greater from the scrotum than other skin surfaces
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One drug interaction associated with testosterone transdermal (Androderm)
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the need for decreased insulin dosages
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Associate testosterone transdermal (Androderm) with
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hypoglycemia
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oxytocin (Pitocin) administration
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never IV push
*risk of sustained fetal anoxia and sustained hemorrhage via uterine rupture |
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For bladder spasms post-prostatectomy
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Oxybutynin chloride (Ditropan)
*antispasmodic |
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For a currently breastfeeding client
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Norethindrone (Micronor)
*contains only progestin and no estrogen (estrogen may decrease lactation) |
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common side effects of hormone replacement therapy (ie. estradiol cypionate (Depo-estradiol)
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Breast tenderness, abdominal bloating, and monthly bleeding
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a uterine stimulant which initiates labor
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Methylergonovine (Methergine)
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commonly used to control postpartal bleeding
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Oxytocin (Pitocin)
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Categorize estrogen as an adversary to
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bone growth in adolescents
So, no birth control pills (generally) before age 15 |
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During the first trimester, a client with type 1 diabetes mellitus is
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prone to hypoglycemia
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insulin and the placental barrier
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does not cross
(Glucose, yes) |
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Normal HbA1C levels
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4-5.9%
(>7% = poor glucose control in diabetics) |
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Drug to facilitate thickened endometrial growth (and cause a menstrual cycle-like bleeding episode when stopped)
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Medroxyprogesterone acetate (Provera)
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difference between gestational hypertension (GH) or pregnancy induced hypertension (PIH) and chronic hypertension
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PIH/GH is transient and without proteinuria
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