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16 Cards in this Set

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combination- progesterone and estrogen
norethindrone/levonorgestral/medroxyprogesterone and ethynil estradiol/ conjugated estrogens (Ortho-novum, Allese, Prempro)
class: oral contraceptives/HRT
action: interfere with gonadotropin-releasing hormone, LH, FSH release; maintain stable hormone levels, relax uterus, limit endometrial proliferation, promote vasomotor stability, prevent bone loss
PO
side effects: breakthrough bleeding, HTN, amenorrhea, HA, increased risk of gallbladder/ liver disease and thromboemolytic disorders secondary to hypercoagulation, glucose intolerance, decreased breast milk production, depression
nursing implications: educate patient
estrogen
cojugateted estrogens (Premarin)
class: oral contraceptives/HRT
action: interfere with gonadotropin-releasing hormone, LH, FSH release; maintain stable hormone levels, relax uterus, limit endometrial proliferation, promote vasomotor stability, prevent bone loss
PO
side effects: breakthrough bleeding, HTN, amenorrhea, HA, increased risk of gallbladder/ liver disease and thromboemolytic disorders secondary to hypercoagulation, glucose intolerance, decreased breast milk production, depression
nursing implications: educate patient
progesterone
Norethindrone/medroxyprogesterone (Micronor, Provera)
class: oral contraceptives/HRT
action: interfere with gonadotropin-releasing hormone, LH, FSH release; maintain stable hormone levels, relax uterus, limit endometrial proliferation, promote vasomotor stability, prevent bone loss
PO
side effects: breakthrough bleeding, HTN, amenorrhea, HA, increased risk of gallbladder/ liver disease and thromboemolytic disorders secondary to hypercoagulation, glucose intolerance, decreased breast milk production, depression
nursing implications: educate patient
antibiotics
clindamycin (Cleocin)
antibiotic
action: inhibits bacterial protein synthesis
intravaginal
side effects: candidiasis, pruritis, rash, hypersensitivity, abd pain
*education on correct use; use as directed even if symptoms cease; report change in symptoms
antiprotozoal
metronidazole (Flagyl)
antiprotozoal
action: enters cells of microorganisms that contain nitroreductase, interfers with DNA synthesis and causes cell death
PO
side effects: dizziness, weakness, insomnia, abd cramping, anorexia, n/v/d, vaginal dryness, overgrowth of other infectios organisms
*avoid alcohol while on med and 48 hours after completion. take with meals, take as directed. treat partner.
antifungals
fluconazole (Diflucan)
antifungals
action: believed to bind to sterol in fungal cell membrane, thereby altering cell permeability
side efects: pruritis, rash, hypersensitivity, abd pain
*educate; use as directed; report side effects
antifungals
miconazole (Monistat)
antifungals
action: believed to bind to sterol in fungal cell membrane, thereby altering cell permeability
side efects: pruritis, rash, hypersensitivity, abd pain
*educate; use as directed; report side effects
antifungals
terconazole (Terazole)
antifungals
action: believed to bind to sterol in fungal cell membrane, thereby altering cell permeability
side efects: pruritis, rash, hypersensitivity, abd pain
*educate; use as directed; report side effects
antifungals
Clotrimazole (Gyne-Lotrimin)
antifungals
action: believed to bind to sterol in fungal cell membrane, thereby altering cell permeability
side efects: pruritis, rash, hypersensitivity, abd pain
*educate; use as directed; report side effects
meds used for infection
trimethoprim/sulfamethoxazole (Bactrim; Septra)
class: antibiotics- sulfamides
action: blocks bacterial synthesis of essential nucleic acids
side effects: GI upset, anorexia, rash,urticaria,photosensitivity,CNS disturbance, crystals in urine
*HYDRATION; take on empty stomach with 8oz H2O; avoin un called for sunlight
meds used for infection
ofloxacin (Floxin)
class: antibiotic-fluoroquinolones
action: inhibit cell wall synthesis
side effects: GI upset, CNS disturbance, dizziness, HA, flatuence, rash,photosensitivity,
rare but serious: tendon rupture
*do not give with antacids, caution with other medication use; renal, hepatic, or CNS disorders
meds used for infection
levofloxacin (Levaquin)
class: antibiotic-fluoroquinolones
action: inhibit cell wall synthesis
side effects: GI upset, CNS disturbance, dizziness, HA, flatuence, rash,photosensitivity,
rare but serious: tendon rupture
*do not give with antacids, caution with other medication use; renal, hepatic, or CNS disorders
meds used for cancer of the male repro system
leuprolide (Lupron)
class: testosterone-suppressing/blocking agents
action: initially stimulates then inhibits FSH and LH to suppress testosterone
side effects: GI upset, insomnia, sexual dysfunction, tremor, bone pain, constipation, gynecomastia, CNS disturbance, photosensitivity
serios: elevated liver enzymes, arrythmias, MI
*store at room temp and out of the light
meds used for cancer of the male repro system
flutamide (Eulexin)
action: inhibits androgen uptake and or binding in tissues
class: testosterone-suppressing/blocking agents
meds used for cancer of the male repro system
goserelin (Zoladex)
action: analouge to leutinizing realeasing hormone; works on pituitary to decrease FSH to decrease sex hormones
class: testosterone-suppressing/blocking agents
meds used for cancer of the male repro system
diethylstilbestrol(DES)(estrogen preparation)
class: testosterone-suppressing/blocking agents
action: decreases FSH and LH to decrease testosterone
side effects: GI upset, CNS disturbance, visual diturbance
serious: seizures, HTN, thromboembolism
*give wit or after meals; use cautiously with other disease processes or with conditions that lead to prolonged immobilization