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14 Cards in this Set

  • Front
  • Back
pathophys
hypothalmus...GnRH
ant. pit... FSH and LH
endometrium responds
-estrogen = proliferation
-pogesteron = secretory
what does estrogen do
secondary sex characteristics
bone growth/maintenance
clotting
metabolism
exogenous extrogens
conjugated & estradiol
HRT
menopausal symptoms
bone density
CV health (doesnt prevent hrt disease tho)

CI: breast CA, DVT, liver disease
progesterone
from corpus luteum
maintains pregnancy
PMS
relaxes smooth muscle
uses for estrogens and progesterones
DUB (dysfcn'l uterine bleed)
amenorrhea
endometriosis
endometrial CA
PMS (Reacts w/ SSRIs, benzos); calcium
PMDD
benefits of HRT
prevent osteoporosis
-dec fractures
dec. colon CA
dec. vasomotor symptoms (menopausal)
inc. urogenital integrity
risks of HRT
MI, stroke, dementia, DVT, CA, PE
do the benefits outweigh the risks?
SERM
selective estrogen receptor modulator
(raloxifene)
blocks receptors
decreases risk of CA
CI: h/o venous thrombosis
biphophonates
(foxamax, actonel)
prevent/Tx osteoporosis and Paget's
*empty stomach w/ glass of water upon waking
*stay upright @ least 1/2 hr
*need vit D and calcium suppl.
oral contraceptives
adverse effects and CI
AE: DVT, HTN, CA, teratogenic

CI: pregnant, h/o thrombosis

Drug Ix: rifampin, ritovir, dilantin, phenobarbs, st. johns wart, ampicillin, tetracycline
Missed OC pills
1 - take w/ next scheduled dose
2 - 2 doses next 2 days
3 - new cycle start
post coital contraception
RU486 (rape victims): ctx of uterus; spont abor, 72 hrs

methotrexate: abortion and ectopics

prostaglandins: cervical ripening

**report extreme cramping/bleeding/pain
tocolytics
delay premature birth
Mag sulfate
-watch levels
-renal fcn
-DTRs
B2-agonists SQ, IV (terbutaline)
-also for asthma
relaxes uterus
-makes you tachycardic
oxytotics
induce labor
crtl post-part bleeding
**make sure cervix is ripended first
-IV pump
-monitor ctx/bleeding