NRSG 245 - reproductive drug indication, action, adverse reactions, and client education

Hormonal estrogen indications

Menopause, osteoporosis prevention

hormonal estrogen action

Hormone replacement, alleviates menopausal symptoms

hormonal estrogen adverse reactions

Weight gain, migraines, cardiovascular risks, increased risk for breast cancer

hormonal estrogen client education

Avoid smoking, regular follow-ups

contraceptives progestin indication

Contraception, menstrual disorders

contraceptive progestin action

Progestin, inhibits ovulation and thickens cervical mucus

contraceptive progestin adverse reactions

Weight gain, nausea, acne, thromboembolism

contraceptive progestin client education

Take at same time daily, backup contraception initially

biphosphonates indication

Osteoporosis prevention/treatment

biphosphonates action

inhibits bone resorption

biphosphonates adverse reactions

Esophageal irritation, osteonecrosis of jaw

biphosphonates client education

Take with water, remain upright for 30 min

phosphodiesterase inhibitors (PDE5) indication

Increases blood flow for erections (ED)

phosphodiesterase inhibitors (PDE5) adverse reactions

Headaches, flushing, indigestion, dizziness

phosphodiesterase inhibitors (PDE5) client education

alert if prolonged erection

Alpha blocker indications

Benign Prostatic Hyperplasia (BPH)

Alpha blocker action

relaxes prostate/bladder neck muscles

Alpha blocker adverse reactions

Dizziness, hypotension, retrograde ejaculation

Alpha blocker client education

Take after same meal daily, avoid sudden position changes

5 alpha-reductase inhibitor indication

BPH, male-pattern baldness

5 alpha-reductase inhibitor action

reduces prostate size

5 alpha-reductase inhibitor adverse reactions

Erectile dysfunction, decreased libido, gynecomastia

5 alpha-reductase inhibitor client education

Pregnant individuals should not handle crushed tablets