Estrogen/Progestins

What is the prototype drug for estrogen?

premarin

What are the therapeutic uses of premarin

It is an estrogen drug used for

irregular periods

menopause

contraception

osteoprosis

A woman has an unexpected pregnancy and wants to know what abortive drugs she can use the nurse responds

Premarin is one drug that can be used but must be taken within the first five days of pregnancy

a woman who has seizure episodes should know when taking contraception that

seizure drugs decrease the effectiveness of contraceptions other alternatives should be used

a woman taking premarin for birth control should know what if she has diabetes?

the use of premarin can increase blood sugar levels

pts 35 years or older and smoke are at risk for the following conditions

vte

What type of cancers are pts at risk for if they take premarin or estrogen?

endometrial and breast cancer

Since premarin can increase risk of clotting what labs should the nurse look at

coagulation

True or False pts who are pregnant, have uterine bleeding, or hypertension are able to take estrogen

False these demographics are contraindicated

What is the best age for a woman to receive a mammogram?

40 and up

Why should a pt taking Premarin monitor their weight weekly

Edema is a side effect of the drug

medroxyprogesterone acetate or provera is apart of which drug class

progestins

What labs should a nurse monitor if a pt is taking provera for contraception

hepatoxicity- signs ans symptoms of jaundice lfts

A pt with osteoprosis taking Provera should have cautious use why

Pt experiences bone loss due to increase loss of calcium when taking this drug

A pt may have a preterm birth what drug can decrease the chances of that happening.

provers

What drug has similar risk factors of vte, dementia, and cancer when given with premarin

provera

This hormone is a estrogen-progestin that is given in combination specifically for contraception.

ortho-novum alters the endometrial lining

This estrogen-progestin combination is given for hormone replacement

Prempro

no smoking with

contraceptions (premarin, provers, ortho-novum, prempro)

A woman has just been prescribed contraception what is the protocol before giving

Wear gloves

rule out pregnancy before giving

educate pt to take same time everyday

no smoking

If a woman is receiving im injections for contraception what does she need to know for this procedure

Given withing first 5 days of menstruation and the pt will need a calcium supplement for bone loss