Womens Health

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WOMEN’S HEALTH

HORMONES COMMON USES WHAT I NEED TO KNOW AS A BRAND NEW


NURSE
Estrogen Estrogen replacement * Estrogens increase the risk of cardiovascular disease and some
Common examples: Premarin therapy/hormone replacement forms of breast cancer.
(conjugated estrogen), therapy (HRT) commonly * Adverse effects include: hypertension, HA, and weight changes.
Estraderm (estradiol transdermal),
Prempro (Estrogen/Progesterone
indicated with primary ovarian Serious adverse effect: thromboembolism
Combination) failure, menopause and post- * Monitor BP, weight, serum calcium, glucose and liver enzymes
hysterectomy. * Patient should not smoke.
Other uses include: palliative * Contraindicated with thyroid dysfunction, familial history of
treatment of breast cancer, breast cancer, thrombophlebitis.
osteoporosis, prevention of post-
partum lactation and
dysmenorrhea.
Combined with progesterone for
oral contraception and often given
in combination form for HRT.
Progesterone Treatment of fibroids, uterine * Adverse effects include: weight changes, insomnia, depression.
Common examples: Megestrol cancer, endometriosis, * Serious adverse effects include: cholestatic jaundice and
(Megace), Medroxyprogesterone amenorrhea, uterine bleeding d/t thromboembolism.
(Depo-Provera)
Prempro (Estrogen/Progesterone
hormone imbalance and the
Combination) treatment of premenstrual
syndrome (PMS).
Also used for preventing a
threatened miscarriage.
Combined with estrogen for oral
contraception and often given in
combination form for HRT.
WOMEN’S HEALTH

UTERINE STIMULANTS COMMON USES WHAT I NEED TO KNOW AS A BRAND NEW


NURSE
Oxytocin (Pitocin, Syntocinon) Labor induction, postpartum * Monitor VS, fetal HR and rhythm, intake and output.
uterine atony and hemorrhage * Adverse effects include: tachycardia, PVC’s, hypotension,
seizures and coma.
* Stop oxytocin for contractions lasting longer than 90 seconds,
contractions < 2 minutes apart and with a pattern of fetal late
decelerations.
Methylergonovine (Methergine) Postpartum uterine atony and * Administer after delivery of the placenta.
hemorrhage * Serious adverse effects include: severe hypertensive episodes,
bradycardia and anaphylaxis.
* Cautious use in patients with history of migraines, diabetes, and
renal disease.
UTERINE RELAXANTS COMMON USES WHAT I NEED TO KNOW AS A BRAND NEW
NURSE
Ritodrine (Yutopar) Cessation of preterm labor. * Contraindicated with preeclampsia, eclampsia.
* Serious adverse effects include altered maternal and/or fetal HR
and BP
* Continuously monitor for dose-related effects to HR and BP.

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