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Women's Health: Hormones, Uterine Stimulants, and Relaxants - A Guide for New Nurses, Study notes of Nursing

Medications you need to know in nursing school

Typology: Study notes

2023/2024

Uploaded on 01/18/2024

jeanette-scott
jeanette-scott 🇺🇸

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

HORMONES^ COMMON USES

WHAT I NEED TO KNOW AS A BRAND NEWNURSE

EstrogenEstrogen replacementCommon examples: Premarintherapy/hormone replacement(conjugated estrogen),therapy (HRT) commonlyEstraderm (estradiol transdermal),indicated with primary ovarianPrempro (Estrogen/Progesteronefailure, menopause and post-Combination)hysterectomy.Other uses include: palliativetreatment of breast cancer,osteoporosis, prevention of post-partum lactation anddysmenorrhea.Combined with progesterone fororal contraception and often givenin combination form for HRT.

  • Estrogens increase the risk of cardiovascular disease and someforms of breast cancer.* Adverse effects include: hypertension, HA, and weight changes.Serious adverse effect: thromboembolism* Monitor BP, weight, serum calcium, glucose and liver enzymes* Patient should not smoke.* Contraindicated with thyroid dysfunction, familial history ofbreast cancer, thrombophlebitis. ProgesteroneTreatment of fibroids, uterineCommon examples: Megestrolcancer, endometriosis,(Megace), Medroxyprogesteroneamenorrhea, uterine bleeding d/t(Depo-Provera)hormone imbalance and thePrempro (Estrogen/Progesteronetreatment of premenstrualCombination)syndrome (PMS).Also used for preventing athreatened miscarriage.Combined with estrogen for oralcontraception and often given incombination form for HRT.

  • Adverse effects include: weight changes, insomnia, depression.* Serious adverse effects include: cholestatic jaundice andthromboembolism.

WOMEN’S HEALTH

UTERINE STIMULANTS^

COMMON USES^ WHAT I NEED TO KNOW AS A BRAND NEWNURSE

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 latedecelerations. 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, andrenal disease.

UTERINE RELAXANTS^

COMMON USES^ WHAT I NEED TO KNOW AS A BRAND NEWNURSE

Ritodrine (Yutopar)^

Cessation of preterm labor.^ * Contraindicated with preeclampsia, eclampsia.* Serious adverse effects include altered maternal and/or fetal HRand BP* Continuously monitor for dose-related effects to HR and BP.