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Medications you need to know in nursing school
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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.
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.
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.