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Ch. 62 Birth Control
Pharmacology for Nurses
Question | Answer |
---|---|
Birth Control: Oral Contraceptives | Contain both estrogen and progestin and those that only contain progestin |
Birth Control: Oral Contraceptives | Combination OCs are most widely used |
Combination OC: Ovcon 35 | Acts by inhibiting ovulation, thicken cervical mucus, and modifying endometrium |
Combination OC: Ovcon 35 | Contraindicated in pregnancy, history of clotting, history of breast cancer, abnormal liver function, and > 35 + smoking |
Combination OC: Ovcon 35 -Drugs/herbs that reduce effects of OC | rifampin, antivirals, tetracyclines, ampicillin and antiseizure meds |
Combination OC: Ovcon 35- Dosage and Administration | For one missed does, instruct the client to take two together at the next schedule dose. For two missed doses, instruct the client to double-up for 2 days. |
Subdermal Etongestrel Implant (Implanon) | 4 cm rod is place in the groove between biceps and triceps in non-domination arm; three years on contraception; acts to suppress ovulation; adverse effects include irregular bleeding |
Depot Medroxprogesterone Acetate (Depo-Provera) | Usually injected IM or subQ and can protect against pregnancy for 3 months: adverse effects noticeable weight gain |
Miferprisone (RU 486) with Misoprostol | Medical Abortion; acts be blocking progesterone and GC receptors that cause breakdown of conceptus; misoprostol softens and dilates cervix; increase uterine contractions |