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Endocrine Pharm Test
Pharm Test #2 (ch.46)
| Question | Answer |
|---|---|
| Which Classification of medications aids in the development and maintenance of secondary sex characteristics? | Androgens |
| Which classification of medications stimulates growth in size of accessory sex organs? | Androgens |
| Which classification of medications promote tissue-building processes? | Androgens |
| What are the adverse reactions for MEN taking androgens? | *gynecomastia (breast enlargement) *testicular atrophy *inhibition of testicular function *Impotence *Enlargement of penis *Male pattern baldness *Acne *Fluid & Electrolyte imbalances (sodium, calcium) |
| What are the adverse reactions for WOMEN taking androgens? | *Amenorrhea, menstrual irregularities *Virilization (deepening of voice, facial hair, clitoral enlargement) *Male pattern baldness *Acne |
| Contraindications for Adrogens include: | *Known hypersensitivity *Liver disorders *Cardiac disease *PROSTATE DISORDERS (BPH OR CA) *Pregnancy Category X |
| Uses for Androgens include: | *Testosterone deficiency *Hypogonadism *Delayed puberty *Development of testosterone deficiency after puberty *Female patients: treatment of metastatic breast cancer |
| Androgen interactions include: | *Increased effect of anticoagulants *Increased risk of paranoid behavior when taken with imipramine *may increase action of oral hypoglycemic agents and insulin |
| Nursing interventions for a patient taking Androgens would include: | *Obtain baseline fluid and electrolyte lab work *Monitor intake and output *Weigh patient twice weekly *Notify Md if weight change +/- 5lb *Assess patient for edema *Monitor serum calcium (hypercalcemia: n/v/constipation/weakness) |
| Patient teaching for a patient taking Androgens would include: | *Report signs and symptoms promptly: difficulty urinating, breast enlargement, virilization) *Apply patch to clean, dry, hairless skin on back, abdomen, upper arms or thigh, rotate sites *Monitor changes in blood sugar *Notify MD immediately if pregnan |
| Which Classification of medications stimulates erytropoietin production? | Anabolic Steroid (synthetic androgens) |
| Which classification of medications promote tissue-building processes? | Anabolic Steroid (synthetic androgens) |
| Uses for Anabolic Steroid (synthetic androgens) include: | *Management of anemia of renal insufficiency *Promotion of weight gain after surgery, trauma, or infection *Female patients: treatment of metastatic breast cancer |
| What are the adverse reactions for patients taking Anabolic Steroid (synthetic androgens)? | *Virilization in women (deepening of the voice, facial hair, clitoral enlargement) *Mental changes (rage, severe depression, suicidal tendencies) *Testicular atrophy *Sexual dysfunction *Gynecomastia *Jaundice *Anorexia *Liver tumors *Atherosclero |
| List more adverse reactions for patients taking Anabolic Steroid (synthetic androgens)? | *Acne *Fluid & electrolyte imbalances (sodium, calcium) |
| Contraindications for Anabolic Steroid (synthetic androgens) include: | *Known hypersensitivity *Liver disorders *Cardiac disease *PROSTATE DISORDERS (BPH, PROSTATE CA) *PREGNANCY CATEGORY X *Enhance physical appearance |
| Anabolic Steroid (synthetic androgens) intereactions include: | *Can increase effect of anticoagulants *May increase action of oral hypoglycemic agents and insulin |
| Nursing interventions for a patient taking Anabolic Steroid (synthetic androgens) would include: | *Obtain baseline physical and nutritional status *CBC, hepatic function, and electrolyte lab work *Daily or weekly weights *Dietary consult for weight gain |
| Patient teaching for a patient taking Anabolic Steroid (synthetic androgens)would include: | *Report signs & symptoms promptly: (difficulty urinating, virilization, breast enlargement) *Monitor changes in blood sugar *Notify MD immediately if pregnant |
| Which classification of medications are the drugs Nandrolon & Oxandrolone in? | Anabolic Steroid (synthetic androgens) |
| Which classification of medications are the drugs Testosterone & Androgel in? | Androgens |
| Which classification of medications are the drugs Avodart & Propecia in? | Androgens Hormone Inhibitors |
| Which classification of medications inhibit conversion of testosterone to DHT (5-alpha dihydrotesterone)? | Androgens Hormone Inhibitors |
| Development of prostate gland is dependent on DHT | Androgens Hormone Inhibitors |
| What are the adverse reactions for a patient taking androgens hormone inhibitors? | *Impotence *Decreased libido *Ejaculation disorders |
| What are the nursing interventions for a patient taking androgens hormone inhibitors? | *Assess the following symptoms of BPH: *frequency *urgency *nocturia *incomplete bladder emptying |
| What are the uses for Androgens Hormone Inhibitors? | *prevention of male pattern baldness *symptoms of benign prostatic hypertrophy (BPH) |
| What are the contraindications for a patient taking Androgens Hormone Inhibitors? | *Known hypersensitivity *Liver disorders *Cardiac disease *Pregnancy category X |
| What would be the patient teaching for a patient taking Androgens Hormone Inhibitors? | *Several months of therapy before symptoms will improve *Notify MD immediately if sexual partner becomes pregnant *Pregnant woman should not handle medication *Avoid donating blood for at least 6 months after last dose |
| Which classification of medications are the drugs Premarin, Estrogel, Estrace, and Estradiol in? | Estrogen |
| Which classification of medications are the drugs Progesterone & Provera in? | Progestin |
| Which classification of drugs transform proliferative endometrium into secretory endometrium? | Progestin |
| Which classification of drugs aids in the development of placenta? | Progestin |
| Which classification of drugs inhibit secretion of pituitary gonadotropins (prevents maturation of ovarian follicle and ovulation)? | Progestin |
| What are the adverse reactions of Progestin? | *Edema *Menstrual irregularities *Breast tenderness *Skin changes *Acne |
| What are the nursing interventions for a patient taking Progestin? | *History of thrombophlebitis, vascular disorders or smoking *Monitor weight, signs of edema *Monitor for breakthrough bleeding *Monitor for signs of thromboembolic effects * |
| What are the uses for Progestin? | *Amenorrhea *Endometriosis *Functional uterine bleeding *Oral contraceptive *Support of embryo implantation and early pregnancy |
| What are the contraindications for a patient taking Progestin? | *Known hypersensitivity *Estrogen dependent neoplasms *THROMBOEMBOLIC DISORDERS *History of migraines *Undiagnosed vaginal bleeding *Pregnancy category X |
| Progestin interactions include: | *Penicillins & tetracyclines can decrease effectiveness *Barbituates or rifampin can decrease effectiveness *Smoking increases risk of CV reactions |
| What patient teaching should you give for a patient taking Progestin? | *Take with food to decrease GI upset *Take at the same time every day |
| What are the nursing interventions for a patient taking Estrogen? | *History of thrombophlebitis, vascular disorders or smoking *Monitor weight, signs of edema *Monitor for breakthrough bleeding *Monitor for blood sugar changes *Monitor for signs of thromboembolic effects |
| What patient teaching should you give for a patient taking Estrogen? | *Take with food to decrease GI upset *When treating menopausal symptoms in patients with an intact uterus, concurrent use of progestin is recommended to decrease risk of endometrial cancer *Take at the same time every day |
| Estrogen interactions include: | *Can decrease the effect of anticoagulants *Can decrease the effect of insulin, hypoglycemics *Barbituates or rifampin can decrease effectiveness *Smoking increases risk of CV reactions |
| Adverse reactions of Estrogen include: | *Headache *Hypertension *MI *THROMBOEMBOLISM *Edema *N/V *Menstrual irregularities *Breast tenderness *Gynecomastia *Acne |
| Contraindications for a patient taking Estrogen include: | *Known hypersensitivity *Estrogen dependent neoplasms *THROMBOEMBOLIC DISORDERS *Cardiac disease *Hypercalcemia *History of migraines *SMOKERS *Undiagnosed vaginal bleeding *Pregnancy category X |
| Uses of Estrogen include: | *Relief of moderate to severe vasomotor symptoms of menopause (flushing, sweating) *Tx of female hypogonadism *Tx of atrophic vaginitis *Tx of osteoporosis after menopause *Advanced metastatic breast and prostate cancer |
| Aids in the development & maintenance of female sex organs and secondary sex characteristics | Estrogen |
| Which classification of medications has actions that include: Fluid retention, thinking of cervical mucous, inhibition or facilitation of ovulation, stimulates contraction of fallopian tube, & restores endometrium afer menstruation? | Estrogen |
| Which classification of medications concerves calcium and phosphorus? | Estrogen |
Created by:
ashley/michelle
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