NR 566 Exam Preparation: Week 7 Chapter 49 Men as Patients | Download To Score An A
1 view 0 purchase
Course
NR 566
Institution
Chamberlain College Of Nursing
Question: The factor that has the greatest effect on males developing male sexual characteristics is: Question: When … a male for hypogonadism prior to prescribing testosterone replacement, serum t estosterone levels are drawn: Question: Some research supports that testosterone replacement therap...
nr 566 exam preparation week 7 chapter 49 men as patients | download to score an a
question some research supports that testosterone replacement therapy may … in which of the following … in men
Written for
Chamberlain College Of Nursing
NR 566
All documents for this subject (417)
Seller
Follow
ProfGoodlucK
Reviews received
Content preview
Chapter 49: Men as Patients
• Testosterone therapy and monitoring
Testosterone is linked to elevated LDL's and decline in HDL's
Typically, the depot esters are administered parenterally by IM or SQ route
• Transdermal and buccal routes are also available
• If IM route is chosen, patients should be taught to self-administer
• If injected pellets SQ, pellets can fall out, and absorption may differ
• Patches can be applied daily, rotating sites, and watching for skin disruptions
• Liquid, topical gel can be applied, although care should be used with secondary contact of
women and children. Clothing should cover the area of application. Care for thorough hand washing.
Topical gels are expensive and may not be covered by insurance.
• A testosterone level in the midrange (400 to 600 ng/dL) is the goal
• Mood, sense of well-being, and libido may vary among patients. Dosages can be adjusted on
these effects
Dosages:
• Buccal (Striant): 30mg to gums BID
• IM Depot esters (Depo-testosterone): 50-400mg every 2-4 wks
• SQ pellets (Testopel): 10-15 pellets every 3-6 months
• Topical skin patch (Androderm): 5mg/d applied once daily to dry, intact skin of shoulders, upper
arm, or abdomen
• Topical Gel (Androgel 1% or 1.62%): 5-10mg (1-2 packets/tubes or 1-8 pumps depending on
concentration) to clean, dry, intact skin of shoulders, upper arm, or abdomen
• Topical gel (Fortesta 2%): 40mg (4 pumps) applied once daily to inner and anterior thighs
• Topical genital skin patch (Testoderm): 6mg/d patch applied to the scrotal area and worn for 22-
24 hrs
• Topical liquid (Axiron):30-90 mg (2-4 pumps) once daily to axillae
Testosterone Replacement, Risks, and Contraindications
• Restoring testosterone levels within the normal range by using testosterone replacement
therapy (TRT) can improve many of the effects of hypogonadism.
• Risks:
• Erythrocytosis is a risk of TRT, so checking Hgb and Hct periodically is recommended
• Prostate Cancer – periodic check of PSA and digital rectal exam is recommended
• Decreased sperm and infertility
• Adolescents may develop acne and gynecomastia, and more seriously, aggressive behavior and
premature closure of growth plates, leading to the small stature
• Exacerbation of sleep apnea
• Liver toxicity and liver tumor
• Worsening s/s of BPH
• Skin diseases (esp. for topical and dermal routes)
This study source was downloaded by 100000847795904 from CourseHero.com on 06-08-2022 01:06:48 GMT -05:00
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ProfGoodlucK. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
