Rasmussen Pharmacology Exam 2 Final Exam Questions With Correct Answers Estrogen (Action) - ANSWER - Female Hormones Maturation & Development of female reproductive tract Suppresses FSH that is needed for conception Estrogen (Medications) - ANSWER - Estradiol (Estrace) Estrogens Hemihydrate Estrogens (Indication) - ANSWER - Treatment of menopausal symptoms Contraception Dysfunctional uterine Bleeding Estrogen (Side Effects) - ANSWER - Nausea Headache Breast lumps Vaginal bleeding Edema Dark Urine Clay-colored stools DVT - Deep Vein Thrombus Stroke Estrogen (Nursing Interventions) - ANSWER - -Education patient to avoid nicotine (high risk for blood clot) -Examine breasts for possible risk for estrogen dependent breast cancer in females over 60 -educate patient to perform monthly beast exams -educate patient to notify any abnormal bleeding, or amenorrhea Estrogens (Contraindications & Cautions) - ANSWER - Pregnancy category X -Reduces effects of warfarin -Increases effects of steroids -Smoking increases risk for thrombus Progesterone (Action) - ANSWER - -Female hormone - promotes fetal growth -low progesterone = menstruation Progesteron e (Indications) - ANSWER - -Amenorrhea -Treatment of menopausal symptoms -Management of abnormal uterine bleeding Progesterone (Medications) - ANSWER - Medroxyprogesterone acetate (Provera) Progesterone (Nursing Interventions) - ANSWER - -Smoking increases risk of blood clot - Educate patient to perform monthly SBE -Educate patient to avoid smoking -Monitor BP, I & O, and weight gain for edema Progesterone (Side Effects) - ANSWER - - Nausea -Breast cancer in postmenopausal women -Blood clot -Stroke Contrace ptives (Action) - ANSWER - - prevents ovulation by altering the optimal lining of endometrium required for fertilization Contraceptives (Medications) - ANSWER - - Ethinyl estradiol - norethindrone Contraceptives (Side Effects) - ANSWER - -Blood clots -Hypertension -Irregular uterine bleeding Hyperglycemia Contraceptives (Nursing Interventions) - ANSWER - -May decrease the effects of Coumadin, and hypoglycemia -educate pt to monitor BP, blood sugar, and INR (2 -5 normal) HCG prior to starting on this med ciation Uterine Stimulant (Action) - ANSWER - -Stimulates uterine contractions Uterine Stimulant (Medication) - ANSWER - - Oxytocin (Pitocin) Uterine Stimulant (Uses) - ANSWER - - Drug of choice to induce labor -to control postpartum bleeding Uterine Stim ulant (Side Effects) - ANSWER - -Rapid, painful uterine contractions -Fetal tachycardia -Uterine rupture -Seizures Uterine Stimulant - Oxytocin (Nursing Intervention) - ANSWER - - Monitor vital signs of fetus & mother continuously to avoid complications -Dysrhythmias or intracranial hemorrhage -Should only be used to induce labor only when there are demonstrated risks to the mother or fetus in continuing the pregnancy Tocolytic (action) - ANSWER - -suppress premature labor - relaxes uterine muscles by activating beta receptors Tocolytic (medications) - ANSWER - - Terbutaline -Nifedipine -Indomethacin -Magnesium Sulfate (decreases chances seizure by decrease preclampsa) Tocolytic (Uses) - ANSWER - -Delay/suppress labor -Seizu res Tocolytic (Side Effects) - ANSWER - -Fetal tachycardia -hypotension -hypokalemia -hyperglycemia -chest pain Tocolytic (Interventions) - ANSWER - - monitor vital signs, blood glucose, & potassium levels - Monitor of MgSO4 toxicity - low urine output, pu lmonary edema, hypotension, chest pain, loss of deep tendon reflexes -Propranolol at bedside should be available for emergency use to reverse tachycardia Magnesium Sulfate antidote - ANSWER - Calcium Gluconate Alpha1 -Adrenergic antagonists (Action) - ANSWER - Relaxes smooth muscles of bladder & prostate Alpha1 -Adrenergic antagonist (Medications) - ANSWER - - tamsulosin -terazosin Alpha1 -Adrenergic antagonist (uses) - ANSWER - Benign prostate hypertrophy (BPH) common in men over 60 Alpha1 -Adrenergic antagonist (Side effects) - ANSWER - -low blood pressure orthostatic hypotension dizziness sleepiness Alpha -Adrenergic antagonist (Nursing interventions) - ANSWER - -monitor urine output -monitor BP, vital signs -change positions slowly Anti-impotence Agents (Actions) - ANSWER - - enhances blood flow to ensure erection to allow sexual intercourse Anti-impotence Agents (Medications) - ANSWER - Sildenafil (viagra)
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