NR 566 Week 7 Study Guide {2020}

NR 566 Week 7 Study Guide {2020} – Chamberlain College of Nursing Week 7 Study Outline Chapter 48: Women as Patients Non-pharmaceutical treatment of symptoms associated with menopause • Exercise, relaxation techniques, massage therapy, acupuncture, herbs • Ginseng, black cohosh, licorice, carrots, yams, calcium, vitamin e and d, SOY Pharmacokinetic gender differences between men and women • Absorption and bioavailability o Gastric emptying is slower r/t effects of estrogen o Gastric levels of alcohol dehydrogenase are lower in females • Distribution o Females have lower body wts and BMI o Females have higher proportion of body fat, lipophilic drugs more readily absorbed o Plasma volume is lower in females o Organ blood flow is lower in females • Metabolism o Females have lower levels of p-glycoprotein and higher rates of drug clearance for drugs that are substrates of p-glycoprotein Rationale drug selection for PMDD • 1st- SSRIs- Fluoxetine, paroxetine, sertraline, • 2nd- Xanax, spironolactone • Calcium, mag, tryptophan, vit b6, vit E Treatment for primary dysmenorrhea • NSAIDs 2-3 days before period Recommended calcium and vitamin D intake for adolescents and adults • 1,000 50 and younger of, 1200 older than 50 LGBTQ population • Increased rates in smoking, ETOH, depression, HIV/AIDS, violence and suicide rates Chapter 49: Men as Patients Testosterone therapy and monitoring • Erythrocytosis- H/H need to be monitored • If Hct > 54% tx is stopped • Should also be evaluated for hypoxia and sleep apnea