Medication Estrogen and progesterone E!!
Include name of drug
(Trade and generic)
Reason this patient
receiving medication
(Indication)
Classification Therapeutic: Pharmacologic:
Adverse reactions/side Emboli formation
effects
Nursing
(Assessments)
Lab test considerations
Administration Contraindicated with the history of MI, PE/DVT, or CVA
guidelines Avoid if pt has a history of hypertension or smokes
(Implementation)
Medication Tamoxifen (novaldex)
Include name of drug
(Trade and generic)
Reason this patient Estrogen positive breast cancer. Also treats osteoporosis in post
receiving medication menopausal women
(Indication)
Classification Therapeutic: ANTINEOPLASTIC Pharmacologic: SERM
Adverse reactions/side Abnormal uterine bleeding, stroke, and thromboembolism
effects
Nursing
(Assessments)
Lab test considerations Monitor CBC because it affects WBC
Administration Report bone pain, report leg pain (could be DTV), and weight gain
guidelines
(Implementation)
Medication Zoladex (GnRH agonist)
Include name of drug
(Trade and generic)
Reason this patient Endometriosis; prostate cancer; men and women with breast cancer
receiving medication
(Indication)
Classification Therapeutic: LHRH Pharmacologic: GnRH agonist
Adverse reactions/side Stroke and mi
effects
Nursing Monitor for osteoporosis
(Assessments)
Lab test considerations Calcium and vitamin D
Include name of drug
(Trade and generic)
Reason this patient
receiving medication
(Indication)
Classification Therapeutic: Pharmacologic:
Adverse reactions/side Emboli formation
effects
Nursing
(Assessments)
Lab test considerations
Administration Contraindicated with the history of MI, PE/DVT, or CVA
guidelines Avoid if pt has a history of hypertension or smokes
(Implementation)
Medication Tamoxifen (novaldex)
Include name of drug
(Trade and generic)
Reason this patient Estrogen positive breast cancer. Also treats osteoporosis in post
receiving medication menopausal women
(Indication)
Classification Therapeutic: ANTINEOPLASTIC Pharmacologic: SERM
Adverse reactions/side Abnormal uterine bleeding, stroke, and thromboembolism
effects
Nursing
(Assessments)
Lab test considerations Monitor CBC because it affects WBC
Administration Report bone pain, report leg pain (could be DTV), and weight gain
guidelines
(Implementation)
Medication Zoladex (GnRH agonist)
Include name of drug
(Trade and generic)
Reason this patient Endometriosis; prostate cancer; men and women with breast cancer
receiving medication
(Indication)
Classification Therapeutic: LHRH Pharmacologic: GnRH agonist
Adverse reactions/side Stroke and mi
effects
Nursing Monitor for osteoporosis
(Assessments)
Lab test considerations Calcium and vitamin D
