Study Guide :Latest Updated: Advanced Pharmacology for Care of the Family:NR 566 Week 6
Discussion:NR 566 Final Exam Study Guide: Week 5, 6, 7 & 8- Advanced Pharmacology
What kind of med is doxazosin? - ANSWER:Alpha 1 adrenergic antagonist
Adverse effects of doxazosin? - ANSWER:Hypotension, dizziness, reflex tachycardia, nasal congestion and
headache
Patient teaching on dutasteride? - ANSWER:Can take up to a month to take effect
Reduces ejaculate volume and libido
Contents inside capsule can irritate mucosa, whole capsule needs to be swallowed with full glass of
water
When should doxazosin and terazosin be administered:? - ANSWER:At bed time due to orthostatic
hypotension
The goal of doxazosin and terazosin is? - ANSWER:Improve symptoms of bph and delay disease
progression.it relaxes The smooth muscle of bladder but does not decrease size of prostate
Explain oral route of estrogen therapy - ANSWER:It is the most commonly used due to convenience
"Estraidol" is available alone or in combination with progestins
Explain transdermal route of estrogen therapy - ANSWER:Comes in four formulations: emulsion, sprays,
gels, patches.
How is the transdermal contraceptive emulsion applied? - ANSWER:Once a day to the top of both thighs
and the back of both calves
How IS the Contraceptive spray applied? - ANSWER:Once a day to The forearm
How is the contraceptive gel applied? - ANSWER:The gel is applied once daily to One arm, from the
shoulder to The wrist. Or to the thigh
Where are the contraceptive patches applied to? - ANSWER:Skin of the trunk (not breasts or waistline)
When compared with oral contraceptives, the transdermal formulations have what advantages? -
ANSWER:The total dose of estrogen is reduced because The liver is bypassed.
There is less nausea and vomiting.
Blood levels of estrogen fluctuate less.
There is a lower risk for DVT, pulmonary embolism,and stroke.
Estrogens for intravaginal administration are available as? - ANSWER:Inserts, creams, vaginal rings
, intra vaginal ContraCeptive use is use for? - ANSWER:Primarily treatment of vulval and vaginal atrophy
associated with menopause.
Femring can also be used for both local and systemic effects such as night sweats and hot flashes.
IV administration of estrogens are used for? - ANSWER:IM and IV routes or administrations are rare. IV
administrations are limited for acute and emergency control of heavy uterine bleeding.
When is it safe to prescribe progesterone? - ANSWER:Non contraceptive use to counteract endometrial
hyperplasia during hormone therapy
Management of dysfunctional uterine bleeding,
Amenorrhea
Endometriosis
To support pregnancy in women with corpus luteum deficiency
In invitro fertilization cycles
And to prevent prematurity in women at high risk for preterm births
When is it not safe to prescribe progesterone? - ANSWER:It is contraindicated in undiagnosed abnormal
vaginal bleeding
Active thrombophlebitis
History of thromboembolic disorders
Active liver disease
And carcinoma of the breast
What are the side effects of progesterone only contraceptives? - ANSWER:Break through bleeding,
Spotting
Amenorrhea
Instruct to report any abnormal or prolonged vaginal bleeding
What are the benefits of prescribing medroxyprogesterone acetate? - ANSWER:It protects against
pregnancy for 3 months or longer by inhibiting secretion of gonadotropins.
Not having to remember to take any pills, and not as invasive as an IUD.
what are the 6 alternatives to testosterone therapy? - ANSWER:Nasal gel
Transdermal gel
Transdermal patch
Topical solution