NR 566 Pharm final Questions and Answers with complete

Doxazosin side effects - Answer-orthostatic hypotension, falls, reflex tachycardia, headache, and nasal congestion Dutasteride patient teaching and response to delayed onset of therapeutic effect - Answer-o benefits take months to develop o decreased ejaculate volume and libido. o FDA Pregnancy Risk Category X. It can be absorbed through the skin, so pregnant women should not handle the drug. o men should not donate blood while using it or for at least 6 months after stopping it to avoid transmission to women through an infusion How to know Terazosin is working - Answer-improved symptoms of dysuria, urgency, urinary tract infections, hesitancy Various routes of administration of estrogen therapy and when each would be used - Answer-o PO— used more than any other o Compared with oral formulations, the transdermal formulations have four advantages: • The total dose of estrogen is greatly 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 o Intravaginal administration—available as tablets, creams, and vaginal rings. They are used only for local effects, primarily treatment of vulval and vaginal atrophy associated with menopause. The other vaginal ring [Femring] can also help with systemic effects (i.e. control of hot flashes and night sweats) o IV and IM—limited to acute, emergency control of heavy uterine bleeding When is it safe and not safe to prescribe progesterone (AKA: progestin) - Answer-o Safe— menopausal hormone therapy, dysfunctional uterine bleeding, amenorrhea, endometrial cacer and hyperplasia o Not safe—arterial disease, breast cancer, depressionSide effects of progestin-only oral contraceptives - Answer-o more likely to cause irregular/inconsistent bleeding o must be taken at same time every day to be effective Benefits of prescribing medroxyprogesterone acetate - Answer-protects against pregnancy for 3 months or longer Patient teaching in general and consider teaching specific to different routes of testosterone therapy - Answer-§ GELS · good hand washing is required after application · cover application site with clothing after medication has dried · females and children may experience negative effects from exposure to testosterone § PILLS · Pose a risk for hepatotoxicity, so do not take long term § PATCH · Principal adverse effect is rash at the site of application § IM · Cause variations in libido, energy, mood