Exam (elaborations)
NUR 613 Exam 6 part 2 With Complete Solutions
- Course
- Institution
NUR 613 Exam 6 part 2 With Complete Solutions...
[Show more]
Content preview
NUR 613 Exam 6 part 2 With Complete SolutionsPharmacologic methods of contraception
•Oral contraceptives
•Etonogestrel implants
•Injectable medroxyprogesterone acetate
•Intrauterine devices
•Vaginal rings
•Transdermal patches
•Non-pharmacologic methods of contraception
Surgical sterilization (tubal ligation, vasectomy)
Mechanical devices (condom, diaphragm, cervical cap)
Avoiding intercourse during periods of fertility (calendar method, temperature method,
cervical mucus method)
who should avoid Combination oral contraceptives (OCs)
•Combination oral contraceptives (OCs) should be avoided by women with certain
cardiovascular disorders, as well as by women over 35 years old who smoke.
who should avoid an IUD
•Women who are not in a mutually monogamous relationship, and hence are at risk for a
STD, should not use an IUD.
,birth control methods effectiveness
Oral Contraceptives Mechanism
Inhibition of ovulation (egg release)
Oral Contraceptives •Classification (two main categories)
•Combination oral contraceptives (OCs)
- Estrogen and progestin
•Progestin-only OCs ("mini-pills")
Oral Contraceptives •Three major subgroups of combination OCs
•Monophasic
•Biphasic
•Triphasic
Monophasic Oral Contraceptives
Exactly the same all the way through (ratio of drugs is the same)
Biphasic Oral Contraceptives
have a change in ratio of estrogen to progestin at some point
change is to mimic changes in normal estrogen cycle
Triphasic Oral Contraceptives
have two changes in ratio of estrogen to progestin at some point
,changes are to mimic changes in normal estrogen cycle
Combination OCs: Adverse Effects
•Thromboembolic disorders
•Hypertension
•Cancer
•Stroke in patients with migraine
•Abnormal uterine bleeding
•Use in pregnancy and lactation: may cause bleeding in female infants (very scary for
the parents)
•Benign hepatic adenoma
•Glucose intolerance
ACHES
•ACHES is a mnemonic that describes a set of side effects for hormonal contraceptives.
•Abdominal pain (gallbladder)
•Chest pain (cardiac)
, •Headaches (severe) (vascular dz)
•Eye problems (blurry vision) (vascular dz)
•Swelling and aching in the upper and lower legs (thromboembolism)
•ACHES could be signs of a serious disorder such as liver disease, gallbladder disease,
stroke, blood clots, escalating BP, and/or heart disease.
•Individuals need to be educated to notify their healthcare provider immediately should
they experience any sign of ACHES.
Combination OCs: Drug Interactions
Drugs that elevate potassium should be avoided by pts on Yasmin, beyaz, yaz aka
ethinyl estradiol/drospirenone
Warfarin
Anticonvulsants/antiepileptic drugs (e.g., phenytoin)
Tetracycline antibiotics and ampicillin
Theophylline
Noncontraceptive Benefits of OCs
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Easton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now