NUR 326 Lecture Notes - Lecture 1: Deep Vein Thrombosis, Ovarian Cyst, Dysmenorrhea
18 May 2020
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Document Summary
Women"s reproductive life cycle begins with menarche, the start of spontaneous menstruation, and continues through menopause: women in child bearing years: goal to provide effective, safe contraception, women in menopause years: goal to control symptoms. Progesterone is a naturally occurring sex hormone produced in the ovaries. Combined hormone contraceptives (chc) can be given orally, transvaginally, or transdermally. Estrogen is the major component of these products. Effects of chc include shorter menstruation duration, and less cramping, elimination of mittelshmerz. Reduces ovarian cyst, benign breast disorders, pid, ectopic pregnancy, endometrial and ovarian cancer. Monophasic new generation progestin (fixed ratio of estrogen:progesterone) Contraindications: liver, kidney or adrenal insufficiency, long-term use with nsaids (ibuprofen), k+ sparing diuretics, ace inhibitors, angiotensin-ii receptor antagonists (cozaar, diovan), and heparin. Yasmin holds onto potassium runs the risk of hyperkalemia, which may lead to cardiovascular problems (arrhythmias) Some chc such as loestrin fe provide iron during withdrawal bleeding to prevent anemia.
