Test 4 - Contraceptives (Josh) Flashcards Preview

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Flashcards in Test 4 - Contraceptives (Josh) Deck (24)
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1
Q

Which two hormones are released to stimulated ovulation?

What are they released by?

A

FSH (Follicle Stimulating Hormone)
LH (Leutenizing Hormone

Released by the hypothalamus

2
Q

—- & —- trick the hypothalamus so that FSH & LH are not released

A

Progestin

Estrogens

3
Q

Blocking FSH & LH does what?

A

1) Stop Ovulation
2) Thicken cervical mucous
3) Thin uterine lining

4
Q

Classes of Contraceptives:

A
  • Estrogen-Progestin Oral Contraceptives
  • Progestin Oral Contraceptives
  • Non-oral Contraceptives
5
Q

Combo oral contraceptives are all a combination of what?

A

Estrogen & Progestin

6
Q

What are other indications for Estrogen-Progestin Oral Contraceptives?

A
  • Premenstrual Dysphoric Disorder (PMDD)

- Acne

7
Q

What is PMDD?

A

Premenstrual Dysphoric Disorder

  • it is PMS w/ depression
8
Q

Why do you have inactive tablets on the fourth week?

A

Menstruation happens on that week

9
Q

A/E of Estrogen-Progestin Oral Contraceptives:

A
  • Nausea
  • Breast Tenderness
  • Spotting
  • Weight gain (edema)
10
Q

What is the worst case scenario adverse effect of E-P Oral Contraceptives?

A

Thromboembolism

  • primarily caused by estrogen
  • not as common today b/c the doses are lower
11
Q

E-P Oral Contraceptives are contraindicated for whom?

A
  • smokers > 35 years old

- history of thromboembolism

12
Q

Drospirenone (4th-generation progestin) causes what adverse effect?

A

Hyperkalemia

  • avoid ACE inhibitor, ARB, Spironolactione, K+ supplements
13
Q

Progestin Oral Contraceptives do not do what?

A

DON’T stop ovulation

They do thicken cervical mucous and thin uterine lining

50% of people will STILL ovulate

14
Q

Progestin Oral Contraceptives have which other uses?

A
  • dysfunctional uterine bleeding
  • amenorrhea
  • infertility
15
Q

Which class of Oral Contraceptives do NOT have an off week?

A

Progestin Oral Contraceptives

16
Q

What are some other diff. b/t E-P Oral Contraceptives and Progestin Oral Contraceptives?

A

Progestin Oral Contraceptives:

  • have more breakthrough bleeding
  • no Thromboembolism risk
  • have less room for error (can’t miss a dose)
17
Q

Typical Contraceptive Use Results:

A

E-P Contraceptives: 95% effective
Progestin Only: 95% effective
Condom: 86% effective

18
Q

Which class of oral contraceptives blocks ovulation?

A

Combo (E-P) Contraceptives

  • remember, Progestin Only Contraceptives thicken mucous and thin lining but DON’T block ovulation
19
Q

Why should women using IUDs only be in monogamous relationships?

A

They should have a LOW risk of STD b/c there is a severe risk of PID (Pelvic Inflammatory Disease) secondary to STD

20
Q

Why should clients take extra precautions if taking a spermicide that has nonoxynol-9?

A

nonoxynol-9 may INCREASE risk of HIV by promoting lesions that facilitate HIV penetration of cells

21
Q

If a ring is expelled before it should be removed, what can you do?

A

It can be washed off in war water (not hot) and reinserted

If it’s been longer than 3 hours, use backup contraceptive for ~7 days

22
Q

When should a client begin taking her pill?

A
  • on first day of menstrual cycle (immediate protection)

OR

  • the first Sunday after onset of menses (protection may not be immediate and use a backup method for a while)
23
Q

Who should NOT take combo birth control?

A
  • smoker > 35

- history of thromboembolism

24
Q

What should a client on oral contraceptives do if they take a CYP inducer medication?

A

Use an alternative form of contraception while on the medication