Reproductive Female
Medications that reduce efficacy of birth control
Antibiotics, anticonvulsants
What meds are contraindicated with sildenafil?
Nitroglycerin
What should be checked before administering digoxin?
Apical pulse, potassium level
Side effects of colchicine
Rhabdomyolysis (muscle pain/weakness), GI symptoms, bruising/bleeding
DOC for Parkinson's
Carbidopa-levodopa
Side effects of progesterone
Edema, breakthrough bleeding, migraine headache, blood clots, jaundice, breast cancer,
Side effects of Phosphodiesterase Type 5 Inhibitors
Priapism (erection more than 4 hours), sudden hearing loss, MI/sudden death, hypotension
What can happen with abruptly stopping a beta blocker?
Rebound sympathetic activation
Patient education for gout treatment
Seizures
What to do if a patient misses a birth control pill
Take when they remember and keep taking as prescribed after
5-Alpha Reductase Inhibitors, Alpha-1 Adrenergic Agonists
Side effects of verapamil
bradycardia, hypotension, reflex tachycardia, edema, dizziness
Patient education for methotrexate for RA
Do not take if pregnant, do not drink alcohol, monitor for signs of infection, report signs/symptoms of bleeding
Seizure Considerations
Pad bed rails, turn pt to the side, don't put anything in their mouth, don't restrain pt, supplemental oxygen
What are contraindications for estrogen/progesterone therapy?
Smoking, HTN, Hx of breast/ovarian/endometrial cancer, pregnancy, Hx of DVT
Side effects of finasteride
Sexual dysfunction, gynecomastia
How to differentiate between a febrile or hemolytic transfusion reaction?
Hemolytic- fever, flank pain, bloody urine, labs show hemolysis
Side effects of hydroxychlorquinolone
retinal damage
What lab would tell us a patient needs darbopoetin?
Hgb, Hct, RBCs
Patient instructions for levonorgesterol?
Take within 72 hours of unprotected intercourse, doesn't protect against STIs, monitor for side effects (heavy bleeding/nausea), evaluate for pregnancy if not period for 21 days
Why would a patient be on finasteride? (multiple uses)
Alopecia, BPH (urinary retention, elevated PSA, nocturnal urination, difficulty urinating)
S/S of hyperkalemia associated with ACE inhibitors
Muscle weakness, irregular heartbeat
Contraindications for calcitonin
Side effects of growth factors
Hypertension, thrombotic event