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Hormones exams 2023 and more Exams Nursing in PDF only on Docsity!
Endocrine - Female and Male
Hormones exams 2023
Estrogen - Primary female sex hormone > develops and regulates the female reproductive system Secreted by the ovarian follicle and adrenal cortex Common Med Names for Estrogen - Generic Clues "prem" and "estr" Estrogen Action - Replace estrogen deficiency Estrogen Uses - Helps with symptoms of menopause Decrease risk of osteoporosis and C/V complications r/t menopause Estrogen Side Effects - n/v, HA, depression, weight gain, HTN, liver problems, increase of breast and uterine cancer Thrombus formation Estrogen Nursing Implications - Watch for s/s of side effects, of thrombus Monitor BP, weight and liver functions Encourage yearly GYN appt for breast exam, PAP smears, pelvic exam, and mammogram Estrogen Patient Teaching - yearly GYN appt s/s of side effects smoking cessation
calcium supplement do not take if pregnant Progesterone - Female hormone that plays a role in the regulation of ovulation and menstruation Secreted by corpus luteum, placenta and adrenal cortex Common Progesterone Meds - Progesterone Provera Generic clue "protest" Progesterone Action - Increase progesterone levels Progesterone Uses - Abnormal uterine bleeding >> amenorrhea, Endometriosis Side effects of Progesterone - Breast tenderness, edema, weight gain, acne, depression, HTN Progesterone Nursing Implications - Monitor BP Monitor for edema, weight gain Progesterone Patient Teaching - Report weight gain notify MD if pregnant Do not use within 6 hours of another vaginal cream Estrogen/Progesterone Combinations - Birth Control Common Names: Loestrin, Yaz, Ortho-Tri-Cyclin Birth Control Action - Inhibit Ovulation
delayed puberty Inhibit growth of estrogen fed tumors >> inoperable breast cancers that are "hormone dependent" or "estrogen fed" Testosterone Medication Side Effects - In Males: baldness, gynecomastia, impotence
In Females: Virilization > uses 1-5 years after menopause Testosterone Medication Patient Teaching - Side Effects How to give via different routes: SQ/IM Where to place patch For Females with breast cancer > 1-3 month treatment Androgen Hormone Inhibitors Common Names - Proscar, Avodart, Oroantral Androgen Hormone Inhibitor Action - Decrease the size of the prostate to allow easier urination Androgen Hormone Inhibitor Use - BPH Androgen Hormone Inhibitors Side Effects - Decreased Libido Impotence Androgen Hormone Inhibitor Nursing Implications - Liver Function test prior to starting Assess urinary pattern >> post-void residual
Androgen Hormone Inhibitor Patient Teaching - May take several weeks before results are seen Anabolic Steroids - Synthetic Variations of testosterone Used medically to increase appetite in wasting syndromes Prevents rapidly growing malignant cells in breast and endometrial cancer Illegally used by athletes to boost performance and physical appearance Common Names for Anabolic Steroids - Megases, Andro, Oxendine Side Effects of Anabolic Steroids – Behavioral Changes Liver tumors fluid retention blood clots alopecia increased MBS Nursing Implications for Anabolic Steroids – S/S of DVT, embolism Patients body image Monitor liver function tests Monitor calorie intake for aids / cancer patient Patient Teaching for Anabolic Steroids – Contraceptive measures must be used for 4 months after treatment Wig or Hair Piece until treatment is over
