Therapeutics Female 2

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Author:
kyleannkelsey
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250049
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Therapeutics Female 2
Updated:
2013-12-01 18:55:28
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Therapeutics Female
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Therapeutics Female 2
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  1. What are the signs and symptoms of Menopause?
    Irregular periods, hot flashes, sleep issues, weight gain, breast reduction, vaginal dryness, night sweats, mood changes, thinning hair, dry skin
  2. What are the consequences of use for Pyridoxine (B6) in the treatment of PMS?
    HA, N, AST increase (liver enzyme), neurotoxicity (at ↑ doses)
  3. What groups are at risk with Pyridoxine (B6) treatment for PMS?
    Hepatic disease, neuropathy
  4. Vitamin E is effective for what types of PMS symptoms?
    Anxiety, depression and food cravings
  5. What is the MOA of Vit E for treatment of PMS?
    Not known
  6. What are the safety and effectiveness ratings for Vitamin E treatment of PMS?
    Likely safe and possibly effective THOUGH, LIKELY UNSAFE OVER 1000 MG/DAY
  7. What are the consequences of use for Vitamin E in the treatment of PMS?
    Fatigue, HA, endocrine issues, diarrhea, N, intestinal cramps
  8. What are the at risk populations for Vitamin E therapy for PMS?
    Vitamin K deficient
  9. What are the effectiveness and safety ratings for Chasteberry for PMS and PMDD?
    Likely safe and possibly effective
  10. What symptoms of PMS are treated with Chasteberry?
    Breast Tenderness, Cramping and Swelling
  11. What is the MOA for Chasteberry for the treatment of PMS?
    Dopaminergic and Serotonergic effects
  12. What are the consequences of use for Chasteberry?
    Headache, GI upset, irregular menstrual bleeding, N, insomnia and weight gain
  13. What populations are at risk with Chasteberry use?
    Patients considering In vitro fertilization, hormone sensitive cancers
  14. What are the effectiveness and safety ratings for Ginkgo?
    Likely safe and possibly effective
  15. What symptoms of PMS are treated with Ginkgo?
    Breast tenderness and neuropsychological issues
  16. What is the MOA for Ginkgo for the treatment of PMS?
    Unknown, may have GABA effects or inhibit reuptake of Dopamine
  17. What are the consequences of use for Ginkgo?
    GI upset, HA, palpitations, dizziness, constipation, skin reactions and spontaneous bleeding
  18. What populations are at risk with use?
    Bleeding disorders, trying to conceive, diabetes and epilepsy
  19. Saffron and Brewer’s yeast have what effectiveness ratings?
    Possibly effective
  20. What are the effectiveness and safety ratings for Primrose oil for PMS?
    Likely safe and possibly Ineffective
  21. What are the effectiveness and safety ratings for St. John’s Wort for PMS?
    Likely safe and insufficient evidence for effectiveness
  22. Define Dysmenorrhea:
    Cramping dull or throbbing pains in the lower abdomen happening right before or during menses
  23. In what age group does Dysmenorrhea peak at?
    Late teens early 20s
  24. What percent of menstruating women are effected by dysmenorrhea?
    50%
  25. What is the etiology of dysmenorrhea?
    Prostaglandins are released that cause the uterus to contract
  26. What are the common symptoms of Dysmenorrhea?
    Pain in the lower abdomen that can radiate to the thighs and lower back
  27. What are signs of severe Dysmenorrhea?
    Loose stools, sweating, dizziness, nausea and Vomiting
  28. What is Nulliparity?
    Woman never having given birth
  29. What are the groups at risk for Dysmenorrhea?
    Obesity, FH, nulliparity, smoking, heavy/long menstrual flow, <12 at menarche
  30. What are non-pharmacological treatments for Dysmenorrhea?
    Diet ∆, Rest, Heat, loose clothing, exercise, massage, transcutaneous electrical nerve stimulation
  31. What are good diet choices to reduce Dysmenorrhea?
    Low-fat or vegetarian diet
  32. What is the proposed MOA for Low fat/vegetarian diet in the treatment of Dysmenorrhea?
    Raises levels of sex hormone bound to globulin which inactivates estrogens which decreases prostaglandins
  33. For the treatment of Dysmenorrhea, when would you tell a patient to begin taking an NSAID?
    The day before expected pain/menses
  34. Should patients taking NSAIDs for Dysmenorrhea take them on a schedule or as needed?
    On a schedule
  35. Vitamin E can help with what symptoms of Dysmenorrhea?
    Pain severity, duration and can decrease bleeding
  36. What dose of Vitamin E is recommended for treatment of Dysmenorrhea?
    200-500 IU per day
  37. What is the MOA of Vitamin E for the treatment of Dysmenorrhea?
    Unknown
  38. What are the consequences of use for Vitamin E in the treatment of Dysmenorrhea?
    Fatigue, HA, endocrine issues, intestinal cramps, diarrhea and nausea
  39. What bacteria are commonly implicated in TSS?
    MSSA or MRSA
  40. What is Toxic shock syndrome?
    Rare but life threatening complication of a bacterial infection caused by toxic shock syndrome toxin-1
  41. What percent of TSS is menstrual TSS?
    45%
  42. TSS is increased or declining over the last 20 years?
    Declining
  43. A patient has a sudden high fever, confusion and sunburn like rash one their palms and soles of feet and redness of the mouth throat and eyes. What do you suspect?
    Toxic Shock Syndrome

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