Therapeutics - Contraception 2

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Author:
kyleannkelsey
ID:
294256
Filename:
Therapeutics - Contraception 2
Updated:
2015-01-29 12:16:21
Tags:
Therapeutics Contraception
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Therapeutics - Contraception
Description:
Therapeutics - Contraception
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  1. What are the multiphasic COCs?
    • Estrostep
    • Loestrin 24 Fe
    • Miricette
  2. What is the advantage of multiphasic COCs?
    Reduce SE, mimic normal fluctuations
  3. If you miss 1 pill during week 1 in a COC pack, what should you do?
    • Take 2 pills APAP and finish the pack
    • Use a backup method for 7 days
  4. If you miss 1 pill during week 2-3 in a COC pack, what should you do?
    • Take 2 pills ASAP and finish the pack
    • No back-up method needed
  5. If you miss 1 pill during week 4 in a COC pack, what should you do?
    • Skip placebo pills and finish the pack
    • No back-up method needed
  6. If you miss 2-4 pill during week 1-2 in a COC pack, what should you do?
    • Take 2 pills ASAP and finish pack
    • Use a back-up method for 7 daays
  7. If you miss 2-4 pill during week 3 in a COC pack, what should you do?
    • Start a new pill pack
    • No back-up method needed
  8. If you miss 2-4 pill during week 4 in a COC pack, what should you do?
    • Skip placebo pills and finish pack
    • No back-up method needed
  9. If you miss 5 pill during any week in a COC pack, what should you do?
    • Take 2 pills ASAP
    • Start a new pill pack
    • Use back-up method for 7 days
  10. Under what condition of missed doses should you use a back-up method for 7 days?
    • Missing 1 pill in week 1
    • Missed 2-4 pills in weeks 1-2
    • Missed 5 pills in any week
  11. Under what conditions do you not need to use back-up methods after missing doses of COCs?
    • 1 pill missed in weeks 2, 3 or 4
    • 2-4 pills missed in weeks 3 or 4
  12. What are the extended cycle COCs and what is their cycle length?
    • Seaasonale – 84 days on 7 off
    • Seasonique – 91 days on (continuous estrogen)
    • Lybrel – 365 (continuous progestin and estrogen)
  13. What is the disadvantage of Seasonale?
    Increased bleeding/spotting (decreases with use)
  14. What is the dose and generic name for Seasonale?
    0.15 mg levonorgestrel/ 0.03 mg ethinyl estradiol
  15. What is the advantage of Lybrel?
    No withdrawal bleeding due to continuous levonorgestrel and estradiol
  16. How should you counsel a patient on Extended cycle COCs?
    • Take beginning on Sunday
    • Use a back-up method for 7 days
    • Missed dose:
    • 1 pill = take 2 the next day
    • 2 pill = take 2 for next 2 days and use back up method for 7 days
  17. What time frame are emergency contraceptives useful?
    • Most effective = 24-72 hours
    • Withing 5-7 days
  18. What are the emergency Contraceptives?
    • Plan B
    • Plan B one step
    • Ella
    • Paragaurd IUD
  19. What is the Yuzpe method?
    Taking COCs in a certain order to prevent pregnancy
  20. Which OC emergency pill requires a prescription?
    Ella
  21. What is the maximum number of emergency contraception doses per month?
    None
  22. How should you counsel a patient on Emergency contraceptive use?
    • Take an antiemetic 1 hour prior
    • Contact a Healthcare provider if vomiting occurs w/in 1 hour of use
    • Take a pregnancy test if menses do not occur in 3 weeks
    • If repeated use: use back up method for 7 days
  23. What are the disadvantages/SE of Emergency contraception?
    • N/V, abdominal pain, HA and menstrual changes
    • May alter cycle by 1 week

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