Card Set Information
Male and female hormones
secretion is influenced by the anterior pituitary gland
examples of androgens
testosterone, fluoxymesterone, methyltestosterone
stimulates the growth in size of the accessory sex organs
prmote tissue building
can androgen be administered to both men adn women? what for?
yes, and to increase sense of well being and sex drive
andrgen replacement therapy is given to men for what reasons?
testosterone deficiency, hypogonadism, delayed puberty
androgens are administered to women for what reason?
postmenopausal (1-5) yrs, metastatic breast carcinoma, premenopausal, hormone dependent, removal of ovaries may require the need for tertosterone as well as estrogen
side effect of androgens? male and female
: gynecomastia, testicular atrophy, enlargment of the penis, erectile dysfunction
: amenorrhea, virilization
synthetic drugs chemically related to androgens
anabolic steriods function?
promote tissue growth, but have minimal effects on sex characteristics
ex of anabolic steriods
nandrolone and oxymetholone
management of anemia and renal insufficiency, controls metastic breast cancer and promotes wight gain such as after surgery, HIV or infections
adverse reactions of anabolic steriods? males and females
: gynecomastia. testicular atrophy, sexual dysfunction
: virilization, ammenorhea
virilization is what?
when females develops male sex characteristics
anabolic steriods and do psyiological changes how?
roid rage, suicidal tendencies, personality changes
what should the nurse watch for while on anabolic steriods and androgens?
weight, adverse affects, electrolyte imbalance
synthetic compound drugs which inhibit the conversion of testosterone into DHT
androgen hormone inhibitor
what gland is dependent on DHT for development?
examples of DHT
what is androgen hormone inhibitor used to treat
male pattern bladness, symptoms of BPH
adverse effects of AHI?
impotence, decreased libido and ejaculate
when administering these hormones how should pellet be placed and how often?
under the skin and 3-6 mo
how should oral hormones be given?
with or before meals to decrease GI upset
on transdermal what are the sites?
ABD,thight, back or upper arm
What are some drugs to treat erectile dysfunction?
Viagra, Cialis, Levitra
how should viagra be taken?
30 min - 4hrs before sexual activity
how should cialis be taken?
36 hrs before sexual activity
how should levitra be taken?
1 hr before sexual activity
what hsould a nurse look for if a male is being put on erectile dysfunction medication?
cardiac problems esp if they are hypotension medication
female hormones are produced by what?
anterior pituitary gland
natural and synthetic progesterones are called what?
examples of progesterones?
medroxprogesterone and norethindrone
what is estrogen secreted by?
ovarian follicle and in smaller amount by the adrenal cortex
what restores the endometrium after menstruation?
what stimulatesthe fallopian tube contractions to promote the movement of the ovum?
what thins cervical muscus/
what does estrogen alter?
mineral, carbs, protein and lipid metabolism
what is something estrogen does?
contributes to the conservation of calcium and phosporus which decreases osteoporosis
what suppresses androgen production
this hormone decreases LDL and increases HDL
if estrogen is used with progesterone is is used for what?
a contraceptive agent
what treatments are estrogen used for?
decreased menopausal symptoms (hot flases, sweating), female hypogonadism, atrophic vaginitis, prevent osteoporosis, acne in adults, pallitive treatment of advanced protastic cancer
estrogen can also be administered to treat?
premenopausal females after an oopherectomy, primary ovarian failure, uterine bleeding due to hormonal imbalance
the use of progesterone decreases the risk of what cancer?
adverse reactions of estrogen?
HA, dizzy, depression, n/v, bloating, cramps, dysmenorrhea, pms, amenorrhea, dermatitis, cholasma, melasma, pain at site, red or irritation
other changes in women from estrogen reactions?
change in libido, breast pain, enlargment, PE, venous thromboembolism, weight gain or loss
warning associated with estrogen use?
endometrial CA, gallbladder disease, HTN, CV disease, thromboembolic disease, hypercalcemia
is there is to little estrogen administered what will happen?
endometrium will bleed 48-72 hrs
is to much estrogen is given what is to happen?
n/v/d, bloating, dysmenorrhea, melasma, HTN, migraine, breast tenderness, edema
administration routes of estrogen?
PO, IM, IV, transdermal, vaginally
secreted by the corpus lutem, placenta and in small amount adrenal cortex
actions of progestins?
readys the endometrium for implantation of a fertilized ova, necessary for placenta development, inhibits pituitary gonadotropins which cause maturation of the ovarian follicle and ovulation
uses of progestins?
amenorrhea, endometriosis, uterine bleeding
examples of progesterone?
crinone, noredthindrone, medroxyprogesterone
adverse reaction of progesterone?
bleeding, spotting, change in menstrul flow, amenorrhea, breast tenderness, edema, weight changes, acne, cholasma, insomnia, mental depression
3 types of contraceptive hormones
monphasic, bi and triphasic
fixed does of estrogen and progestin thoughout cycle
deliver hormones similart to the levels naturally produced by the body
bi and triphasic
benefits of contraceptives?
regulates cycle, dysmenorrhea, decreased incidence of iron deficiency, decrease fibrocystic breast disease, decrease risk of cancer, reduce acne of women 15 and older
what does smoking increase the risk for on hormones?
arterial, venous thromboembolism, mi and stroke
example of monophasic?
yaz, ortho novum 1/50, ortho-cyclen
examples or biphasic?
sesonique, otho-novum 1/11
examples of triphasic?
ortho tri-cyclen, ortho-novum 7/7/7, tripasil
CV risk increased during what hormone therapy? and why?
estrogen bc of cigarettes?
when takin plan b what should be a requirement for calling the doctor?
vomiting with in 1 hour after does...dose should be taken with first 72 hrs then 12 hrs after initial dose
when should estrogen be stopped for what procedures?
4 weeks and ones associated iwht prolonged immobilization
nursing considerations for immediate report?
numbness, leg stiffness, chest pain, dark urine, yellow skin or sclera, light colored stool, sudden abd pain, pregnancy, bleeding that doesnt stop or discharge