-
secretion is influenced by the anterior pituitary gland
androgen
-
examples of androgens
testosterone, fluoxymesterone, methyltestosterone
-
stimulates the growth in size of the accessory sex organs
testosterone
-
prmote tissue building
anabolism
-
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
- in males: gynecomastia, testicular atrophy, enlargment of the penis, erectile dysfunction
- in females: amenorrhea, virilization
-
synthetic drugs chemically related to androgens
anabolic steriods
-
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
anabolic steriods
-
adverse reactions of anabolic steriods? males and females
- males: gynecomastia. testicular atrophy, sexual dysfunction
- females: 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?
prostate
-
examples of DHT
finasteride, dutasteride
-
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?
progestins
-
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?
estrogen
-
what stimulatesthe fallopian tube contractions to promote the movement of the ovum?
estrogen
-
what thins cervical muscus/
estrogen
-
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
estrogen
-
this hormone decreases LDL and increases HDL
estrogen
-
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?
endometrial
-
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
progesterone
-
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
monphasic
-
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
-
estradiol?
endogenous estrogen
-
estrone?
endogenous estrogen
|
|