WOMEN’S HEALTH

HORMONES COMMON USES WHAT I NEED TO KNOW AS A BRAND NEW

Estrogen
Common examples: Premarin
(conjugated estrogen),
Estraderm (estradiol transdermal),
Prempro (Estrogen/Progesterone
Combination)
Progesterone
Common examples: Megestrol
(Megace), Medroxyprogesterone
(Depo-Provera)
Prempro (Estrogen/Progesterone
Combination)
NURSE
Estrogen replacement * Estrogens increase the risk of cardiovascular disease and some
therapy/hormone replacement forms of breast cancer.
therapy (HRT) commonly * Adverse effects include: hypertension, HA, and weight changes.
indicated with primary ovarian Serious adverse effect: thromboembolism
failure, menopause and post- * Monitor BP, weight, serum calcium, glucose and liver enzymes
hysterectomy. * Patient should not smoke.
Other uses include: palliative * Contraindicated with thyroid dysfunction, familial history of
treatment of breast cancer, breast cancer, thrombophlebitis.
osteoporosis, prevention of post-
partum lactation and
dysmenorrhea.
Combined with progesterone for
oral contraception and often given
in combination form for HRT.
Treatment of fibroids, uterine * Adverse effects include: weight changes, insomnia, depression.
cancer, endometriosis, * Serious adverse effects include: cholestatic jaundice and
amenorrhea, uterine bleeding d/t thromboembolism.
hormone imbalance and the
treatment of premenstrual
syndrome (PMS).
Also used for preventing a
threatened miscarriage.
Combined with estrogen for oral
contraception and often given in
combination form for HRT.

UTERINE STIMULANTS COMMON USES
Oxytocin (Pitocin, Syntocinon)
Methylergonovine (Methergine)
UTERINE RELAXANTS
Ritodrine (Yutopar)
WOMEN’S HEALTH
Labor induction, postpartum
uterine atony and hemorrhage
Postpartum uterine atony and
hemorrhage
COMMON USES
Cessation of preterm labor.
WHAT I NEED TO KNOW AS A BRAND NEW
NURSE
* Monitor VS, fetal HR and rhythm, intake and output.
* Adverse effects include: tachycardia, PVC’s, hypotension,
seizures and coma.
* Stop oxytocin for contractions lasting longer than 90 seconds,
contractions < 2 minutes apart and with a pattern of fetal late
decelerations.
* Administer after delivery of the placenta.
* Serious adverse effects include: severe hypertensive episodes,
bradycardia and anaphylaxis.
* Cautious use in patients with history of migraines, diabetes, and
renal disease.
WHAT I NEED TO KNOW AS A BRAND NEW
NURSE
* Contraindicated with preeclampsia, eclampsia.
* Serious adverse effects include altered maternal and/or fetal HR
and BP
* Continuously monitor for dose-related effects to HR and BP.