In: Nursing
make a drug card for estrogen-progestin combination
oral contraceptive.
Include 3 different facts for drug class, action if more than
one,side effect,nursing interventions
Ans) Oral contraceptives (birth-control pills) are used to prevent pregnancy. Estrogen and progestin are two female sex hormones. Combinations of estrogen and progestin work by preventing ovulation (the release of eggs from the ovaries.
- Action: Combined hormonal contraceptives consist of an estrogen and a progestogen, and act primarily by preventing ovulation through the inhibition of the follicle-stimulating hormone and luteinizing hormone.
- Benefits:
• Decreased risk of ovarian and endometrial cancers, ectopic
pregnancy, ovarian cysts, benign breast disease
• Improvement in acne
• Less-severe menstrual cramps (dysmenorrhea)
• Reduction in androgen production caused by polycystic ovary
syndrome
• Reduction in heavy menstrual bleeding due to uterine fibroids and
other causes, as well as a reduction in related iron
iron-deficiency anemia
• Relief from premenstrual syndrome (PMS)
Shorter, lighter and more-predictable periods or, for some types of
combination pills, fewer periods yearly
• Better control of monthly cycle and a reduction in hot flashes
for women nearing menopause (perimenopause).
Side effects:
- Combination birth control pills can cause side effects such as:
• Breakthrough bleeding or spotting — more common with
continuous-dosing or extended-cycle pills
• Breast tenderness
• Elevated blood pressure
• Headaches
• Nausea
• Bloating
Preparation:
Combination pills are categorized based on whether the dose of hormones stays the same or varies:
Monophasic. Each active pill contains the same amount of
estrogen and progestin.
Biphasic. Active pills contain two combinations of estrogen and
progestin.
Triphasic. Active pills contain three combinations of estrogen and
progestin. In some types, the progestin content increases; in
others the progestin dose remains steady.
To use combination birth control pills:
-Consult your health care provider about a starting date.
-Pick a time to regularly take the pill.
-Follow your health care provider's instructions carefully.
-Be cautious with missed pills
-Don't take breaks between packs.