Question

Drug Cards for the following medications that describe the Drug class, Prototype Name, MOA, Major Adverse Effects, Drug Interactions and Contraindications, and Nursing Implications

Estrogen

Tamoxifen

Oral Contraceptives as a group

Clomiphene

Answer 1

Medication is chemical compound which is  prescribed to treat condition. medication can be given to patients according to the prescription. while givng medication, the nurse has to follow 5 rights

the following medication are estrogen, oral contraceptives, tamoxifen, clomiphene

name	Drug Class	prototype name	Mode of action	major adverse effcets	drug interactions	contraindicactions	nursing implications
Estrogen	Hormone	estradiol	it binds with intracellular that stimulate DNA and RNA to produce produce proteins for the acion of estrogen.it increases growth and developments of female sex organs and secondary sex characterstics and it is used in defiicency conditions	it causes edema, hypertension,headache, gynecomastia, hyperglycemia, increase eight, depression, differences in menstraual bleeding and electrolyte changes	dosage of hypoglycemic and anticogulants should be changed. its effectiveness decreases with rifampin and barbiturates	pregnancy and lactation, thromboembolic disease, vaginal bleeding	it should be administered after food to reduce nausea and advise to take solid food explains signs and symptoms of fluid accumulation   advice to apply  sun screen lotion and protective dress to pretect from darkness instruct the use of applicator
Tamoxifen	antineoplastic	estrogen receptor antagonist tamoxifen	it competes with estrogen for binding sites in breast and other tissues and decreases DNA synthesis and estrogen reacts	vaginal bleeding , nausea, depression, headache, thrombocytopenia, hypercalcemia photosensitivity	estrogen reduce the action of tamoxifen	hypersensitivity, prgenancy, lactation	it should be administered with food o avoid irritation advice to check daily educate about tumor illinitially increase insize temporarily educate to take analgesic if she has bone pain
OralContraceptives	hormones	estradiol and norgestrel	it prevent follicle development, ovulation, corpus luteum	hypertension, breast tenderness, abdominal bloating,nausea, stomach upset, spotting, dizziness, photosensitivity	antibiotic mainly rifampin, anticonvulsants reduce effect of oral contraceptive pills	undiagnosed genital bleeding, coronary artery disease, thromboembolic disease and thrombophlebities, pregnancy,liver tumor, diabetes with vascular complications, cerebrovascular disease	assess blood pressure advise to eat solid food to decrease nausea explain sign and symptoms of fluid accumulation instruct to apply sunscreen and dress to avoid photosensitivity
Clomiphene	Hormone	clomiphene citrate	oral nonsteriodal estrogen agonist it stimulates release of pituitary gonadotrophins , FHSand LH that causes ovulation and development of corpus luteum	flushing, ovarian enlargemnet, breast discomfort, nervouseness, restlessness,breast discomfort, nausea, vomiting, distension increased urine frequency and its volume	there isno drug interactions	it is contraindicated in liver disease, pregnanacy, ovarian cysts, poly cystic ovarian syndrome	advice to take medication as advised instruct to have conceive with sexual contact every other day starting 48 hr before ovulation educate about measuring basal body temperture advice to withdraw medication if conception is suspected