OB_Depo-Provera (medroxyprogesterone)

OB_Depo-Provera (medroxyprogesterone) - Depo-Provera...

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IM (Adults): 150 mg within first 5 days of menses or within 5 days postpartum, if not breastfeeding. If breastfeeding, give 6 wk postpartum; repeat q 3 mo. medroxyprogesterone (Depo-Sub Q Provera 104) Subcut (Adults): 104 mg within first 5 days of menses or within 5 days postpartum, if not breastfeeding. If breastfeeding, give 6 wk postpartum; repeat q 12-14 wk. C- Therapeutic: contraceptive hormones A - Prevention of pregnancy Major side effects: CNS: depression, migraine headache. EENT: contact lens intolerance, optic neuritis, retinal thrombosis. CV: CEREBRAL HEMORRHAGE , CEREBRAL THROMBOSIS , CORONARY THROMBOSIS , PULMONARY EMBOLISM , edema, hypertension, Raynaud's phenomenon, thromboembolic phenomena, thrombophlebitis. GI: abdominal cramps, bloating, cholestatic jaundice, gallbladder disease, liver tumors, nausea, vomiting. GU: amenorrhea, breakthrough bleeding, dysmenorrhea, spotting, Intrauterine levonorgestrel only-- uterine imbedment/uterine rupture. Derm: melasma, rash. Endo: hyperglycemia. MS: Injectable medroxyprogesterone only-- bone loss . Misc: weight change. Nursing Implications: Assess blood pressure before and periodically during therapy. Acne: Assess skin lesion before and periodically during therapy. Lab Test Considerations: Monitor hepatic function periodically during therapy. Estrogens only --May cause ↑ serum glucose, sodium, triglyceride, VHDL, total cholesterol, prothrombin, and factors VII, VIII, IX, and X levels. May cause ↓ LDL and antithrombin III levels. May cause false interpretations of thyroid function tests.
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This note was uploaded on 11/08/2010 for the course NUR 2000 taught by Professor Rn during the Spring '10 term at Florida State College.

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OB_Depo-Provera (medroxyprogesterone) - Depo-Provera...

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