DRUG NAME CLASSIFICATION/ INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING

MECHANISM RESPONSIBILITY
ACTION

Nursing responsibilities
in administering the
CLASSIFICATION: -used to increase the - Hypersensitivity to Breakthrough drug is:
PROGESTINS level of progesterone in progesterone. History of or bleeding/spotting at
women taking fertility suspected carcinoma of beginning of therapy, Assessment and
Promotes mammary treatments because these breast, active breast amenorrhea, change in Evaluation
gland development, treatments tend to cancer; thromboembolic menstrual flow, breast  Ask if
relaxes uterine decrease progesterone disorders, thrombophlebitis, tenderness.Edema, hypersensitivity to
smooth muscle, levels. missed abortion or ectopic Weight gain/loss, rash, progestins before
induces secretory pregnancy, severe hepatic pruritus, initiating therapy.
changes in  Obtain baseline
dysfunction, undiagnosed photosensitivity,
endometrium, blocks weight, serum
abnormal vaginal bleeding, skinpigmentation.
follicular maturation glucose level, B/P.
use as a pregnancy test. Pain/swelling at  Question history of
BRAND NAME: and ovulation and injection site,acne, thromboembolism.
maintains pregnancy. depression,
ENDOMETRIN  Check weight daily;
REFERENCES: alopecia,hirsutism. report weekly gain
GENERIC over 5 lbs.
Kizior,R &  Assess skin for
PROGESTERONE rash, urticaria.
Hodgson,K.
(2019).Saunders:  Immediately report
DOSAGE
Nursing Drug development of
ROUTE: Handbook. chest pain, sudden
shortness of
Elsevier.Pg
INTRAVAGINAL breath, sudden
decrease in vision,
migraine
 headache, pain
(esp. with swelling,
warmth, redness)
in calves,
numbness of
arm/leg (thrombotic
disorders).
 Check B/P
periodically.

Patient/Family
Teaching

 Use sunscreen,
protective clothing
to protect from
sunlight, ultraviolet
light until tolerance
determined.

 Report abnormal
vaginal bleeding,
other related
symptoms.