METROXYPROGESTERONE

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NAME OF DRAWIN CLASSIFICA DOSAGE/ MECHANISM OF

INDICATION SIDE EFFECT NURSING RESPONSIBILITIES


DRUG G TION TIME/ROUTE ACTION

PHARMACO Dosage- Inhibits secretion of Treatment of secondary > Transient menstrual Assessment:
Generic THERAPEUT 20mg pituitary amenorrhea, abnormal abnormalities > Obtain usual menstrual
Name: IC: Hormone. Time- TID gonadotropins. uterine bleeding due to (spotting, change in history.
Medroxypro Route- PO hormonal imbalance. menstrual flow, > Question for hypersensitivity
gesterone CLINICAL: Therapeutic amenorrhea) at to progestins, possibility of
Acetate Progestin, Effect: Prevents Contraindications: initiation of therapy. pregnancy before initiating
antineoplastic follicular maturation, Hypersensitivity to > Edema, weight therapy.
Brand , ovulation. Causes medroxyprogesterone. change, breast > Obtain baseline weight, serum
Name: contraceptive endometrial Breast cancer, history of tenderness, anxiety, glucose, B/P.
Provera hormone. thinning. or active thrombotic insomnia, dizziness.
disorders, known or > Dermatologic Intervention/Evaluation:
suspected pregnancy, changes, headache, > Check weight daily; report
Date: 03- severe hepatic fever, nausea. wkly gain of 5 lb or more.
22-2024 impairment, undiagnosed > Assess B/P periodically.
abnormal vaginal Adverse effects: > Assess skin for rash, urticaria.
bleeding, cerebrovascular > Report development of chest
disease. pain, sudden shortness of
> Pulmonary/cerebral breath, sudden decrease in
Caution: embolism,retinal vision, migraine headache, pain
Patients with conditions thrombosis occur (esp. with swelling, warmth,
aggravated by fluid rarely. redness) in calves, numbness
retention, diabetes, of arm/leg (thrombotic
history of mental disorders) immediately.
depression, preexisting > Encourage small, frequent
hypercholesterolemia, meals and avoidance of triggers
hypertriglyceridemia. that exacerbate nausea.
> Assess the severity and
duration of breast tenderness.
> Provide a calm and supportive
environment for the patient.
> Ensure patient safety by
assisting with mobility and
providing support during
ambulation.

Patient Teaching:
> Encourage patient to report
sudden loss of vision, severe
headache, chest pain, coughing
up of blood (hemoptysis),
numbness in arm/leg, severe
pain/swelling in calf, unusually
heavy vaginal bleeding, severe
abdominal pain/tenderness.
> Encourage relaxation
techniques or mindfulness
exercises to promote better
sleep.

Source: Source: Source: (2021) Source: (2021) Saunder’s Source: (2021) Source: (2021) Saunder’s NDH
(2021) (2021) Saunder’s NDH NDH Saunder’s NDH
Saunder’s Saunder’s
NDH NDH

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