Oral contraceptives, medroxyprogesterone (Depo-Provera), transdermal patch, vaginal ring, subdermal implant, intrauterine device (IUD). Includes the side effects, contraindications, and patient teaching.
To be talking to you about hormonal methods along using our maternity nursing flashcards. these are available on our website, leveluprn.com, and if you already have a set for yourself, i would absolutely invite you to follow along with me. all right. let’s get started. okay, so first up, we are talking about oral
Contraceptives, oral contraceptives, or the birth control pill, and these are going to be very popular. you will see many patients taking these. but there’s some really important stuff to understand. first of all, there’s something called the mini pill or contains the synthetic form of progestin, it does not have
Any estrogen. then we have combined oral contraceptives, and as their name may imply, a combination of estrogen and progestin. so with the mini pill, the progestin only-pill, there is no increased risk of clots, dvts, estrogen. but what you do need to know is that this is the only birth control pill that is safe
For breastfeeding patients. because estrogen is passed through breast milk the only one that can be used when breastfeeding is the progestin-only mini pill. very important to educate patients that they need to take it at the exact same time every day with the same amount of food in their stomachs because it can change the
Absorption time if there’s food in the stomach one day and not the other, these are very time-sensitive. now, combined oral contraceptives, again, very important to take it every single day. but this one has some better coverage, it’s more effective, but it carries the risk for thromboembolic events your patients on
What to look for there, pain in the leg, redness in the leg, chest pain, difficulty breathing, all of those would be a big deal. and if my patient were a smoker, if they had a personal or family history of blood clots smoker, i would very much encourage them nice, cool chicken hint down here at the bottom. it
Says oral contraceptives cause clotting, but i would add another word in front of that and say combined oral contraceptives cause clotting. a lot of different side effects on here, all right. so let’s move on to medroxyprogesterone. medroxyprogesterone, so this is going to be an injection. this is actually
An im injection that a patient should receive. it’s going to be about every three months and the patients will be receiving a card at each injection that tells them when their next one is due. and most of the time, it’s a really good idea to go ahead and schedule that next injection this one, but the biggest one that i
Want to call your attention to, and it is in big, bold red letters, is going to be that with long-term can experience bone demineralization. so increase your intake of calcium and vitamin d all right, moving on to a few more that you may have heard of. they’re not quite as common, the transdermal patch,
The vaginal ring, the end of this video, because i’m going to tell you a true story about one of these. so the transdermal patch, this is a patch that is applied to the abdomen, the buttocks or the arm, do not apply it to the breast, though. this one is going to be a patch left in place for one week. it will
Be changed, so you’ll wear it for a week, a new patch for a week, a third patch for a week, and then one week off. the vaginal ring is an actual ring, it’s a small clear ring that is inserted vaginally and left in place for three weeks, removed for the fourth week, and that triggers a menstrual cycle. okay, very important
To know that. subdermal implants, a subdermal implant is placed subcutaneously here in the arm really, really great option. it may cause it is very important to educate your patients that these do not provide any protection against and lastly, we’re going to talk about the intrauterine device. so this
Is commonly called an iud, there are multiple different types. there the copper iud, paragard, is non-hormonal, but we kind of lump it in with hormonal because most of them are. so this one can be left in place for patient receives. so anywhere from 3 to 12 years, it can be left in place, but it must be placed
By a health care provider. super duper important patient teaching. there are some strings that hang out of the cervix from the iud, this allows the health care provider to grasp the strings and remove it when the patient would like to have it removed. these strings are kind of similar to fishing line, but the longer they
Are left in the body, they will soften and they will kind of curl up at the edges and they will be non-obstructive, non-obtrusive. you need to educate your patient, though, to check the strings once a month. still feel the strings, that they haven’t suddenly gotten much longer or much shorter or disappeared
Entirely because it is possible for an iud to be expelled, meaning pushed out of the body. it is also possible for the iud to become dislodged and either be too low in the cervix, not the uterus, or perforate the uterus entirely and possibly important for patients to check their string length and if there’s a change
In their string okay, that is it for hormonal methods of contraception. super duper important stuff, so be sure to brush up on it. i hope that review was helpful. if it was please like this video so that i know. if you have a great way to remember something or a great story you want to share, i definitely want to hear
It, and i know everybody else does, too. so please comment below so that we can see it. and you definitely want to subscribe to the channel, you want to be the first to know when more videos come out. the next video in this series is going to be talking about permanent all right, thanks so much and happy studying. so
When i was working outpatient obgyn, one of my jobs was to be the phone triage person, so their question or whatever and either give them advice or move it on to the physician. who said, “i was just in the other day, tell me a little bit about what’s going on.” and she was like, “it’s turned my fingers blue,”
Vaginal ring is turning your fingers blue? some more questions, and she says, “it’s just sorry. where is the nuvaring?” and she said, “it’s around my wrist,” she’d been wearing it like a bracelet, like a hair tie around her wrist, and it was cutting off the circulation to her fingers. if you’ve ever seen one or
Felt one, they are flexible, but they’re not stretchy. so she had to fight it to get it over onto her wrist. it’s a true story. it really happened to me. but it also is just another example of why patient education is so important, why it is so important not to assume that your patients have the same they
Definitely don’t, and to take your time to go line-by-line and just really make sure that they understand what they’re supposed to be doing with their medication or their lifestyle changes because otherwise, stuff like that can happen. i invite you to subscribe to our channel and share a link with your classmates and friends
In nursing school. if you found value in this video, be sure to hit the like button and leave us a comment and i invite you to subscribe to our channel and share a link with your classmates and friends in nursing school. if you found value in this video, be sure and hit the like button, and leave a comment and
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Transcribed from video
Hormonal Methods of Contraception – Preconception – Maternity Nursing @Level Up RN By Level Up RN