Darlene Shared "REPRO" - 72 Picmonics
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REPRO
Tamoxifen
- Mechanism of Action
- Selective Estrogen Receptor Modulator (SERM)
- Antagonist on Breast Tissue
- Indications
- ER-positive Breast Cancer
- Side Effects
- Decreased Risk of Osteoporosis
- Increased Risk of Endometrial Cancer
- Increased Risk of Venous Thromboembolism (VTE)
1 min
Breast Cancer Diagnosis
- Mammography
- Ultrasound
- MRI for High Risk Patients
- Confirmed with Biopsy
- Considerations
- Lymph Node Involvement
- Receptor Positivity
- Estrogen and Progesterone Receptors
- HER-2
2 mins
Breast Cancer Interventions
- Radiation or Chemotherapy
- Hormonal Therapy
- Tamoxifen
- Lumpectomy
- Mastectomy
- Avoid BP and Injections Affected Arm
- Hand Exercises
- Considerations
- Grief Related to Body Image
- Prosthetics
- Reconstruction
- Lymphedema
3 mins
Dysfunctional Uterine Bleeding
- Assessment
- Bimodal Age Distribution
- Painless Vaginal Bleeding
- Amenorrhea
- Menorrhagia (Heavy Menstrual Bleeding)
- Metrorrhagia (Bleeding Between Menses)
- Interventions
- Balloon Thermotherapy
- Hormone Medications
- Dilation and Curettage (DandC)
- Considerations
- Monitor for Anemia
3 mins
Menopause Lab Findings
- Decreased Estrogen
- Lack of Negative Feedback
- Increased FSH
- Increased LH
- Increased GnRH
- Small Amount of Estrogen From Androgen Conversion
- Increased Androgens = Hirsutism
1 min
Ovulatory Hormones I - Follicular Phase
- Characteristics
- 0-14 Days
- GnRH Stimulates FSH and LH
- Follicle Secretes Estrogen
- Negative Feedback from Estrogen
- Increased Estrogen Leads to Positive Feedback
- FSH and LH Surge
- LH Spike Leads to Ovulation
2 mins
Ovulatory Hormones II - Luteal Phase
- Days 15-28
- Corpus Luteum
- Secretes Progesterone
- Negative Feedback inhibits FSH and LH
- No pregnancy forms Corpus Albicans
- Stops Estrogen Secretion
- Endometrial Sloughing - Menses
- GnRH secretion produces new follicular phase
2 mins
Endometriosis
- Cause
- Endometrial Tissue Outside Uterus
- Retrograde Menstrual Flow
- Assessment
- Dysmenorrhea
- Cyclic Pelvic Pain
- Irregular Vaginal Bleeding
- Pain with Defecation
- Dyspareunia
- Interventions
- Medications to Decrease Ovulation
- NSAIDs
- Surgery
2 mins
Fetal Circulation
- Placenta
- Umbilical Vein
- Ductus Venosus
- Right Atrium
- Foramen Ovale
- Left Atrium
- Aorta
- Right Ventricle
- Ductus Arteriosus
- Umbilical Arteries
2 mins
Postnatal Circulation
- Infant Breathes
- Decreased Pressure in Pulmonary Vasculature
- Decreased Right Heart Pressure
- Increased Left Atrial Pressure
- Closes Foramen Ovale
- Increased O2
- Decreased Prostaglandins
- Closed Ductus Arteriosus
- Pharmacologic Intervention of Ductus Arteriosus
- Open with Prostaglandins
- Closed with Indomethacin
3 mins
Patent Ductus Arteriosus
- Continuous
- Machine like murmur
- Often Due to Congenital Rubella
- Prematurity
1 min
Prenatal Nutrition
- Prenatal Vitamins
- Iron Supplement 30 mg Daily
- Folate/Folic Acid 400 mcg Daily
- Appropriate Weight Gain Recommendations
- 340 Calorie Increase
- 25 gram Protein Increase
- Foods and Substances to Avoid
- Coffee, Alcohol, Tobacco
- Fish Containing High Mercury Levels
3 mins
Prenatal Care
- Prenatal Visits
- Vital Signs, FHR
- Fundal Height
- Urine Dipstick
- Weight
- Prenatal Screening
- Laboratory Testing
2 mins
Lab and Diagnostic Tests During Pregnancy
- Complete Blood Cell Count
- Blood Typing
- Rubella Titer
- Hepatitis B
- HIV Testing
- Urinalysis
- Diabetes
- Pap Smears
2 mins
Lab and Diagnostic Tests During Pregnancy (Other Visits)
- Diagnosis
- 10-13 Weeks
- Offer Chorionic Villus Sampling (CVS)
- 15-18 Weeks
- Quad Screen
- 18-20 Weeks
- Ultrasound
- Anatomic Screening
- 24-28 Weeks
- One-Hour Glucose Challenge Test
- 35-37 Weeks
- Streptococcus Agalactiae
3 mins
Hyperemesis Gravidarum
- Signs and Symptoms
- Excessive Vomiting
- Significant Weight Loss
- Dehydration
- Hypotension
- Electrolyte Imbalance
- Interventions
- Antiemetics
- Frequent Small Meals
- IV Therapy
2 mins
Amniocentesis
- Mechanism
- Transabdominal Puncture
- > 14 weeks gestation
- Indications
- Genetic and Congenital Anomalies
- Fetal Hemolytic Disease
- Fetal Lung Maturity
- Complications
- Miscarriage
- Hemorrhage
- Infection
- Considerations
- RhoGAM (Rh Immune Globulin)
2 mins
Contraception
- Indications
- Preventing Unplanned Pregnancy
- Barrier Methods
- Spermicides
- Diaphragm
- Cervical Cap
- Contraceptive Sponge
- Male Condom
- Hormonal Method
- Oral Contraceptive
- Intrauterine Device (IUD)
- Injectable Progestins
2 mins
Infertility
- No Conception After 1 Year
- Interventions
- Artificial Insemination
- In Vitro Fertilization (IVF)
- Drug Therapy
- Clomiphene Citrate (Clomid)
- Menotropins
- GnRH Agonists
- Considerations
- Treat Underlying Disorders
- Emotional Support
- Multiple Gestations
3 mins
Presumptive Signs of Pregnancy
- Amenorrhea
- Fatigue
- Urinary Frequency
- Nausea and Vomiting
- Breast Changes
- Quickening
1 min
