CHAPTER 18 – The Menopausal Transition 5.

CHAPTER 18 – The Menopausal Transition 5. Your 54 yo female pg G2P2, presents with amenorrhea x 2 years, hot flashes, sleep irregularity, urge incontinence and occ sl decreased mental sharpness (she forgets certain words at times). She takes no meds, has no allergies. Her vitals: T> 97.8 HR 55, RR 20, B/P 130/85. Her PMH is negative. Her Past Surgical Hx is positive for hernia repair, age 5, and b/l breast biopsies at age 47 (negative findings). Her Fam Hx is positive for a younger sister dx w Breast Cancer age 40(deceased age 50 from same) and a Maternal Great Aunt dx w Breast Cancer at age 40 (deceased age 80 CHF). She is a trial attorney specializing in domestic violence and sex trafficking victims. She reports that lately her symptoms have been impacting her work productivity. She notes that stress caused by an overloaded case load, deadlines and frustration w the legal system makes her hot flashes worse. She states that she enjoys her work but finding it more challenging w her symptoms. She comes to you for help. What is your plan? In bullet point fashion, list your plan. 6. MEDICATIONS Complete the chart OSTEOPOROSIS (LIST 4 meds) NAME – Generic/Brand Class of drug DOSING – HOW DO WE WRITE RX IE: X MG/DAILY X MECHANISM OF ACTION LIST ANY SPECIAL INSTRUCTIONS/PRECUATIONS HORMONE REPLACMENT In bullet fashion, list 5 summary statements about HRT for menopause. Include when we start, dosing recommendations, and duration of treatment along with side effects and who should not be taking same. References Schadewald, D., Pritham, U., Quinn Youngkin, E., Szymania Davis, M., & Juve, C. (2017). Women’s Health: A Primary Care Clinical Guide (5th ed.). Saddle River, NJ: Pearson. SCIENCE HEALTH SCIENCE NURSING NURS 7810

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