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Flashcards

Week 9 Reproductive and Oncology Pharmacology

Usuário eliminado O usuário eliminou as informações de disciplina Inglês 21 flashcards

Flashcards do conjunto (21)

  1. 1Oncology drug treatmentsmost non-specific cytotoxics, will target normal as well as cancer cells
    cells most susceptible, rapidly dividing
  2. 2Chemotherapy antibioticsactivate immune system to target cancer cells
  3. 3Combination chemotherapyalmost always used
    2-3 drugs together intermittently
    advantages: greater response rate, decrease side effects
    Disadvantages: more time receiving treatment
  4. 4Breast cancer treatmentAdjuvant chemotherapy is FEC-D
    3 cycles of flurouracil, epirubicin, cyclophosphamide every 21 days
    adverse effetcs, bone marrow toxicity, renal and hepatic toxicity
  5. 5Nursing staff in cancer treatmentensure safety and correct administration
    report adverse effetcs
    safety and handling of cytotoxic drugs
    psychological support for pts and families
  6. 6Breast cancer treatmentsOestrogen receptor modulators
    SERMS such as tamoxifen
    monoclonal antibody against HER2 - trastuzumab
  7. 7Breast cancer treatments side effectschemotherapy resistance, hair loss, nausea, vomiting, diarrhea, malnutrition, anaemia
  8. 8Female reproductive cycles- feedback controlOestrogen inhibits further FSH and LH release from anterior pituitary
    Progestrone inhibits GnRH, FSH, LH secretion from hypothalamus and pituitary
    Negative feed back cycles- key to effects of oral contraceptives
  9. 9Oestrogens used clinicallyPrimary hypogonadism- lack of ovary function
    Primary amenorrhoea- absence of menstruation
    Preventing ovulation- Oral contraceptive pill with progestin
    contraception- 20-50mcg/day
    Replacement therapy HRT- 5-20mcg/day
  10. 10Oestrogens for contraceptionprevent ovulation
    natural and synthetic, 20-50mcg/day can be mono or multi-phasic
  11. 11Oestrogen for post menopausal = HRTprevents vasomotor symptoms, and slows bone resorption
    5- 10mcg/day= HRT, mixed results with benefits vs risks (breast cancer, blood clots)
  12. 12Anti oestrogens used clinicallycancer treatments- tamoxifen
    blocks oestrogen binding at breast tissue
  13. 13Progestins used clinically contraceptioncontraceptions with oestrogen (COC)
    or
    Progesterone only (mini pill) for when COC contraindicated = high BP, clot risk, older age, breast feeding, smoker, also high dose for emergency contraception
  14. 14Combination oral contraceptive (COC)most effective form of contraception
    oestrogen and progestin
    20-50mcg/day
    used in 21 days active tabs
    7 days inactive tabs
  15. 15Side effects of COCweight gain
    hypertension
    nausea
    flushing
    dizziness
    mood changes
    amenorrhoea
  16. 16Male reproductive systemcontrolled by hypothalamic GnRH=
    Increase FSH (Gametogenesis)
    LH (Sperm maturation), testosterone production
    Testosterone= muscle and bone growth
  17. 17Androgen clinical usesMale hypogonadism, aplastic anaemia, wasting cachexic states, (e.g. cancer/AIDS)
    Anabolics
  18. 18Anti- androgen clinical usesprostate cancer, stall precocious puberty
  19. 19Adverse effects of androgens male and femalemen- testicular atrophy, steility, gynaecomastia
    Women- inhibition of ovulation, hirsutism, deepening of voice, alopecia, acne
  20. 20Erectile dysfunctiondues to age, loss of libido, medication, disease
  21. 21Treatment of erectile dysfunctionPDE inhibitors
    e.g. viagra (sildenafil, prolongs erectile vasodilatation and blood flow.

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O usuário eliminou as informações de disciplina FlashCards sobre Week 9 Reproductive and Oncology Pharmacology, criado por Usuário eliminado em 08-10-2017.
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  • Criado por Elizabeth Then · 5 out 2017
  • Copiado por Elizabeth Then · 8 out 2017
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