A client has been prescribed Premarin. What medication information should the nurse provide?
1. "You may notice a decrease in your libido while on this medication."
2. "If you notice pain in your abdomen that goes through to your back, be certain to notify the clinic."
3. "Do not become pregnant while on this drug."
4. "If you add the herbal black cohosh to this therapy, the results will be better."
5. "This medication will help prevent cardiovascular disease."
1,2,3
Rationale 1: Decreased libido is an adverse effect of this drug.
Rationale 2: Acute pancreatitis, whose symptoms are acute epigastric pain going through to the back, is an adverse effect of this therapy.
Rationale 3: Conjugated estrogens are contraindicated in pregnant clients.
Rationale 4: Black cohosh may interfere with estrogen therapy.
Rationale 5: It was once believed that treatment with estrogen protected the client from cardiovascular disease, but this has not been proven to be correct.
Global Rationale: Decreased libido is an adverse effect of this drug. Acute pancreatitis, whose symptoms are acute epigastric pain going through to the back, is an adverse effect of this therapy. Conjugated estrogens are contraindicated in pregnant clients. Black cohosh may interfere with estrogen therapy. It was once believed that treatment with estrogen protected the client from cardiovascular disease, but this has not been proven to be correct.
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