University:
West Coast University
Course:
NURS 180 | Pharmacology
Academic year:

2022
Views:

373

Pages:

1
Author:

sapela015a

ACTIVE LEARNING TEMPLATE: Medication STUDENT NAME _____________________________________ finasteride 66 MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ androgen inhibitors CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action Inhibits the enzyme 5-alpha reductase, which is responsible for converting testosterone to its potent metabolite 5 alpha dihydrotestosterone in prostate, liver, and skin; 5 alpha dihydrotestosterone is partially responsible for praostatic hyperplasia and hair loss. Complications finasteride can cause: prostate cancer (high grade) angiodema, breast cancer Therapeutic Use Reduce prostate size with associated decrease in urinary synptoms Decrease hair loss, promote hair regrowth. Medication Administration Do not confuse with Proscar (finasteride) with Prograf (tacrolimus) or Provera PO administer once daily with or without meals. Contraindications/Precautions Hypersensitivity Women Use cautiously in: Hepatic impairment Obstructive uropathy Interactions None reported Nursing Interventions Monitor signs of benign prostatic hyperplasia (BPH) such as difficulty starting a urine stream, painful urination, weak urine flow, feeling that the bladder is not completely empty, frequent nighttime urination, and an urge to urinate again soon after urinating. Client Education Evaluation of Medication Effectiveness Decrease in urinary symptoms of begnin prostatic hyperplasia Hair regrowth in androgenetic alopecia. ACTIVE LEARNING TEMPLATES Instruct pt to take meds as prescribed even if symptoms improve. Inform pt that volume of ejaculation may decrease Advise pt to inform HCP if breast volume change, lumps, pain and nipple discharge occur. Pregnant women should avoid exposure to semen of partner taking finasteride bc of risk for absorption in male fetus. Emphasize the importance of follow-ups exams.