Pharmacology Endocrine Miscellaneous #3

Question

During admission assessment, the nurse reviews the medical history of a patient who is going to have new therapy with gonadotropins. The nurse is concerned and notifies the healthcare provider because the patient’s history reveals which condition?

Answers

  1. Sensitivity to sulfur
    • Rationale:

      This answer is not correct because there are no interactions between gonadotropins and sulfur medications. Gonadotropins are contraindicated in patients with adrenal dysfunction, liver disease, high gonadotropin levels, and pregnancy.

  2. Vasomotor flushes
    • Rationale:

      This answer is not correct because vasomotor flushes are expected symptoms associated with increasing gonadotropins. Gonadotropins are contraindicated in patients with adrenal dysfunction, liver disease, high gonadotropin levels, and pregnancy.

  3. Adrenal dysfunction
    • Rationale:

      This answer is correct because gonadotropins are contraindicated in patients with adrenal dysfunction, liver disease, high gonadotropin levels, and pregnancy. The gonadotropin hormone injections are used in fertility medicine to help a couple become pregnant.

  4. Ovarian dysfunction
    • Rationale:

      This answer is not correct because ovarian dysfunction is what gonadotropin is given to treat. Gonadotropins are contraindicated in patients with adrenal dysfunction, liver disease, high gonadotropin levels, and pregnancy.

Overview

Gonadotropins are injectable fertility medications. Gonadotropins are contraindicated in patients with adrenal dysfunction, liver disease, high gonadotropin levels, and pregnancy.

Explanation

Gonadotropins are contraindicated in clients with adrenal dysfunction, liver disease, high gonadotropin levels, and pregnancy. There are no interactions with Sulphur containing drugs. While side effects may be vasomotor flushes, the presence of these hormone related reactions are similar to menopause flushes and may not cause contraindication for use. Infertility would not be the correct response since the medication may be given because of failure to ovulate.

Learning Outcomes

Gonadotropins are hormones released by the pituitary gland, which stimulate the gonads (sex organs) to produce sex hormones to produce sperm or ova. The main gonadotropins are follicle stimulating hormone (FSH) and luteinizing hormones (LH). The hormone injections are used in fertility medicine to help a couple become pregnant. Gonadotropins are contraindicated in patients with adrenal dysfunction, liver disease, high gonadotropin levels, and pregnancy.

Test Taking Tip

Choose the best answer for questions asking for a single answer. More than one answer may be correct, but one answer may contain more information or more important information than another answer.

Video Rationale