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s. Marge Philips, a 42-year-old female, enters the clinic with complaints of lower abdominal pain and irregular menstrual bleeding with prolonged menstruation. Blood pressure and pulse are slightly elevated. She states that she has had problems with frequently being tired. Other than her current complaint, she has no other health problems or concerns. Ms. Philips' last physical exam was one year ago. She is diagnosed with dysfunctional uterine bleeding and is prescribed Depo-Provera. After the diagnosis is confirmed, the technician knows that is a common method of treating dysfunctional uterine bleeding. a. Use of condoms b. Visiting the doctor only when the pain gets really bad c. Possible use of oral contraceptives d. Screening of sexual partner In order to determine if Ms. Philips is a good candidate for the medication DepoProvera, the pharmacist asks Ms. Philips if she: a. Has diabetes b. Is planning on losing weight c. Has a diet high in protein d. Is planning on becoming pregnant Ms. Philips is to begin the oral contraceptive, Depo-Provera, as a means to control the uterine bleeding. The pharmacist informs her: (Select all that apply.) a. That smoking increases the risk of serious cardiovascular adverse effects b. That it is OK to miss taking the medication for several days in a row c. To notify her healthcare provider if two or more consecutive periods are missed d. That caffeine will actually be beneficial The pharmacist also informs Ms. Philips that an adverse effect of Depo-Provera is: a. Weight loss b. Breast tenderness c. Loss of appetite d. Headache OR b) Choose either loop, thiazide, or potassium sparing diuretics, Detail the chosen diuretic s characteristics in a short paragraph.

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Final answer:

Depo-Provera is a hormonal contraception used to manage irregular menstrual bleeding. Patients must evaluate health risks, like diabetes or pregnancy plans, before starting. Adverse effects can include breast tenderness, and smoking increases cardiovascular risks associated with this medication.

Step-by-step explanation:

The use of hormonal contraception, such as Depo-Provera, is a common approach to manage symptoms like irregular menstrual bleeding and is suitable for individuals who are not planning to become pregnant. Before starting Depo-Provera, it is crucial to assess a patient's medical history, including any potential for diabetes or future pregnancy plans, as the medication can impact both fertility and glucose tolerance. The healthcare provider would need to monitor the patient closely for any side effects, such as increased cardiovascular risks associated with smoking, and it is essential to use the medication as directed to maintain its effectiveness. While taking Depo-Provera, patients should report to their healthcare provider if they miss two or more consecutive periods, as this could indicate potential complications. It is also important to be aware of possible adverse effects like breast tenderness and changes in menstrual patterns.

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