are you a nursing student that wants to cut your study time but over 60% well you can head over to simplenursing.com slout and sign up for free welcome back nursing students to another episode of pharmacology and practice today we're exploring two different types of medications a combination of hormonal contraceptives containing estrogen and progesterone as well as terbutaline also called terbutaline a medication used in OB we're going to dive into detailed patient scenarios to see exactly how these drugs are utilized in clinical practice let's start with our combo drug the hormonal contraceptives which are widely used for birth control and other gynecological purposes these medications contain synthetic forms of hormones including estrogen and progesterone so let's start with estrogen typically ethylin estradi this works by suppressing ovulation and causing changes in cervical mucus and even uter lining making it difficult for sperm to reach the egg and implant in the uterus now let's talk about the progesterone component such as leog gestone this also prevents ovulation and thick skin cervical mucus further reducing the risk of pregnancy so let's go through a real life case study meet Emily a 25-year-old who visits or gynecologist for contraceptive counseling after discussing your medical history and preferences Emily's doctor recommends starting oral contraceptive pill containing ethanol estradi and leog gestal Emily's instructed to take one pill daily at the same time each day her doctor explains the theal side effects such as nausea breast tenderness and breakthrough bleeding and advises her to report any concerning symptoms immediately now Emily's also counseled on the importance of using backup contraception during the first week of taking the pill and if she misses any doses regular follow-up appointments are scheduled to monitor her response and address any concerns this scenario perfectly illustrates the use of combination hormonal contraceptives for birth control and also highlights the importance of proper counseling and monitoring by Healthcare Providers now let's discuss terbutaline also called terbutaline medication commonly used in OB to manage pre-term labor contractions truene is a bronco dilator that simply works by relaxing smooth muscles inside the uterus which inhibit uterine contraction remember tributal line makes you wait in line it slows down premature contractions to basically delay delivery so let's go into a real life case study meet Sarah a 28-year-old woman who is 32 weeks pregnant and presents to the labor and delivery unit with contractions now upon evaluation she is diagnosed with pre-term labor which can lead to pre-term birth if not managed properly Sarah's care team starts her on IB infusion of tributal line to helps stop or slow the contractions the dosage is gradually increased until the contractions subside or a maximum dose is reached now Sarah's Vital Signs including her heart rate blood pressure and fetal heart rate are closely monitored as terbutaline can have cardiovascular effects after 24 hours of continuous infusion their's contractions have completely stopped and she switched to oral Tibu line tablets to maintain mainin uterine relaxation so remember weight in line with terbutaline this case study showcases the use of terbutaline tocolytic to suppress premature labor contractions And Delay pre-term birth so what did we learn well in this video we explored two different types of medications a combo hormonal contraceptive containing estrogen and progesterone we also learned about terbutaline a medication used an OB to manage pre-term labor contractions remember nursing students understanding pharmacology is crucial for providing safe and effective care to your future patients so stay tuned for more pharmacology in practice videos we will continue to bring pharmacology to life through engaging patient scenarios looking to cut your study time in half head on over to simplenursing.com youout you can sign up for free and get access to all of this