Nurs |5334 |exam |1 |ear |eye |urology |bone |
questions |with |verified |answers
Osteoporosis |- |✔✔Progressive |loss |of |bone |mass. |Increased |risk |for |fractures. |Type |1 |occurs |primarily
|in |post |menopausal |women. |Type |2 |is |men |and |women. |Can |be |caused |by |other |diseases |or |
medications. |Such |as |oasis, |steroids, |heparin, |etc.
osteomalacia |- |✔✔Softening |of |the |bone. |Adults |version |of |rickets. |Low |vitamin |D. |Can |also |be |
caused |by |hyperparathryoidism. |Nirmal |vitamin |d |level |is |20-80.
Paget |Disease |- |✔✔Disorder |of |bone |remodeling. |Typically |occurs |in |one |or |more |bones. |They |tend |
to |have |a |high |alkaline |phosphate |level.
Treatment |for |Paget's |Disease |- |✔✔Zoledronic |acid. |Given |once |a |year |via |IV |infusion. |Also |prescribed
|a |high |dose |biphosphonate |and |calcitonin.
Treatment |for |osteomalacia |- |✔✔vitamin |D |and |calcium. |Give |calcitriol |is |vitamin |d |level |is |less |than |
10
Bisphosphonates |- |✔✔-dronate |given |for |treatment |of |osteoporosis, |pagets, |and |osteomalacia
Fosamax |(alendronate) |- |✔✔Classification: |Bone |resorption |inhibitor. |Bisphosphonate
Therapeutic |Effects: |TX |and |prevention |of |post-menopausal |and |cortico-steroid-induced |osteoporosis,
Adverse |Reactions |& |side |effects: |Altered |taste, |photosensitivity, |rash, |musculoskeletal |pain, |fluid |
overload, |esophagitis. |Common |upset |stomach |& |heartburn, |GI |effects
Nursing |Implications |& |teaching:Take |first |thing |in |the |AM, |before |eating |anything; |then |pt |MUST |
remain |upright |for |at |least |30 |mins! |Take |only |with |plain |water. |Monitor |for |GI |side |effects. |Use |
sunscreen |to |prevent |photosensitivity |reactions. |Do |not |give |to |those |with |Renal |insufficiency
