Nurs 5334 exam 1 ear/eye/urology/bone Midterm Questions And Complete Answers.
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Course
NURS 5334
Institution
NURS 5334
Osteoporosis - Answer 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 - Answer Softening of the bone. ...
Nurs 5334 exam 1 ear/eye/urology/bone
Midterm Questions And Complete
Answers.
Osteoporosis - Answer 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 - Answer 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 - Answer 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 - Answer Zoledronic acid. Given once a year via IV infusion. Also
prescribed a high dose biphosphonate and calcitonin.
Treatment for osteomalacia - Answer vitamin D and calcium. Give calcitriol is vitamin d level is less than
10
Bisphosphonates - Answer -dronate given for treatment of osteoporosis, pagets, and osteomalacia
Fosamax (alendronate) - Answer 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
Raloxifene (Evista) - Answer Selective Estrogen Receptor Modulator (SERM) Osteoporosis. Give daily.
For those that are intolerant to bisphosphonates. Can cause hot flashes. Don't give to those with a
, history of DVT, stroke, MI. Can lower LDL. Has estrogen side effects. Do not give if at a high risk for
uterine or breast cancer.
Duavee (conjugated estrogens/bazedoxifene) - Answer First drug to combine estrogen with an estrogen
agonist/antagonist (bazedoxifene)
Drug should be used for the shortest duration possible. Do not give to patient is they have a uterus or
previous DVT, stroke, MI, PE.
Calcitonin (Miacalcin) - Answer nasal spray to decrease bone loss from osteoporosis; instruct pt. to
alternate nostrils each day when administering the nasal spray to decrease rhinitis. Can cause nose
bleeds. Does not affect osteoporosis of the hip.
Teriparatide (Forteo) - Answer Given for osteoporosis. Only drug that will build bone by stimulating
osteoblast (building of bone). Given subQ for up to two years. No longer than two years. After two years
give a bisphonphosate.
Denosumab (Prolia) - Answer RANKL-inhibitor
SQ every 6 months (Osteoporosis)
MOA:
-inhibits osteoclast formation, function and survival by preventing the action of the RANKL receptor
-in turn increases bone mass and strength
T. USE:
-reserved for post-menopausal women at high risk of fracture or who are intolerant to other treatments
ADRs:
-back pain
-pain in extremities
-hypercholesterolemia
-increased risk of infection
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