What is focused on in collaborative care of osteoporosis?
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Ø Proper nutrition
Ø Calcium and vitamin D supplements
Ø Exercise
Ø Prevention of falls and fractures
Ø Drug therapy
What diagnostic studies are used to detect osteoporosis?
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, - History and physical exam
- X-ray and lab studies not diagnostic until 25% to 40% of bone is lost
- Bone mineral density (BMD)
Ø Quantitative ultrasound (QUS)
Ø Dual-energy x-ray absorptiometry (DXA)—also assesses effectiveness of
treatment
What are other ways to maintain adequate calcium intake?
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Supplemental calcium
Ø Take in divided doses
Ø Calcium carbonate
• 40% elemental calcium
• Take with meals
Ø Calcium citrate
• 20% elemental calcium
• Less dependent on stomach acid
What are nursing administration considerations for Bisphosphonates?
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Ø Proper administration
• Take with full glass of water
• Take 30 minutes before food or other meds
• Remain upright for at least 30 minutes
Ø Continue treatment for 5 years
Ø Alendronate (Fosamax)
, • Daily or weekly oral tablet
Ø Zoledronic acid (Reclast)
• Once yearly or every other year IV infusion
• Check renal function and serum calcium prior to administration
What is osteoporosis?
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Chronic, progressive metabolic bone disease marked by:
Ø Low bone mass
Ø Deterioration of bone tissue that leads to increased bone fragility
Why is osteoporosis more common in women?
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Ø Lower calcium intake
Ø Less bone mass
Ø Bone resorption begins earlier and becomes more rapid at menopause
Ø Pregnancy and breastfeeding
Ø Longevity
What are risk factors for osteoporosis?
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Ø Proper nutrition
Ø Calcium and vitamin D supplements
Ø Exercise
Ø Prevention of falls and fractures
Ø Drug therapy
What diagnostic studies are used to detect osteoporosis?
Give this one a try later!
, - History and physical exam
- X-ray and lab studies not diagnostic until 25% to 40% of bone is lost
- Bone mineral density (BMD)
Ø Quantitative ultrasound (QUS)
Ø Dual-energy x-ray absorptiometry (DXA)—also assesses effectiveness of
treatment
What are other ways to maintain adequate calcium intake?
Give this one a try later!
Supplemental calcium
Ø Take in divided doses
Ø Calcium carbonate
• 40% elemental calcium
• Take with meals
Ø Calcium citrate
• 20% elemental calcium
• Less dependent on stomach acid
What are nursing administration considerations for Bisphosphonates?
Give this one a try later!
Ø Proper administration
• Take with full glass of water
• Take 30 minutes before food or other meds
• Remain upright for at least 30 minutes
Ø Continue treatment for 5 years
Ø Alendronate (Fosamax)
, • Daily or weekly oral tablet
Ø Zoledronic acid (Reclast)
• Once yearly or every other year IV infusion
• Check renal function and serum calcium prior to administration
What is osteoporosis?
Give this one a try later!
Chronic, progressive metabolic bone disease marked by:
Ø Low bone mass
Ø Deterioration of bone tissue that leads to increased bone fragility
Why is osteoporosis more common in women?
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Ø Lower calcium intake
Ø Less bone mass
Ø Bone resorption begins earlier and becomes more rapid at menopause
Ø Pregnancy and breastfeeding
Ø Longevity
What are risk factors for osteoporosis?
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