med surg test 2 part 8 Flashcards
___ is the precursor to osteoporosis
Osteopenia
Inadequate intake of calcium and vitamin D in the diet stimulates the ____ hormone to be released and triggers calcium to be pulled from the bone
parathyroid
Secondary osteoporosis results from medical conditions including: h_____
Hyperparathyroidism.
Secondary osteoporosis results from medical conditions including: Long-term us of ___ meds or ___ meds
corticosteroid
anticonvulsant
osteoporosis testing: __ is used to measure bone density, especially in the vertebral column
QCT
osteoporosis testing: an ultrasound
pQUS
osteoporosis teaching: Instruct the client to avoid ___ weather
inclement (ice, slippery)
osteoporosis meds: Thyroid Hormone (calcitonin) decreases bone resorption by
inhibiting osteoclast activity
osteoporosis meds: A parathyroid hormone that stimulates osteoblasts
Teriparatide
Calcium Supplement: Give with food in ___ doses with 6 to 8 oz of water
divided
osteoporosis meds: Bisphosphonate decreases number and actions of
osteoclasts
osteoporosis meds: Bisphosphonates have a risk for ___ problems
esophagus problems
osteoporosis meds: Bisphosphonates, remain ___ for 30 min
upright
osteoporosis meds: Bisphosphonates, Take with 8 oz of water in the ___ before ___
in the morning before eating
Most hip fractures are due to ___
osteoporosis
thyroid hormone (calcitonin) is for prevention and ___ of osteoporosis, hypercalcemia
treatment
thyroid hormone (calcitonin) is administered
SQ
___ assessment is essential throughout immobilization
Neurovascular
in Moderate sedation a client does not lose consciousness, but induction of ___ and analgesia is still achieved.
amnesia
___ __ clients are more susceptible than any other population to anesthetic agents
Older adult
Anesthesia: If hypotension occurs as an adverse effect of medication or dehydration, __ the head of bed, administer a prescribed IV fluid bolus, and monitor
lower
1st sign of malignant hyperthermia
tachycardia
in addition to tachycardia, other signs of malignant hyperthermia are muscle ___, hypotension, skin ____
muscle rigidity, hypotension, skin mottling
a LATE sign of malignant hyperthermia is
elevated temp