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Med Surg 1 > Metabolic Bone Disorders (Online Lecture) > Flashcards

Metabolic Bone Disorders (Online Lecture) Flashcards

1
Q

osteoporosis
- defintion

A

bone deminieraiztion which results in low bone density

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2
Q

osteoporosis
- precursor

A

osteopenia

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3
Q

osteoporosis
- primary

A

failure to peak bone mass between 18-24
low vit D intake
aging
decrease estrogen, calcitonin, and testosterone which causes bone loss

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4
Q

osteoporosis
- secondary

A

kidney disease
GI disorders
bariatric surgery
meds
endocrine disorders

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5
Q

osteoporosis
- why bariatric surgery

A

some surgery’s bypass where calcium is absorbed

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6
Q

osteoporosis
- contributing meds

A

steroids and antiseziures

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7
Q

osteoporosis
- prevention
- intake

A

calcium and vit D

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8
Q

osteoporosis
- what mg of calcium and vit D

A

calcium: 1000-1300
D: 800-1000

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9
Q

osteoporosis
- why decrease alcohol and caffeine

A

impaire calcium absorption

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10
Q

osteoporosis
- what type of preventative exersise

A

weight bearing

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11
Q

osteoporosis
- diagnostics

A

radiographic assessment
baseline DEXA

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12
Q

osteoporosis
- who might get DEXA scan earlier than 65

A

having a fracture due to osteoporosis
small frame
asian
Caucasian
female
history
meds
gastric bypass

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13
Q

osteoporosis
- what patient might complain about

A

generalized/localized pain

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14
Q

osteoporosis
- spinal apperence

A

kyphosis

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15
Q

osteoporosis
- drug regimen

A

calcium and vit D
bisphosphonates

parathyroid hormone
estrogen receptor modulators
calcitonin

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16
Q

bisphosphonates
- key aspect

A

take on empty stomach
full glass of water
sit upright for 30 mins after to prevent ulcers

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17
Q

can you take bisphosphonates with cal and D

A

no

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18
Q

osteoporosis
- foods high in calcium

A

broccoli
salmon
cheese
milk

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19
Q

osteoporosis
- risk for

A

falls

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20
Q

osteomalacia
- defintion

A

softening of the bone

21
Q

osteomalacia
- complaints

A

painful to touch

22
Q

osteomalacia
- risk

A

pathologic fractures
fall risk

23
Q

osteomalacia
- medical treamtnet

A

vit D and calcium

24
Q

pagets disease
- defintion

A

proliferation of osteoclasts which produce bone reabsorption

25
pagets disease - risk
pathologic fractures gait disturbances high risk for falls
26
osteomyletisis - what is it
infection of the bone that results in inflammation, necrosis, and formation of new bone
27
osteomyletisis - hematogenous
blood spread
28
osteomyletisis - contiguous focus
contamination
29
osteomyletisis - vascular infuffiency examples
diabetics PVD
30
osteomyletisis - how to prevent
no surgery if has infeciton profilaxis antibiotics
31
osteomyletisis - at risk patients
overweight immunocompromised malnourished long term steroids IV drug users bone surgery traumatic injury open fracture pressure injury stage 4 elderly
32
osteomyletisis - manifestations systemic
sepsis like presentation fever achy generalized malaise increase HR decrease BP
33
osteomyletisis - manifestations localized
pain warm swollen tender pulsating pain with movement r
34
osteomyletisis - why might have normal CBC
chronic infection
35
osteomyletisis - cultures
only positive in 50%
36
osteomyletisis - sequestermctomy
removal
37
septic arthritis - high risk
elderly comorbid IV drug users alcohol history of joint replacement or other joint surgery
38
septic arthritis - mainfesations
painful swollen joints warm decrease ROM fever chills leukocytosis
39
septic arthritis - medication
antibiotics
40
malignant bone tumors - primary
origninate in bone
41
malignant bone tumors - metastatic bone disease
cancer form somewhere else that attacks bone
42
malignant bone tumors - clinical manifesations
pain pathological fracrtures
43
malignant bone tumors - goals
destroy or remove tumor rapidly
44
malignant bone tumors - surgery
excision or amputation
45
malignant bone tumors - meds
chemo or radiation
46
malignant bone tumors - nursing management
pain prevention of fractures
47
malignant bone tumors - complications
osteomyelitis and infection
48
malignant bone tumors - electrolyte disorder
hypercalcemia

Med Surg 1 (47 decks)

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