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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
Q

pagets disease
- risk

A

pathologic fractures
gait disturbances
high risk for falls

26
Q

osteomyletisis
- what is it

A

infection of the bone that results in inflammation, necrosis, and formation of new bone

27
Q

osteomyletisis
- hematogenous

A

blood spread

28
Q

osteomyletisis
- contiguous focus

A

contamination

29
Q

osteomyletisis
- vascular infuffiency examples

A

diabetics
PVD

30
Q

osteomyletisis
- how to prevent

A

no surgery if has infeciton
profilaxis antibiotics

31
Q

osteomyletisis
- at risk patients

A

overweight
immunocompromised
malnourished
long term steroids
IV drug users
bone surgery
traumatic injury
open fracture
pressure injury stage 4
elderly

32
Q

osteomyletisis
- manifestations systemic

A

sepsis like presentation
fever
achy
generalized malaise
increase HR
decrease BP

33
Q

osteomyletisis
- manifestations localized

A

pain
warm
swollen
tender
pulsating
pain with movement r

34
Q

osteomyletisis
- why might have normal CBC

A

chronic infection

35
Q

osteomyletisis
- cultures

A

only positive in 50%

36
Q

osteomyletisis
- sequestermctomy

37
Q

septic arthritis
- high risk

A

elderly
comorbid
IV drug users
alcohol

history of joint replacement or other joint surgery

38
Q

septic arthritis
- mainfesations

A

painful
swollen joints
warm
decrease ROM
fever
chills
leukocytosis

39
Q

septic arthritis
- medication

A

antibiotics

40
Q

malignant bone tumors
- primary

A

origninate in bone

41
Q

malignant bone tumors
- metastatic bone disease

A

cancer form somewhere else that attacks bone

42
Q

malignant bone tumors
- clinical manifesations

A

pain
pathological fracrtures

43
Q

malignant bone tumors
- goals

A

destroy or remove tumor rapidly

44
Q

malignant bone tumors
- surgery

A

excision or amputation

45
Q

malignant bone tumors
- meds

A

chemo or radiation

46
Q

malignant bone tumors
- nursing management

A

pain
prevention of fractures

47
Q

malignant bone tumors
- complications

A

osteomyelitis and infection

48
Q

malignant bone tumors
- electrolyte disorder

A

hypercalcemia

Med Surg 1 (47 decks)

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