Musculoskeletal Drugs and Labs Flashcards
1
Q
Dual X-Ray Absorptiometry
A
Diagnostic to measure bone mineral density
- T Score (-1 - -2.4) = osteopenic
- T Score (< -2.5) = osteoporosis
2
Q
Osteoporosis intervention goal
A
Prevent Fractures
3
Q
Calcium and Vitamin D3
A
- Os Cal
- Citracal
1-1.5 g in divided doses
4
Q
Raloxifine
A
SERM - selective estrogen receptive modulators
- Mimics estrogen to prevent bone loss
5
Q
Alendronate (Fosamax), Risedronate (Actonel), Ibandronate (Bonival)
A
Biphosphates
6
Q
Side effect of biphosphates
A
Esophagitis
7
Q
How should you take biphosphates?
A
- Take on an empty stomach
- First thing in the AM
- With full glass of water
- Remain upright/sitting for 30 min
Report difficulty swallowing, esophagitis
8
Q
Drug of choice for osteoarthritis pain
A
- Tylenol (acetaminophen)
9
Q
Drugs for osteoarthritis pain
A
- Tylenol
- NSAIDs, celebrex
- cortisone injections
- hyalunorate injections (Synvisc)
- muscle relaxants
- weak opioids (Tramadol)
10
Q
Synvisc
A
hyalunorate injections - replenishes sinovial supply
11
Q
Normal Albumin
A
3.5-6 g/dL
12
Q
Normal calcium
A
8.5-10.5 mg/dL
13
Q
Hgb Male
A
13.5-17.5 g/dL
14
Q
Hgb Female
A
12-16 g/dL