Osteomalacia and Osteoporosis Flashcards
1
Q
Why does osteomalacia occur?
A
Vitamin D deficiency
2
Q
What does a Vitamin D deficiency cause?
A
softening of bone and bone loss
3
Q
What are the risk factors for osteomalacia
A
- vitamin D disturbances
- kidney disease
- familiar metabolic error
4
Q
Why do vitamin D deficiencies occur?
A
- Lack of sunlight (homebound)
- dietary deficiency
- gastrectomy
- Crohn’s disease
- druh therapy
5
Q
How can osteoporosis be prevented?
A
When T-score is showing osteopenia, then CHANGE diet and exercise
**ADD CALCIUM!!!!
6
Q
What is the first choice drug for Osteoporosis?
A
Biphosphonates
-dronate
7
Q
Teaching for Biphosphonates?
A
- remain upright for 30 min after taking
- Take with 8oz of water
- take in MORNING
- if GERD/renal dysfunction–do not take
8
Q
special instructions for Pamidronate and Zoledronic acid (IV)
A
report kaw pain and go to dentist for regular checkups
9
Q
What other meds for osteoporosis?
A
- Raloxifene (DVT risk–don’t use in smokers)
- Denosumab
- Calcitonin
