osteooporosis

Question 1

what causes hot flashes and risk of DVT and PE

Answer 1

SERMS ; raloxifene

Question 2

what is raloxifene used for?

Answer 2

to prevent osteoporosis in postmenopausal women. this drug does not turn on breast or uterine receptors. the “gift” is there is no risk of breast or endometrial cancer.

it protects against breast cancer
prevents spinal fractrures in female clients

Question 3

raloxifene is contraindication in clients with _____.

Answer 3

a history of venous thrombosis

Question 4

raloxifene and ___ taken together is disouraged.

Answer 4

estrogen hormone therapy.

Question 5

depending on therapuetic intent, effectiveness may be evidenced by : (for raloxifene)

Answer 5

• increase in bone density

- no fractures

Question 6

when taking alendronate, you should take it ____ and _____.

Answer 6

with water and on empty stomach

sit or ambulate for 30 mins after taking the med

Question 7

what complications could alendonate cause?

Answer 7

GI disturbances, muscle and joint pain, visions changes or eye pain
esophagitis,esophageal ulceration
biphosphate-related osteonecrosis of the jaw with iv infusion

Question 8

what medication classifacation is aledonate?

Answer 8

biphosphonates

Question 9

what is the therapuetic uses for aledonate?

Answer 9

• prophylaxis and treatment of postmenopausal women
• in male clients who have osteoporosis
• prophylaxis and treatment of osteoporosis produced by long-term glucocorcoid use
• for clients who have paget’s disease of the bone and hypercalcemia of malignancy

Question 10

what is the interactions with aledonate?

Answer 10

absortion decreases when taken with calcium supplements, antacids, orange juice, caffeine

Question 11

treats but does not prevent postmenopausal osteoporosis and treats moderate to severe pagets disease

increases renal calcium excretion by inhibiting tubular resorption

Answer 11

calcitonin-salmon

Question 12

nausea and nasal dryness and irritaion with intranasal route

hypersensitivity reaction if allergic to ___

Answer 12

calcitonin-salmon

fish protein and the medcation

Question 13

you should use cautionly with _____ and ___. with calcitonin salmon

Answer 13

women who are lactating, children,

clients diagnosed with kidney disease

Question 14

how do you know calcitonin-salmon is effected??

Answer 14

increase in bone density

serum calcium level within expected range of 9 to 10.5 mg/dl

Question 15

are used for clients with hypocalcemia or deficiences of parathyroid hormones, vit d , or dietary calcium

Answer 15

calcium citrate

Question 16

what are the complication with calcium citrate?

Answer 16

hypercalcemia

tachycardia, elevated bp leading to bradycardia, hypotension, muscle weakness and hypotonia, constipation, n/v, abdoimal pain, lethargy and confusion

Question 17

use calcium citrate cautiously when patient has ___ or ___.

Answer 17

kidney disease or a decrease in GI function

Question 18

ati ?s p. 455

Answer 18

looookkk at them!

Question 19

textbook page 1339 1, 2, 4

Answer 19

look at the questionssss!!