Osteoporosis Flashcards
What is osteoporosis?
Chronic progressive metabolic bone disease marked by low bone mass and deterioration of bone tissue
Osteoporosis is known as the because of?
( bones become so fragile that they cannot withstand normal mechanical stress )
Slienf their
Slowly robs the skeleton of its banked resources
Why are women more prominent to getting osteroporsis ? (2)
Bone resorption begins early and more rapid at menopause
Breastfreeding
When should you test for osteoporosis?
65 years and older
Notes
What are risk factors for osteoporosis?
Advance age > 65
Asian
Diet in low calcium
Estrogen low
Alcohol
Family
Female
Low body weight
Low tester one
Medications
Smoking
What helps decrease the risk of osteoporosis? (3)
Weight bearing
Adquete intake of caclium
Vitamin D
Long term used of corticosteroids can cause osteropories true or false?
True
When is peak bone mass ?
This is usually determined by
Heredity
Nutrition
Exercise
Hormone function
Before age 20
No matter what
Bone is being continuous deposited by ___ and resorbed by ___
A process called?
This is normally equal
However I’m osteoporoses
Bone reabsorption ___ bone deposition
Oseteoblasts
Osteoclast
Remodeling
Exceeds
Clinical manifestations of osteoporosis (3)
Think of hump!
Back pain
Spontaneous fractures
Humped spine
( kyphosis or dowagers hump )
What are diagnostic studies of osteoporosis? (2)
X ray
BMD
+1 and -1 =
-1 and -2.5 =
-2.5 or lower =
-2.5 or lower with fracture =
Normal
Osteopenia
Osteroporsis
Severe osteoporosis
Interprofessional and nursing management
We want to focus on ? (2(
Notes
FRAX
fracture risk assessment is important!
Nutrition ( calcium and vitamin D )
Precent falls/fracture
How many mg per day for women?
What foods?
If not we can always do and should be taken with?
1000mg of calcium
Milk, yogurt, turnip greens, cottage cheese, ice cream, sardines, Spinach
Pills
meals for better absorption
Notes
Encourage patients to be mobile to prevent immobility
Surgery
Vergebroplastly and kyphoplasty
Used to treat fractures
Drug therapy
Bisphophonates
- take with water
- 30mins before food
- stay upright for 30mins