Paget's Disease Flashcards
1
Q
Paget’s Disease - Pathophysiology
A
- Bone is both destroyed and reconstructed at a rapid pace
-
This causes bone fragility
> new bone is not great quality
2
Q
Paget’s Disease - Risk Factors
A
- Incrd age greater than 40
- Genetic predisposition
- Men greater risk than women
3
Q
Paget’s Disease - CMs
A
-
Broken bones
> typically larger bones -
Hearing loss
> if skull is affected - Pinched nerves
4
Q
Paget’s Disease - Common Affected Bones
A
- Pelvis
- Skull
- Spine
- Leg
5
Q
Paget’s Disease - Diagnosis
A
-
X-ray
> bowing of bones -
Bone scans
> shows open bone fragments -
Incrd alkaline phosphatase
> shows active disease
6
Q
Paget’s Disease - Treatment
meds
A
- Alendronate
- Ibandronate
- Pamidronate
- Risedronate
-
Zoledronic acid
Not curable
7
Q
Paget’s Disease - Treatment
surgery
A
- Help fractures heal
- Joint replacements
- Bone realignement
- Relieve pressure on nerves
8
Q
Paget’s Disease - Nursing Diagnosis
A
- Disturbed body image
- Deficient knowledge
- Chronic sorrow
- Risk for trauma
-
Risk for injury
> weak, brittle bones - Fear
9
Q
Paget’s Disease - Nursing Interventions
A
-
Prevent falls
> provide safe passage -
Promote activity
> strengthen bones; weight-bearing activities -
Dietary plan
> calcium & vit D - Educate pt on disease process
