Study - Unit 12 - Metaboslim (Osteoporosis) Flashcards
metabolic bone disorder
osteoporosis
loss of bone mass/demineralization
osteoporosis
increased bone fragility
osteoporosis
increased risk of fractures
osteoporosis
reduced bone mass is caused by imbalance in the processes that influence _____ _____ and _____
bone growth & maintenance
osteoporosis is most often associated with _____ and _____ _____ _____
aging & inadequate calcium intake
osteoporosis:
affects _____, _____
diaphysis, metaphysis
osteoporosis
_____ lost from cancellous bone
trabeculae
_____ in _____ women and _____ in _____ men will have an osteoporosis-related fracture
1 in 2 women
1 in 4 men
Older people absorb _____ less effeciently
Calcium
Peak adult bone mass is achieved between ages of _____-_____ years
18-25
Long-time use of _____ is a risk factor for developing osteoporosis. Obesity (is, is not) a risk factor for osteoporosis but predisposes the woman to _____.
corticosteroids
is not
osteoarthritis
A client with osteoporosis will often present with _____ _____ pain as well as a decrease in _____.
low back
height
4 Diagnostic Tests for osteoporosis:
- _____-_____ _____ absorptiometry (DEXA)
- Ultrasound of _____ to measure bone density
- Alkaline _____
- Serum bone _____ _____
- Dual-energy x-ray absorptiometry (DEXA)
- Ultrasound of heel to measure bone density
- Alkaline phosphatase
- Serum bone Gla protein
Dual-energy x-ray absorptiometry (DEXA)
- Measures bone density in _____ _____ or _____
- Considered _____ accurate
- Measures bone density in lumbar spine of hip
- Considered highly accurate
Is the Ultrasound of heel to measure bone density as accurate as DEXA
no
One causative factor of osteoporosis is lack of weight-bearing activity. Weight bearing helps to move _____ back into the bone, thereby strengthening them. A standard intervention for those attempting to prevent or reverse osteoporosis is beginning an exercise plan that includes weight-bearing activities.
calcium
Strict bed rest may well make the osteoporosis worse because there is no weight-bearing activity.. Assisted range of motion exercises are not weight-bearing and (do, do not) help delay or reverse osteoporosis.
do not
Osteoporosis Dietary management:
- choose foods high in _____ & _____ _____
- choose foods high in calcium & vitamin D
A diet that includes _____ products will have calcium and vitamin D, which are nutrients needed to prevent the onset of osteoporosis
dairy
_____ milk is a good source of calcium and vitamin D, which prevents or slows osteoporosis.
Skim
For those with milk/ lactose allergies and issues it would be a priority to focus on diet and to identify alternate foods high in _____ & _____ _____
Calcium and vit D
A diet rich in _____ and _____ _____ is high in purine, which may predispose the client to gout although good for lean protien
shellfish & organ meats
A diet rich in shellfish and organ meats is high in _____, which may predispose the client to _____ although good for lean protien .
purine
gout
2 main nursing diagnoses for osteoporosis
- risk for injury
- acute pain
Keeping the bed in the _____ position will reduce the incidence of injury should the client attempt to get up.
lowest
The use of restraints could increase the incidence of injury and (should, should not) be used.
should not
T/F: A nightlight is useful but is not the best means to prevent injury.
T
