Women's health not otherwise specified Flashcards
When to begin mammograms?
age 40
How often to do mammograms?
annually or biannually ages 40 - 49
annually age 50 and up
When to stop mammograms?
can stop at 75 depending on health and risk factors
Average age of menopause?
age 51
What risk factors are taken into account when considering hormone replacement therapy?
family history -
breast cancer
uterine cancer
MI / CAD
What is the role of progesterone in HRT?
estrogen alone, when not balanced by progesterone, can stimulate growth of the lining of the uterus, increasing the risk of uterine cancer
Why do women have more osteoporosis than men?
sudden loss of estrogen in menopause
DEXA T scores
what is normal?
what is low bone mass?
what is osteoporosis?
greater than ( - 1 ) is normal
( -1 ) to ( - 2.5 ) is low bone mass
below ( - 2.5 )
What are some examples of calcium rich foods?
green leafy veg dairy tofu sardines salmon with bones
Which type of calcium has the greatest amount of elemental calcium?
calcium carbonate
Examples of oral bisphosphonates
-dronate
risedronate (Actonel)
alendronate (Fosamax)
ibandronate (Boniva)
Examples of IV bisphosphonates
-dronate
ibandronate (Boniva) zoledronic acid (Reclast)
What are the instructions for oral bisphosphonates?
take with a full glass of water
NPO 30 minutes to 1 hour
sit up right 30 minutes to 1 hour