Osteoporosis

Description

Nursing Flashcards on Osteoporosis, created by Yean Ji Jung on 12/04/2020.
Yean Ji Jung
Flashcards by Yean Ji Jung, updated more than 1 year ago
Yean Ji Jung
Created by Yean Ji Jung over 4 years ago
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Resource summary

Question Answer
Selective estrogen reuptake modulators (SERM) Raloxifene (Evista)
Mechanism of Action Produces estrogen like effects on bone. Reduces reabsorption of bone
Side Effects Stroke Pulmonary embolism DVT, VTE
Nursing Actions Monitor bone density Take vit d and calcium and exercise Teratogenic
Bisphosphonates Alendronate (Fosamax)
Mechanism of Action Stops osteoclast activity decreasing bone reabsorption
Side Effects GI disturbances Vision changes Photosensitivity
Nursing Actions Give 30 mins before other meds or food Sit/stand after med admin for 30 mins Take with full glass of water
Hormone Calcitonin (Miacalcin, Calcimar)
Mechanism of Action Inhibits osteoclast activity and increases calcium excretion. Decreases serum calcium levels.
Side effects hypocalcemia epistaxis polyuria rhinitis allergic rxn to fish
Nursing action Ask allergies to fish! Educate on diet high in calcium and vit d Check for hypocalcemia
Calcium replacements Calcium carbonate (Tums)
Mechanism of Action Non dietary access to calcium. Increase calcium levels
Side effects hypercalcemia kidney stones
Nursing Actions Monitor Ca levels give 1 hr before or 2 hrs after other meds give 1 hr after meals
Disease Modifying Anti-Rheumatic Drugs (DMARD) nonbiological Methotrexate (Rheumatrex)
Mechanism of Action Decreases body's immune system
Side effects low WBC, RBC hair loss photosensitivity immunosuppression
Nursing actions Teratogenic avoid sunlight NO LIVE VACCINES hydrate pt
DMARD biological Hydroxychloroquine (Plaquenil)
Tumor Necrosis Factor Alpha (TNF) Encourages inflammation
Mechanism of action of DMARD biological Blocks TNF reducing inflammation
Side effects immunosuppression
Nursing Action Monitor and trend lab values monitor vitals
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