NURS 5334 EXAM 1
EAR/EYE/UROLOGY/BONE EXAM 100%
CORRECT
, Osteoporosis - ANSWERProgressive loss of bone mass. Increased risk for fractures.
Type 1 occurs primarily in post menopausal women. Type 2 is men and women. Can be
caused by other diseases or medications. Such as oasis, steroids, heparin, etc.
osteomalacia - ANSWERSoftening of the bone. Adults version of rickets. Low vitamin D.
Can also be caused by hyperparathryoidism. Nirmal vitamin d level is 20-80.
Paget Disease - ANSWERDisorder of bone remodeling. Typically occurs in one or more
bones. They tend to have a high alkaline phosphate level.
Treatment for Paget's Disease - ANSWERZoledronic acid. Given once a year via IV
infusion. Also prescribed a high dose biphosphonate and calcitonin.
Treatment for osteomalacia - ANSWERvitamin D and calcium. Give calcitriol is vitamin
d level is less than 10
Bisphosphonates - ANSWER-dronate given for treatment of osteoporosis, pagets, and
osteomalacia
Fosamax (alendronate) - ANSWERClassification: Bone resorption inhibitor.
Bisphosphonate
Therapeutic Effects: TX and prevention of post-menopausal and cortico-steroid-induced
osteoporosis,
Adverse Reactions & side effects: Altered taste, photosensitivity, rash, musculoskeletal
pain, fluid overload, esophagitis. Common upset stomach & heartburn, GI effects
Nursing Implications & teaching:Take first thing in the AM, before eating anything; then
pt MUST remain upright for at least 30 mins! Take only with plain water. Monitor for GI
side effects. Use sunscreen to prevent photosensitivity reactions. Do not give to those
with Renal insufficiency
Raloxifene (Evista) - ANSWERSelective Estrogen Receptor Modulator (SERM)
Osteoporosis. Give daily. For those that are intolerant to bisphosphonates. Can cause
hot flashes. Don't give to those with a history of DVT, stroke, MI. Can lower LDL. Has
estrogen side effects. Do not give if at a high risk for uterine or breast cancer.
Duavee (conjugated estrogens/bazedoxifene) - ANSWERFirst drug to combine
estrogen with an estrogen agonist/antagonist (bazedoxifene)
Drug should be used for the shortest duration possible. Do not give to patient is they
have a uterus or previous DVT, stroke, MI, PE.
EAR/EYE/UROLOGY/BONE EXAM 100%
CORRECT
, Osteoporosis - ANSWERProgressive loss of bone mass. Increased risk for fractures.
Type 1 occurs primarily in post menopausal women. Type 2 is men and women. Can be
caused by other diseases or medications. Such as oasis, steroids, heparin, etc.
osteomalacia - ANSWERSoftening of the bone. Adults version of rickets. Low vitamin D.
Can also be caused by hyperparathryoidism. Nirmal vitamin d level is 20-80.
Paget Disease - ANSWERDisorder of bone remodeling. Typically occurs in one or more
bones. They tend to have a high alkaline phosphate level.
Treatment for Paget's Disease - ANSWERZoledronic acid. Given once a year via IV
infusion. Also prescribed a high dose biphosphonate and calcitonin.
Treatment for osteomalacia - ANSWERvitamin D and calcium. Give calcitriol is vitamin
d level is less than 10
Bisphosphonates - ANSWER-dronate given for treatment of osteoporosis, pagets, and
osteomalacia
Fosamax (alendronate) - ANSWERClassification: Bone resorption inhibitor.
Bisphosphonate
Therapeutic Effects: TX and prevention of post-menopausal and cortico-steroid-induced
osteoporosis,
Adverse Reactions & side effects: Altered taste, photosensitivity, rash, musculoskeletal
pain, fluid overload, esophagitis. Common upset stomach & heartburn, GI effects
Nursing Implications & teaching:Take first thing in the AM, before eating anything; then
pt MUST remain upright for at least 30 mins! Take only with plain water. Monitor for GI
side effects. Use sunscreen to prevent photosensitivity reactions. Do not give to those
with Renal insufficiency
Raloxifene (Evista) - ANSWERSelective Estrogen Receptor Modulator (SERM)
Osteoporosis. Give daily. For those that are intolerant to bisphosphonates. Can cause
hot flashes. Don't give to those with a history of DVT, stroke, MI. Can lower LDL. Has
estrogen side effects. Do not give if at a high risk for uterine or breast cancer.
Duavee (conjugated estrogens/bazedoxifene) - ANSWERFirst drug to combine
estrogen with an estrogen agonist/antagonist (bazedoxifene)
Drug should be used for the shortest duration possible. Do not give to patient is they
have a uterus or previous DVT, stroke, MI, PE.
