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pain, pallor, pulselesness, parathesis, poikilithemia (cool)
what are benzodiazepines?
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sedative, sleep inducing, anti anxiety, anticonvulsant, and muscle relaxant
how do fractures impact mobility?
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limit mobility or complete immobility
the care of a pt with osteoporosis
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promote understanding of osteoporosis, relieving pain, improving bowel
elimination r/t immobility, preventing injury
raloxifene (evista)
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purpose: decrease bone reabsorption, which slows down bone loss and
preservation of bone mineral density
therapeutic uses: prevent and treat postmenopausal osteoporosis
adverse effects: increase the risk of DVT and pulmonary embolism
interaction: concurrent use with estrogen hormone therapy is discouraged
nursing administration: monitor bone density and liver function
opioid agonists
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, fentanyl, morphine, codeine, methadone, oxycodone
adverse effects: respiratory and cough suppression
nursing interventions: monitor VS, stop opioids if the clients resp rate is
<12/min
use cautiously with: clients who have asthma, emphysema, and/or head
injuries
medication interactions: CNS depressants (barbiturates, phenobarbital,
benzodiazepines, alcohol)
nursing administration: administer opioids iv slowly over a period of 4 to 5
min
what kind of meds increase risk for fracture?
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antiphycotic meds
whose most at risk for osteoporosis?
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thin white female
whats an adverse effect for bisphosphonates?
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take with huge glass of water and stay upright for at least 30 min