SIADH manifestations
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Low urine output
Mild to Severe Hyponatremia
Management of Osteoporosis
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Raloxifene (Evista)
Used for prevention of postmenopausal osteoporosis
Do NOT use in women who may become pregnant, history of VTE
Adverse Effect: Hot flashes
Alendronate (Fosamax)- Take with an 8 oz glass of water
Instruct patient to NOT lie down for 30 minutes
, after taking. (due to risk of esophagitis or esophageal ulceration)
Calcitonin, salmon (Calcimar, Miacalcin)
• Derived from salmon• Available in injectable or nasal spray
Addisonian Crisis/Adrenal Crisis
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Addisonian crisis is a life-threatening emergency requiring aggressive
management.
Clinical Manifestations: Hypotension, nausea, vomiting, weakness, lethargy,
fever, confusion, acute abdomen, and possibly coma
Treatment: Is directed toward shock management and high-dose
hydrocortisone replacement. Large volumes of 0.9% saline solution and 5%
dextrose are given to reverse hypotension and electrolyte imbalances until
BP returns to normal
Diabetes Insipidus manifestations
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Polyuria
Hypernatremia
UNCORRECTED HYPERNATREMIA CAN CAUSE BRAIN SHRINKAGE
DDH clinical manifestations
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Uneven gluteal folds and thigh creases (more and deeper on the involved
side)
Limited abduction of hip (ROM of hip); rotation of hip in outward motion,
away from the body
Pain on abduction of hip
Shorter limb on the affected side
Hip Fractures Postoperative Care
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Vital signs, intake/output, monitor respiratory status and encourage deep
breathing and coughing, assess pain and provide analgesics and muscle
relaxants, observe the dressing and incision for signs of bleeding,
neurovascular assessments (color, temperature, capillary refill, distal pulses,
edema, sensation, motor function, and pain). Elevate the leg when up in
chair or in bed, maintain limb alignment with pillows when turning patient to
the non-operative side.
Hip Fractures Treatment
Give this one a try later!
IMMEDIATE SURGERY is the standard of care
Give this one a try later!
Low urine output
Mild to Severe Hyponatremia
Management of Osteoporosis
Give this one a try later!
Raloxifene (Evista)
Used for prevention of postmenopausal osteoporosis
Do NOT use in women who may become pregnant, history of VTE
Adverse Effect: Hot flashes
Alendronate (Fosamax)- Take with an 8 oz glass of water
Instruct patient to NOT lie down for 30 minutes
, after taking. (due to risk of esophagitis or esophageal ulceration)
Calcitonin, salmon (Calcimar, Miacalcin)
• Derived from salmon• Available in injectable or nasal spray
Addisonian Crisis/Adrenal Crisis
Give this one a try later!
Addisonian crisis is a life-threatening emergency requiring aggressive
management.
Clinical Manifestations: Hypotension, nausea, vomiting, weakness, lethargy,
fever, confusion, acute abdomen, and possibly coma
Treatment: Is directed toward shock management and high-dose
hydrocortisone replacement. Large volumes of 0.9% saline solution and 5%
dextrose are given to reverse hypotension and electrolyte imbalances until
BP returns to normal
Diabetes Insipidus manifestations
Give this one a try later!
Polyuria
Hypernatremia
UNCORRECTED HYPERNATREMIA CAN CAUSE BRAIN SHRINKAGE
DDH clinical manifestations
, Give this one a try later!
Uneven gluteal folds and thigh creases (more and deeper on the involved
side)
Limited abduction of hip (ROM of hip); rotation of hip in outward motion,
away from the body
Pain on abduction of hip
Shorter limb on the affected side
Hip Fractures Postoperative Care
Give this one a try later!
Vital signs, intake/output, monitor respiratory status and encourage deep
breathing and coughing, assess pain and provide analgesics and muscle
relaxants, observe the dressing and incision for signs of bleeding,
neurovascular assessments (color, temperature, capillary refill, distal pulses,
edema, sensation, motor function, and pain). Elevate the leg when up in
chair or in bed, maintain limb alignment with pillows when turning patient to
the non-operative side.
Hip Fractures Treatment
Give this one a try later!
IMMEDIATE SURGERY is the standard of care
