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25 Cards in this Set
- Front
- Back
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Name some of the risk factors of osteoporosis that you can change.
(test question) |
diet low in calcium/vitamin d
excessive use of alcohol cigarette smoking inactive lifestyle excessive caffeine use |
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What is the biggest complication of osteoporosis?
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fractures
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What do you need to educate your patient about if they have osteoporosis?
(test question) |
talk about falls prevention
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What are the drugs to treat osteoporosis?
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Fosamax & Boniva
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What is important in regards to patient teaching about taking Fosamax and Boniva?
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you have to sit up for 45 minutes after it to prevent esophageal issues
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Which bone cell builds bone?
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osteoblasts
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Which bone cell breaks down bone?
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osteoclasts
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What ingredient in soda actually is bad for your bones?
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phosphorus pulls calcium out of bones
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What is the function of taking calcitonin if you have osteoporosis?
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helps you to replace bone mass....nasally inhaled
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What is route of PTH replacement in OP?
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parenteral
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What is the major drug used to treat gout?
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NSAIDS for pain
and colchicine (anti inflammatory) |
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What do you teach patient about their diet if they have gout?
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avoid meat and alcohol...things with purine are bad.
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What do you encourage a person with a hx of gout to do?
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increase fluid intake. They need a HIGH fluid intake of greater than 3 L a day...and NOT BEER!
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In an acute state of gout, what do you do for patient?
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apply ice
bed rest no weight bearing until attack subsides |
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Why do you need to increase fluid of a gout person?
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to clear the uric acid from the body and to prevent kidney stones
(TEST) |
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Other than NSAIDs and Colchicine, what drugs are given to a gout sufferer?
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steroids PO
injected steroids Cozaar (anti HTN used for pts with HTN and gout) and ALLOPURINOL (xanthine oxidase inhibitor...helps to prevent the deposits of uric acid)****test**** |
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The test question on Lupus is on meds. What are the categories of meds given for LUPUS?
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steroids (IV or PO)
antimalarial agents: Plaquenil immunosuppresive agents: methotrexate, Imuran, Cytoxan |
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What is important to teach a patient who is taking immunosuppresive agents?
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no pregnancy
report any bleeding (You are suppressing the immune system...so anything that needs a fully functioning immune system should be avoided: immunizations, etc) |
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methotrexate
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given to lupus and RA. immunosuppressant and also a DMAR
avoid pregnancy report bleeding |
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What are the immunosupressant drugs for lupus?
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Imuran
Cytoxan methotrexate ::all inhibit DNA, RNA and protein synthesis |
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What is osteosarcoma?
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malignant bone tumor that metastasizes to the lungs
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What is the main possible complication of bone tumors?
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pathologic fractures
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What is a osteochondroma?
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a primary benign bone tumor
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What is osteogenic sarcoma?
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a primary bone tumor that is extremely aggressive and rapidly metastasizes to distant sites
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What is the treatment for osteosarcoma?
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no cure, best hope is limb salvage (which is an advancement as the old tx was amputation)
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