NCLEX-Bone disorder meds

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NCLEX-Bone disorder meds
2013-02-24 16:50:35
NCLEX Bone disorder meds

NCLEX-Bone disorder meds
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  1. What is the normal Ca range
  2. ca carbonate (tums) what is important theaching
    drink w/ 8 oz of water. dont take 500mg at one time.1 hour between glucocorticoids. Chew to help increase absorption
  3. What should you tell the client taking glucocorticoids and ca?
    Take ca @ least 1 hour apart because glucocorticoids reduce ca absorption.
  4. Concurrent use with what reduces ca absorption?
    Glucocorticoids. Give Ca @ least 1 hr apart
  5. Raloxifene (Evista)
    Selective Estrogen Receptor modulator (SERM). Used to prevent postmenopausal osteoporosis/ spinal fx

    Works by estrogen inbone slowing down bone loss
  6. What are a couple adverse effects of SERMS such as Rloxifene (Evista)
    Increased risk for PE, DVT and Hot flashes. (estrogen component)
  7. A pt taking Raloxifene (Evista) should monitor for what?
    Pain in calf, SOB and hot flashes.
  8. Alendronate na (Fosamax)
    Biphoshonates. Decreases bone resorption
  9. Alendronate is contraindicated in who?
    people who need to remain flat on the bed. pt's should remain upright for 30 min to prevent esophagitis.
  10. You should monitor a pt for what taking alendronate?
    Joint pain cuz alendronate can cause muskuloskeletal pain.
  11. Ibandronate na (boniva)
    Biphoshonates. Decreases bone resorption
  12. Risedronate (Actonel)
    Biphoshonates. Decreases bone resorption
  13. Zoledronate (Reclast, Zometa)
    Biphoshonates. Decreases bone resorption
  14. What do Biphosphanates do?
    Decrease bone resorption.
  15. When should a client take alendronate?
    First thing in the morning after getting out of bed on an empty stomach drinking a full glass of water. Avoid lying down after taking the medication. Avoid ca containing foods w/ in two hours to taking alendronate.
  16. What can decrease alendronate absorption?
    CA supplements, orange juice, antacids and caffeine.
  17. Calcitonin-Salmon (fortical)
    Calcitonin. Decreased bone resorption
  18. What can be a side effect of Calcitonin