1750: Osteoporosis & Obesity

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1750: Osteoporosis & Obesity
2015-05-19 00:27:07
Osteo Ob

Osteo and Obesity
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  1. What is the pathophys of Osteoporosis?
    • Osteoblasts: add bone tissue
    • Osteoclasts: break down of bone tissue

    = imbalance = porous bone.
  2. What 3 primary bones are mostly affected w/ Osteoporosis?
    Pelvic, Vertebra, and wrist.
  3. Which medications are used to treat Osteoporosis?

    Anti seizure meds
  4. What are some modifiable risk factors of Osteoporosis

    What contains high levels of phosphate?
    • Cigarette smoking/alcohol use
    • diet
    • exercise

    Sodas contain a lot of phosphate.
  5. What is the diagnostic test and procedure for Osteop?
    DEXA: dual energy x ray absorptiometry.

    ~measures bone density in the lumbar spine.
  6. What are some nursing assessments for someone at risk of Osteop?
    Presence of RF

    Hx of calcium/Vit D intake


    Physical measurements

    Pain assessments

    Alterations in functional status
  7. What may be some Nursing Diagnosis for Osteop?
    Risk of injury (from falls)

    Imbalanced Nutrition

    Acute pain
  8. What are some preventions and interventions to stabilize Osteop?
    Diet rich in Calcium AND Vitamin D.

    Eliminate caffeine
  9. What are some interventions for Osteop using exercise?
    low impact

    weight bearing

    • resistance
    • (3x/wk 30-40 min/day)
  10. Pharmaceutical Mgmt.

    What do biphosphonates do?

    (Fosamax and Boniva)
    inhibits reabsorption of bone by suppressing osteoclasts.
  11. What is Obesity defined as?
    High body fat: lean body mass.

    Imbalance btwn energy intake & energy output.
  12. Four theories of Etiology.

    (1) What is the "set-point"?
    Body has a desired weight and will do whatever is necessary to maintain that pre-established set point.
  13. Four theories of Etiology.

    (2) Adipose Cell Development
    Fat cells grow & divide continuously and never goes away.
  14. Four theories of Etiology.

    (3) Learned Behavior: environmental and psychological response to emotional stimuli.

    What is leptin & ghrelin?
    Environmental response: portion size, exercise.

    Psychological response to emotional stimuli: binging & grazing

    • Leptin: feeling of fullness
    • Ghrelin: stimulates desire to eat
  15. Explain the two types of Obesity: Android and Gluteal.
    Android Obesity: beer belly; excess abdominal fat, high triglycerides, low HDL, HTN.

    Gluteal-femoral: difficult to treat but less risk of heart disease, abnormal lipids when compared to Android Obesity.
  16. Pharm for Obesity:

    orlistatin mechanism of action?
    orlistat: ◦Reduces nutrient absorption, especially fat & fat-soluble vitamins—works in the GI system.

    • ◦Take with meals or up to 1 hour after
    • meals

    ◦Eating high-fat meal è urgent fecal elimination

    SE: steatorrhea, fecal urgency & incontinence, flatulence

    Appetite Suppressment: