pharm

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Author:
cassiedh
ID:
82999
Filename:
pharm
Updated:
2011-05-01 13:47:43
Tags:
ch21menopausal
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Description:
the menopausal pt
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  1. the menopausal patient will have a decrease in what production?
    ESTROGEN
  2. t/f there is a risk of cardiovascular disease, osteoporosis, and alzheimers increase with a menopausal woman
    true
  3. what is the severe thinning and weakening of normal bone called?
    osteoporosis
  4. what is ERT?
    estrogen replacement therapy
  5. what reduces the risk of hip fracture-greatest long-term users but may be lost after hormone is stopped?
    ERT
  6. what are nonhormonal oral bisphosphonates? 3
    • fosamax
    • acteonel
    • boniva
  7. what are nonhormonal selective estrogen receptor modulators?
    raloxifene (Evista)
  8. what is HRT?
    hormonal replacement therapy
  9. ADEs of HRT are the formation of _____ _____ (from HRT and raloxifene), ______ BP (less common), smokers lead to _______, long term estrogen/progestin = increased risk for ____ _____, low risk dev of ______ (oral bisphosphonates), and increased risk for _____.
    • blood clots
    • increased
    • stroke
    • breast cancer
    • ONJ
    • dementia
  10. t/f xerostomia and dental caries are oral changes seen in menopause
    true
  11. what is the decreased unstimulated and stimulated submandibular and sublingual salivary flow compared with premenopausal women?
    xerostomia
  12. why do dental caries increase with menopausal women due to increased age?
    because of unfavorable microbial and xerostomic conditions
  13. what is BMS?
    burning mouth syndrome
  14. is burning mouth syndrome an oral consideration for menopausal women?
    yes
  15. what are 3 (systomatic triad) clinical features of BMS?
    • oral mucosal pain
    • dysguesia
    • xerostomia
  16. what is a treatment option for BMS?
    long term therapy of clonazepam and capsaicin
  17. what is it called when there is a presence of metallic or medicinal taste in the mouth?
    hypoguesia
  18. what is exacerbated during menopause because of reduction in saliva production and atrophic gingivitis?
    taste alterations
  19. what is the tx for taste alterations?
    it can't be reversed
  20. perio disease, osteoporosis in the jaw, and tooth loss are associated with oral changes of what?
    menopause
  21. the role of osteoporosis in _____ _____ ____ is unclear in menopause
    clincal attachment loss
  22. what might be useful for identifying postmenopausal women for low BMD (bone mineral density) or osteoporosis?
    a pano
  23. tooth loss risk is lower in women with ____
    HRT
  24. what is the most common cause of death among postmenopausal women?
    coronary artery disease
  25. cardiovascular disease is an _______ between inflammation and the formation of _________
    • assocation
    • atherosclerosis
  26. what can a menopausal woman take for management of osteoporosis?
    bisphosphonate therapy
  27. what should you do if a postmenopausal woman is taking bisphosphonate?
    • be alert for comoplications
    • ask about osteonecrosis
  28. t/f for menopause and osteoporosis, there is a tendency for pyogenic granuloma
    false! there is no risk
  29. t/f radiographs may indicate referral
    true
  30. estrogen taken alone increases risk of what?
    uterine cancer
  31. what are three drugs taken for treatment of osteoporosis?
    • estrogen
    • bisphosphonates
    • raloxifene
  32. long term use of estrogen/progestin therapy cuase what?
    increased risk for breast cancer
  33. deficiency of estrogen in a menopausal pt is a risk factor for what? 2
    • periodontal attachment loss
    • implant failure

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