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Calcium Medication

What is the most common drug class for osteoporosis and considered 1st line therapy for women with osteoporosis? Bisphosphonates
What are the two class of drugs considered to be the 1st line therapy for women with osteoporosis? Bisphosphonates and Monoclonal Antibody
What are the drugs under Bisphosphonates? Fosamax, Reclast, Boniva, Aredia, Actonel (FoRe BoArAct)
What are drugs under Monoclonal Antibody? Denosumab (Prolia)
This calcium supplement is taken with food Os-cal
What are side effects of calcium Supplements? Constipation, Nausea and Vomiting
What drugs under Calcium supplements? Calcium Carbonate and Calcium Citrate
All calcium supplements require drinking 6-8oz of water to prevent what? urinary or renal calculi
True or False: Do not divide dose of calcium supplements so it can easily absorbed by the GI False
This drug is administered by HCP as SQ injection every 6 months Monoclonal Antibody - Prolia
The patient takes Prolia, what does the nurse need to assess? assess BMD before, and periodically during treatment
Lidocaine should be intact on the skin for how long? 12 hrs./day
How may patches of Lidocaine is allowed at one time? 3 patches
This class of drug have side effects of GI irritation, GI bleeding, stomach ulcers, tinnitus, vertigo, bronchospasm NSAIDs
What drugs under NSAIDs? Toradol, Ibuprofen, Aleve, ASA
ASA use can increase risk for? Bleeding with anticoagulant
What do you need to assess on a patient who uses NSAIDs aside from dizziness and GI bleeding? Fluid retention, Peripheral Edema and pain
What are S/S of Lidocaine? Stinging, burning, erythema at patch site, contact dermatitis
What is the action of Calcitonin? Secreted by thyroid gland and inhibits osteoclastic bone resorption
What drugs are under Calcitonin? Calcimar, Fortical, Miacalcin
This class of drug is available in IM SQ and intranasal spray forms Calcitonin
What are side effects of Calcitonin? hypocalcemia, nasal irritation, nausea and facial flashing with IM and SQ, injection site irritation
What interventions should you tell to the patient who was given Calcitonin? alternate nostril to prevent dryness, store in refrigerator, administer injection at night to decrease SE, calcium supplementation needed
What outcomes does the nurse expect to a pt who takes calcitonin? Increase BMD without med SE; slowed progression of postmenopausal osteoporosis; decreased bone pain
What do you need to assess or tell the patient before starting on Bisphosphonates? Have a dentist exam d/t jaw osteonecrosis prior starting; assess for evidence of esophageal irritation, difficulty swallowing, wt. loss gastritis, heartburn, and renal insufficiency
What is the action of Bisphosphonates? Inhibits osteoclastic bone resorption to increase BMD and total bone mass; treat and prevent osteoporosis
What interventions would you include to a pt who takes Bisphosphonates? take early in am; 30 minutes before other meds/food/drinks; take with water; remain upright for at least 30 minutes
Fosamax is taken how often? daily or weekly tablet
Boniva is taken how often? Once per month tablet
Reclast is taken how often? once yearly by IV infusion
Aredia is taken how often? pre-treat with Tylenol every 3-6 months
Reclast have what side effects? no GI side effects since it's an injection; fever, flu-like syndrome, HA occurring within 3 days of infusion
Side effects of Bonica, Aredia, Actonel, and Fosamax? wt. loss, anorexia, abdominal pain, esophageal irritation, dyspepsia, dysphagia, MS pain
What class of drugs have a drug of raloxifene (Evista)? Estrogen Agonist
What are side effects of Evista? hot flushes, thromboembolism, stroke, and leg cramps
A pt uses Evista, what do you need to assess? BMD before, and periodically during treatment, monitor SE
Interventions for Evista? Teach importance of Vit D and calcium, no smoking or alcohol, weight bearing exercises, will not reduce flashes of menopause, administer PO
What is the action of Evista? synthetic estrogen that inhibits bone resorption used in treatment and prevention of postmenopausal osteoporosis
What drug is under Parathyroid Hormone? Forteo
Parathyroid action? Increases BMD, stimulate osteoblastic activity therefore stimulates new bone growth; treatment in women high in fractures
What do you need to assess on pt who takes Forteo? BMD before, periodically during treatment; Increases serum calcium and decrease serum phosphorus; side effects
Interventions for pts who take Forteo? should not be used for more than 2 yr; daily SQ injection into thigh or abdominal wall; store pen in refrigerator; Forteo pen can only be used for 28 days
Side effects of Forteo? Orthostatic Hypotension, muscle spasm, leg cramps, dizziness
Calcium supplements should be taken in combo with? Activated vitamin D
Assessment to do to pt who uses Calcium supplements? monitor Vit D and serum calcium to prevent hypercalcemia; history of urinary stones; understanding of dietary sources of calcium
Action of Prolia/Monoclonal Antibody? Binds to a protein involved in formation and function of osteoclast; used for postmenopausal women with osteoporosis at high r/f fractures
Created by: dmanuel3332
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