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Osteoporosis

QuestionAnswer
Osteoporosis Chronic disease where bone resorption exceeds formation causing fragile bones
Osteopenia Low bone mass precursor to osteoporosis T-score between -1 and -2.5
Bone Remodeling Constant process of bone resorption by osteoclasts and formation by osteoblasts
Bone Mineral Density Amount of mineral in bone determining strength peaks age 25-30
DXA Scan Dual-energy X-ray absorptiometry the diagnostic test for osteoporosis
T-Score Result from DXA 0 is healthy, -1 to -2.5 is osteopenia, ≤-2.5 is osteoporosis
Postmenopausal Risk Postmenopausal white women at greatest risk for osteoporosis fractures
Key Risk Factors Low calcium vitamin D smoking alcohol immobility steroids family history
Vitamin D Role Essential for calcium absorption deficiency causes bone softening
Nursing Interventions Educate on calcium vitamin D weight-bearing exercise and fall prevention
Bisphosphonates Drug class like alendronate that prevents osteoclast bone resorption
Bisphos Administration Take on empty stomach with full water remain upright 30 minutes after
Bisphos IV Risks Can cause atrial fibrillation and acute kidney injury monitor renal function
Raloxifene (SERM) Selective Estrogen Receptor Modulator preserves BMD reduces breast cancer risk
Osteomalacia Bone softening from vitamin D deficiency causing pain and bowing
Paget's Disease Disorder with excessive bone remodeling leads to deformity and pain
Paget's Symptoms Bone pain deformity skull enlargement hearing loss pathologic fractures
Created by: Wasurenboh
 

 



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