Calcium Medication
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| What is the most common drug class for osteoporosis and considered 1st line therapy for women with osteoporosis? | Bisphosphonates
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| What are the two class of drugs considered to be the 1st line therapy for women with osteoporosis? | Bisphosphonates and Monoclonal Antibody
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| What are the drugs under Bisphosphonates? | Fosamax, Reclast, Boniva, Aredia, Actonel (FoRe BoArAct)
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| What are drugs under Monoclonal Antibody? | Denosumab (Prolia)
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| This calcium supplement is taken with food | Os-cal
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| What are side effects of calcium Supplements? | Constipation, Nausea and Vomiting
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| What drugs under Calcium supplements? | Calcium Carbonate and Calcium Citrate
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| All calcium supplements require drinking 6-8oz of water to prevent what? | urinary or renal calculi
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| True or False: Do not divide dose of calcium supplements so it can easily absorbed by the GI | False
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| This drug is administered by HCP as SQ injection every 6 months | Monoclonal Antibody - Prolia
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| The patient takes Prolia, what does the nurse need to assess? | assess BMD before, and periodically during treatment
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| Lidocaine should be intact on the skin for how long? | 12 hrs./day
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| How may patches of Lidocaine is allowed at one time? | 3 patches
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| This class of drug have side effects of GI irritation, GI bleeding, stomach ulcers, tinnitus, vertigo, bronchospasm | NSAIDs
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| What drugs under NSAIDs? | Toradol, Ibuprofen, Aleve, ASA
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| ASA use can increase risk for? | Bleeding with anticoagulant
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| What do you need to assess on a patient who uses NSAIDs aside from dizziness and GI bleeding? | Fluid retention, Peripheral Edema and pain
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| What are S/S of Lidocaine? | Stinging, burning, erythema at patch site, contact dermatitis
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| What is the action of Calcitonin? | Secreted by thyroid gland and inhibits osteoclastic bone resorption
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| What drugs are under Calcitonin? | Calcimar, Fortical, Miacalcin
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| This class of drug is available in IM SQ and intranasal spray forms | Calcitonin
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| What are side effects of Calcitonin? | hypocalcemia, nasal irritation, nausea and facial flashing with IM and SQ, injection site irritation
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| 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
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| 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
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| 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
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| What is the action of Bisphosphonates? | Inhibits osteoclastic bone resorption to increase BMD and total bone mass; treat and prevent osteoporosis
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| 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
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| Fosamax is taken how often? | daily or weekly tablet
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| Boniva is taken how often? | Once per month tablet
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| Reclast is taken how often? | once yearly by IV infusion
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| Aredia is taken how often? | pre-treat with Tylenol every 3-6 months
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| 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
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| Side effects of Bonica, Aredia, Actonel, and Fosamax? | wt. loss, anorexia, abdominal pain, esophageal irritation, dyspepsia, dysphagia, MS pain
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| What class of drugs have a drug of raloxifene (Evista)? | Estrogen Agonist
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| What are side effects of Evista? | hot flushes, thromboembolism, stroke, and leg cramps
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| A pt uses Evista, what do you need to assess? | BMD before, and periodically during treatment, monitor SE
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| 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
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| What is the action of Evista? | synthetic estrogen that inhibits bone resorption used in treatment and prevention of postmenopausal osteoporosis
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| What drug is under Parathyroid Hormone? | Forteo
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| Parathyroid action? | Increases BMD, stimulate osteoblastic activity therefore stimulates new bone growth; treatment in women high in fractures
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| 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
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| 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
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| Side effects of Forteo? | Orthostatic Hypotension, muscle spasm, leg cramps, dizziness
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| Calcium supplements should be taken in combo with? | Activated vitamin D
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| 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
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| 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
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