OSTEOPOROSIS: Adverse drug reaction Medication Monitoring parameters Zoledronic acid Raloxifene Bazedoxifene with conjugated equine estrogens (CÉE) Calcitonin (salmon) Teriparatide Abaloparatide Romosozumab
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- Which of the musculoskeletal side effects is not usually seen with glucocorticoid use?A. Muscle weaknessB. Increase in muscle massC. OsteoporosisD. Pathologic fractures of long bonesE. Spine compression fracturesOsteoporosis is described as “a remodeling imbalance”. Explain what that isScenario: Frank Fellow, a 72-year-old is recently discharged after beingdiagnosed with early onset dementia. He lives in a two-story housewith his wife Amelia. The doctor requested PSW visit twice a week. Thedischarge note reported: moderate-sized red discoloration located onFrank’s inner thigh. Medical history includes hypertension, diabetesmellitus type 2 on insulin injection, rheumatoid arthritis, and GERD.Frank has been doing the insulin injection himself since he wasdiagnosed.You are the PSW assigned for Frank. This is the first initial visit.A. Create a care plan based on 2 identified care needs Assessment Diagnosis Planning Intervention Evaluation
- The pt has Diabetic type 1 and has Chronic kidney disease.Put these medications in priority order how you administrate them.amlodipinecarvedilolPlavixlevothyroxineDeltasonentegrated LabCase Study DiabetesJohn is a 50 yr old man admitted to your medical unit with an ulceration on his right ankle. His blood glucose level is 473. He tells you he takes NPH (Humilin N) insulin 40 units every morning and Regular insulin with each meal and at bedtime.John’s first dose of insulin each day is given at 6 am. Chart the action of this insulin throughout the day, showing what time the insulin was given and where it peaks.Hint: This is referring to the NPH. Look up peak times for this.John said his doctor told him to keep his glucose between 100 and 150. What is the normal range for blood glucose.Pt is a 67 y.o female as documented in addition to chronic smoking and malnutrition, she initially substained a right intertrochanteric hip fracture which was treated with intranadullary nailing last year. This unfortunately went on to a aseptic nonunion with subsequent screw cut out. Pt than underwent conversion to hemiarthroplasty complicated by distal femur fracture which was treated by ORIF of the distal femur. Pt was discharged to a rehab facility on chronic ceftriaxone with the plan for life long chronic suppression. Altered mental status and hypertension and leukocytesis. UA was suspicious to possible UTI. CT shows no obvious evidence but chronic perioslitis of her proximal femur. Risks for fall, left risk restriction, thrombocytosis, asymptomatic puria, lactic acidosis, chronic back pain, CVA with dysphasia presenting for septic shock, COPD, anxiety, depression, anemia, opioid use, smoking, Encephalopathy. Please do a concept map on this pt
- Pt is a 67 y.o female as documented in addition to chronic smoking and malnutrition, she initially substained a right intertrochanteric hip fracture which was treated with intranadullary nailing last year. This unfortunately went on to a aseptic nonunion with subsequent screw cut out. Pt than underwent conversion to hemiarthroplasty complicated by distal femur fracture which was treated by ORIF of the distal femur. Pt was discharged to a rehab facility on chronic ceftriaxone with the plan for life long chronic suppression. Altered mental status and hypertension and leukocytesis. UA was suspicious to possible UTI. CT shows no obvious evidence but chronic perioslitis of her proximal femur. Risks for fall, left risk restriction, thrombocytosis, asymptomatic puria, lactic acidosis, chronic back pain, CVA with dysphasia presenting for septic shock, COPD, anxiety, depression, anemia, opioid use, smoking, Encephalopathy. Base the patient nursing report, medications, and labs please do the…Which of the following terms denotes a general condition that includes the other four?a. goutb. arthritisc. rheumatismd. osteoarthritise. rheumatoid arthritisWhich one of the following foods is best for bonehealth? a. carrotsb. liverc. leafy green vegetablesd. oranges
- 2. Potential cause of glycemic abnormalities in addition to diabetes.A. ADHDB. BananasC. HyperparathyroidismD. Liver disfunctionMaria Russo is a 76 year old woman who sustained an Intertrochanteric fracture ofthe Right femur after she fell when watering her garden. She sustained a smalllaceration to her Right Shoulder when she fell. Maria could not remember whathappened before she fell.Maria's medical history includes osteoporosis, prediabetes and depression. She hasrecently been experiencing some orthostatic hypotension. She has no significantsurgical history. Maria's current medications on admission are Aspirin 75mgs daily,Citalopram 20mg and Alendronate Sodium 10mg orally daily.Maria lives alone, her husband died 6 months ago. Maria’s adult children liveinterstate. Pre-operatively Maria shared her concerns about her pet dog, Bonnie, andwho will care for her while she is in hospital.Maria has undergone an Open Reduction and Internal fixation (ORIF) of thefractured Right Neck of Femur under Spinal and General Anaesthesia.Maria was nauseated in the Post anaesthetic care unit (PACU) and vomited a smallamount of…Maria Russo is a 76 year old woman who sustained an Intertrochanteric fracture ofthe Right femur after she fell when watering her garden. She sustained a smalllaceration to her Right Shoulder when she fell. Maria could not remember whathappened before she fell.Maria's medical history includes osteoporosis, prediabetes and depression. She hasrecently been experiencing some orthostatic hypotension. She has no significantsurgical history. Maria's current medications on admission are Aspirin 75mgs daily,Citalopram 20mg and Alendronate Sodium 10mg orally daily.Maria lives alone, her husband died 6 months ago. Maria’s adult children liveinterstate. Pre-operatively Maria shared her concerns about her pet dog, Bonnie, andwho will care for her while she is in hospital.Maria has undergone an Open Reduction and Internal fixation (ORIF) of thefractured Right Neck of Femur under Spinal and General Anaesthesia.Maria was nauseated in the Post anaesthetic care unit (PACU) and vomited a smallamount of…
