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Questions and Answers
Which medication is administered intravenously once a year?
Which medication is administered intravenously once a year?
- Zoledronic acid (correct)
- Ibandronate
- Risedronate
- Alendronate
What is the primary function of calcitonin in the treatment of hypercalcemia?
What is the primary function of calcitonin in the treatment of hypercalcemia?
- Promoting bone turnover
- Increasing serum calcium levels
- Inhibiting bone resorption (correct)
- Relieving bone pain
Which drug is used to prevent skeletal-related events in bone metastases from solid tumors?
Which drug is used to prevent skeletal-related events in bone metastases from solid tumors?
- Alendronate
- Denosumab (correct)
- Risedronate
- Ibandronate
What is the recommended timing for taking alendronate?
What is the recommended timing for taking alendronate?
What is the primary adverse effect of bisphosphonates?
What is the primary adverse effect of bisphosphonates?
Which drug is used to treat osteoporosis in postmenopausal women at high risk of fracture?
Which drug is used to treat osteoporosis in postmenopausal women at high risk of fracture?
What is a common side effect of calcium supplements?
What is a common side effect of calcium supplements?
When is it recommended to take a calcium supplement with vitamin D for optimal absorption?
When is it recommended to take a calcium supplement with vitamin D for optimal absorption?
What is the finding of meta-analysis regarding the effectiveness of vitamin D in primary prevention of fractures?
What is the finding of meta-analysis regarding the effectiveness of vitamin D in primary prevention of fractures?
In addition to calcium and vitamin D supplements, what other type of drugs are prescribed to treat osteoporosis?
In addition to calcium and vitamin D supplements, what other type of drugs are prescribed to treat osteoporosis?
What type of therapy is no longer recommended for patients who only have evidence of osteopenia without reaching the precise DEXA scores that define osteoporosis?
What type of therapy is no longer recommended for patients who only have evidence of osteopenia without reaching the precise DEXA scores that define osteoporosis?
What type of PTH analogues are used in patients with advanced osteoporosis or who are treatment resistant?
What type of PTH analogues are used in patients with advanced osteoporosis or who are treatment resistant?
What is a contraindication for calcium preparations?
What is a contraindication for calcium preparations?
In which part of the body does absorption of calcium occur?
In which part of the body does absorption of calcium occur?
What is a reported rare side effect of calcium preparations?
What is a reported rare side effect of calcium preparations?
What is the essential treatment for acute, severe hypocalcemia?
What is the essential treatment for acute, severe hypocalcemia?
What is a common cause of calcium deficiency in older adults?
What is a common cause of calcium deficiency in older adults?
What is an adverse effect of hypercalcemia?
What is an adverse effect of hypercalcemia?
Which of the following is a symptom of hypercalcemia discussed in the text?
Which of the following is a symptom of hypercalcemia discussed in the text?
What is a contraindication for vitamin D, as per the text?
What is a contraindication for vitamin D, as per the text?
What is a key nursing implication for vitamin D, as mentioned in the text?
What is a key nursing implication for vitamin D, as mentioned in the text?
What is a common adverse effect of alendronate, according to the text?
What is a common adverse effect of alendronate, according to the text?
When is it not recommended to use alendronate, based on the text?
When is it not recommended to use alendronate, based on the text?
What is a key patient teaching guideline for vitamin D, according to the text?
What is a key patient teaching guideline for vitamin D, according to the text?
Which is a key guideline for patient teaching regarding calcium preparations?
Which is a key guideline for patient teaching regarding calcium preparations?
What is a key consideration for administering IV calcium preparations?
What is a key consideration for administering IV calcium preparations?
What is the preferred treatment sequence for hypomagnesemia and hypocalcemia?
What is the preferred treatment sequence for hypomagnesemia and hypocalcemia?
What is a key use of Vitamin D in medical treatment?
What is a key use of Vitamin D in medical treatment?
What can excessive vitamin D use lead to?
What can excessive vitamin D use lead to?
Why is calcitriol (Rocaltrol) preferable for treating osteomalacia associated with renal impairment?
Why is calcitriol (Rocaltrol) preferable for treating osteomalacia associated with renal impairment?
Study Notes
Calcium and Vitamin D Preparations: Key Points
- Administer IV calcium preparations slowly as a continuous infusion or in divided doses to prevent dysrhythmias and hypotension
- IV calcium solutions can cause tissue irritation, so the IV site should be carefully observed during administration
- Relief of symptoms of neuromuscular irritability and tetany should be observed for therapeutic effects of calcium preparations
- Treatment of the underlying cause of hypocalcemia is essential for stabilization
- Hypomagnesemia should be treated before hypocalcemia for effective calcium treatment
- Adverse effects of calcium preparations include increased thirst, inability to eat, increased urination, constipation, and abdominal pain
- Patient teaching guidelines for calcium preparations include consulting a healthcare provider before taking supplements and consuming good sources of dietary calcium
- Calcium supplements should not be taken with iron, tetracycline, ciprofloxacin, or phenytoin
- Vitamin D is used in chronic hypocalcemia, hypoparathyroidism, and osteoporosis treatment
- Vitamin D is absorbed from the GI tract, stored in the liver and other tissues, and metabolized into its active form in the liver and kidneys
- Excessive vitamin D use can lead to hypervitaminosis D and hypercalcemia
- Calcitriol (Rocaltrol) is preferable for treating osteomalacia associated with renal impairment due to its active form and no metabolism
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Description
Test your knowledge of key points related to the administration, effects, and patient teaching guidelines for calcium and vitamin D preparations with this informative quiz. Topics covered include IV administration, therapeutic effects, adverse effects, interactions, and the use of vitamin D in various medical conditions.
