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Questions and Answers
Which type of diagnostic imaging is commonly used to determine bone strength in osteoporosis?
What is the T-score range for a diagnosis of osteoporosis?
Why is it recommended to take osteoporosis medication on an empty stomach?
Which symptom is NOT commonly associated with osteomyelitis?
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What is the primary purpose of sequestrectomy in the surgical management of osteomyelitis?
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In nursing interventions for osteomyelitis, what is the significance of providing deep venous thrombosis prophylaxis?
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What is the primary difference between osteoclastic and osteoblastic activity in osteoporosis?
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Which of the following is NOT a risk factor for osteoporosis?
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What is the significance of Dowagers hump in relation to osteoporosis?
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Why is smoking cessation important for individuals with osteoporosis?
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What is the recommended type of exercise for individuals with osteoporosis?
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Why should individuals limit their consumption of carbonated beverages in osteopenia?
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Study Notes
Osteoporosis
- Osteoporosis is characterized by osteoclastic activity exceeding osteoblastic activity.
- Risk factors for osteoporosis include:
- Postmenopausal women (estrogen deficiency)
- History of low-trauma fracture after 50 (spine, hip, wrist)
- Men over 70
- Dowager's hump (kyphosis) or shrinking height
- Low body weight/thin build
- Smoking, drinking, and caffeine consumption
- Low calcium/vitamin D intake
- Low protein/poor nutrition
- Parental history of osteoporosis (especially mother)
- Lack of physical exercise
- Nursing interventions for osteoporosis:
- Educate regarding fall risk
- Smoking cessation
- ETOH reduction
- Exercise (weight-bearing exercise to put stress on bones)
- Strength training (if osteopenia is present)
- Increase dietary calcium and calcium/vitamin D supplements
- Limit carbonated beverages
- Support medication regimen (bisphosphonates)
- Educate about medication side effects and MOA
Osteoporosis and BMD
- Bone Mineral Density (BMD) determines bone strength
- BMD peaks between 25-30 years old
- T-score:
- Osteopenia: -1 to -2.5
- Osteoporosis: less than -2.5
Osteomyelitis
- Infection in bony tissue that may lead to necrosis of bone
- Causes:
- Bacteria
- Virus
- Fungi
- Nursing interventions for osteomyelitis:
- Administer antibiotics as ordered
- Administer pain medications as ordered
- Monitor and dress wound as ordered
- Encourage out of bed activity
- Provide deep venous thrombosis and pressure sore prophylaxis
- Educate patient about medication compliance
- Improve muscle strength and functioning
- Involve social work for home care
- Ensure wound care nurse follows the patient
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Description
Learn about the nursing assessment cues and interventions for osteoporosis and osteomyelitis. Topics include osteoclastic activity, risk factors for osteoporosis, and more.
