Podcast
Questions and Answers
Which type of diagnostic imaging is commonly used to determine bone strength in osteoporosis?
Which type of diagnostic imaging is commonly used to determine bone strength in osteoporosis?
- MRI scan
- Dual X-ray absorptiometry (DXA) scan (correct)
- Ultrasound imaging
- CT scan
What is the T-score range for a diagnosis of osteoporosis?
What is the T-score range for a diagnosis of osteoporosis?
- -4 to -6
- -2.5 to -4
- 0 to -1
- -1 to -2.5 (correct)
Why is it recommended to take osteoporosis medication on an empty stomach?
Why is it recommended to take osteoporosis medication on an empty stomach?
- To enhance absorption of the medication
- To minimize drug interactions
- To prevent gastrointestinal discomfort
- To reduce the risk of esophageal irritation (correct)
Which symptom is NOT commonly associated with osteomyelitis?
Which symptom is NOT commonly associated with osteomyelitis?
What is the primary purpose of sequestrectomy in the surgical management of osteomyelitis?
What is the primary purpose of sequestrectomy in the surgical management of osteomyelitis?
In nursing interventions for osteomyelitis, what is the significance of providing deep venous thrombosis prophylaxis?
In nursing interventions for osteomyelitis, what is the significance of providing deep venous thrombosis prophylaxis?
What is the primary difference between osteoclastic and osteoblastic activity in osteoporosis?
What is the primary difference between osteoclastic and osteoblastic activity in osteoporosis?
Which of the following is NOT a risk factor for osteoporosis?
Which of the following is NOT a risk factor for osteoporosis?
What is the significance of Dowagers hump in relation to osteoporosis?
What is the significance of Dowagers hump in relation to osteoporosis?
Why is smoking cessation important for individuals with osteoporosis?
Why is smoking cessation important for individuals with osteoporosis?
What is the recommended type of exercise for individuals with osteoporosis?
What is the recommended type of exercise for individuals with osteoporosis?
Why should individuals limit their consumption of carbonated beverages in osteopenia?
Why should individuals limit their consumption of carbonated beverages in osteopenia?
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.
