Pharmacological Treatment of Osteoporosis

Pharmacological Treatment of Osteoporosis

• Goal of treatment: To prevent bone loss and fractures.
• Bone inhibitors work by reducing bone resorption.

Bone Resorption Inhibitors and Reflux

• Minimizing reflux: Administering the medication with food can help.

Vitamin D and Bone Health

• Vitamin D enhances bone health by increasing calcium absorption and promoting bone mineralization.

Contraindicated Bone Inhibitor During Pregnancy

• Denosumab is contraindicated during pregnancy.

Stomatitis Related to DMARDS

• Instructions for minimizing stomatitis: Good oral hygiene, soft foods, and avoiding irritating substances are crucial.

Birth Control and DMARDS for Women

• Women taking DMARDS should use effective birth control due to potential effects on fertility.

DMARD Used for Cancer Treatment

• Methotrexate is a DMARD used to treat certain cancers.

Nursing Interventions for Bone Marrow Depression

• Interventions: Monitor complete blood count (CBC), avoid medications that suppress bone marrow function, and provide supportive care. Address any infections quickly.

DMARDS in Rheumatoid Arthritis Treatment

• DMARDS are effective in treating RA by decreasing inflammation and autoimmune responses.

Definitions:

• Pancytopenia: A condition of reduced red blood cells, white blood cells and platelets.
• Alopecia: Loss of hair.
• Exfoliative dermatitis: A severe skin condition characterized by widespread redness and shedding.

Gout Maintenance Drug

• Allopurinol is the drug of choice for maintenance of gouty arthritis.

Patient Teaching Plan for Gout

• Teach patients about medications, dietary restrictions (purine-rich foods), hydration, and potential complications of gout.

Muscle Relaxant Adverse Effects

• Most common adverse effect: Drowsiness or dizziness.

Pre-PRN Muscle Relaxant Assessment

• Assess the patient's pain level, vital signs, and ability to perform activities of daily living.
• Assess respiratory rate and depth.

Muscle Relaxant Use in Acute Muscle Injuries

• Muscle relaxants are useful for reducing pain and spasms associated with acute muscle injuries.

Evaluating DMARD and Muscle Relaxant Efficacy

• Effectiveness evaluated by monitoring pain levels and functional improvements, or improvement in inflammation in the joints for DMARDS. Blood tests and physical examination results would be useful for determining bone and muscle healing.

This quiz covers essential aspects of pharmacological treatments for osteoporosis, including bone resorption inhibitors, vitamin D's role in bone health, and the management of stomatitis related to DMARDs. It also addresses contraindications during pregnancy and necessary nursing interventions for patients with bone marrow depression.