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Questions and Answers
A client taking teriparatide reports experiencing persistent nausea and vomiting. Which of the following actions should the nurse take first?
A client taking teriparatide reports experiencing persistent nausea and vomiting. Which of the following actions should the nurse take first?
- Question the client about adherence to the prescribed diet.
- Instruct the client to take the medication at night.
- Assess for manifestations of hypercalcemia. (correct)
- Administer an antiemetic medication as prescribed.
Which of the following instructions should a nurse provide to a client who is starting teriparatide therapy for osteoporosis?
Which of the following instructions should a nurse provide to a client who is starting teriparatide therapy for osteoporosis?
- Expect a temporary decrease in bone density at the start of therapy.
- Take the medication with an antacid to prevent stomach upset.
- Self-inject the medication subcutaneously into the thigh or abdomen daily. (correct)
- Administer the medication intravenously once a week.
What is the primary mechanism of action of teriparatide in treating osteoporosis?
What is the primary mechanism of action of teriparatide in treating osteoporosis?
- Binding to estrogen receptors to mimic the effects of estrogen on bone.
- Inhibiting osteoclast activity to reduce bone resorption.
- Increasing calcium absorption in the small intestine.
- Stimulating new bone formation by increasing osteoblast activity. (correct)
A client with a history of renal calculi is prescribed teriparatide. Which of the following interventions is most important for the nurse to implement?
A client with a history of renal calculi is prescribed teriparatide. Which of the following interventions is most important for the nurse to implement?
A client taking digoxin also starts teriparatide therapy. The nurse should monitor for which of the following potential interactions?
A client taking digoxin also starts teriparatide therapy. The nurse should monitor for which of the following potential interactions?
Which of the following conditions is a contraindication for the use of teriparatide?
Which of the following conditions is a contraindication for the use of teriparatide?
A client reports experiencing orthostatic hypotension after starting teriparatide. Which of the following instructions is appropriate for the nurse to provide?
A client reports experiencing orthostatic hypotension after starting teriparatide. Which of the following instructions is appropriate for the nurse to provide?
After teaching a client about teriparatide injections, which statement by the client indicates a need for further instruction?
After teaching a client about teriparatide injections, which statement by the client indicates a need for further instruction?
Flashcards
Teriparatide: Use
Teriparatide: Use
Stimulates new bone formation to treat osteoporosis.
Teriparatide: Mechanism
Teriparatide: Mechanism
A synthetic form of parathyroid hormone that regulates calcium homeostasis.
Teriparatide: Result
Teriparatide: Result
Rate of bone formation exceeds rate of bone resorption.
Teriparatide: Adverse Reactions
Teriparatide: Adverse Reactions
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Teriparatide: Nursing Actions
Teriparatide: Nursing Actions
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Teriparatide: Administration
Teriparatide: Administration
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Teriparatide: Teaching
Teriparatide: Teaching
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Teriparatide: Contraindications
Teriparatide: Contraindications
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Study Notes
Anabolic Agents - Teriparatide
- Treats osteoporosis by stimulating new bone formation.
- Is a synthetic form of parathyroid hormone.
- Regulates calcium homeostasis.
- Mediates pathways that increase the quantity and lifespan of osteoblasts.
- Bone formation exceeds bone resorption.
- Adverse reactions include hypertension, orthostatic hypotension, arthralgia, leg cramps, upper respiratory infections, angina, and hypercalcemia.
- Check serum calcium level before starting treatment, again one month later, and then regularly based on individual calcium levels.
- Watch for signs of Teriparatide toxicity, like nausea, vomiting, and orthostatic hypotension.
- Decrease the dosage or stop treatment by prescriber if hypercalcemia continues.
- Administration is 20 mcg subcutaneously daily.
- Teach patients how to self-inject subcutaneously.
- Inject into the abdomen or thigh.
- Discard the injection pen after 28 days.
- Do not use with clients who have a history of osteosarcomas or are pregnant.
- Use with caution if patients have renal calculi or conditions that raise the risk of hypercalcemia.
- Digoxin: Hypercalcemia increases the risk of digoxin toxicity.
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Description
Learn about Teriparatide, a synthetic parathyroid hormone used to treat osteoporosis by stimulating new bone formation. This medication increases osteoblast lifespan, but monitor for adverse reactions like hypertension and hypercalcemia. Proper administration and patient education on self-injection are crucial.
