Podcast
Questions and Answers
What is a common side effect of calcium supplements?
What is a common side effect of calcium supplements?
- Joint pain and dizziness
- Abdominal distention and constipation (correct)
- Headache and nausea
- Muscle weakness and fatigue
When should a calcium supplement with vitamin D be taken for optimal absorption?
When should a calcium supplement with vitamin D be taken for optimal absorption?
- With a beverage high in vitamin C (correct)
- At bedtime
- After a heavy meal
- On an empty stomach
What is the role of vitamin D in preventing fractures?
What is the role of vitamin D in preventing fractures?
- Vitamin D alone is more effective than vitamin D plus calcium
- Vitamin D alone is effective in primary prevention of fractures
- Vitamin D alone is not effective in primary prevention of fractures (correct)
- Vitamin D alone reduces the risk of fractures
In what scenario are calcium supplements necessary despite better absorption of calcium from foods?
In what scenario are calcium supplements necessary despite better absorption of calcium from foods?
What types of drugs should calcium and vitamin D be taken as supplements to?
What types of drugs should calcium and vitamin D be taken as supplements to?
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?
Which drug is used to treat osteoporosis and should be taken on waking with at least 6 to 8 oz of water, followed by remaining upright for 30 minutes?
Which drug is used to treat osteoporosis and should be taken on waking with at least 6 to 8 oz of water, followed by remaining upright for 30 minutes?
Which drug is administered intravenously once a year and is used to prevent and treat osteoporosis?
Which drug is administered intravenously once a year and is used to prevent and treat osteoporosis?
Which drug is used in the treatment of hypercalcemia, Paget’s disease, and postmenopausal osteoporosis, and is most likely to be effective in hypercalcemia caused by hyperparathyroidism?
Which drug is used in the treatment of hypercalcemia, Paget’s disease, and postmenopausal osteoporosis, and is most likely to be effective in hypercalcemia caused by hyperparathyroidism?
Which drug is an antiresorptive drug used to treat osteoporosis in postmenopausal women at high risk of fracture, and is administered subcutaneously at 6-month intervals?
Which drug is an antiresorptive drug used to treat osteoporosis in postmenopausal women at high risk of fracture, and is administered subcutaneously at 6-month intervals?
Which adverse effect is specifically associated with bisphosphonates, including alendronate and zoledronic acid?
Which adverse effect is specifically associated with bisphosphonates, including alendronate and zoledronic acid?
Which intervention is recommended to promote absorption and decrease esophageal and gastric irritation after administration of alendronate?
Which intervention is recommended to promote absorption and decrease esophageal and gastric irritation after administration of alendronate?
What is the recommended way to take calcium medications?
What is the recommended way to take calcium medications?
What are the contraindications for calcium medications?
What are the contraindications for calcium medications?
What is a reported rare side effect of calcium medications?
What is a reported rare side effect of calcium medications?
When is IV calcium essential?
When is IV calcium essential?
What is a common cause of calcium deficiency in older adults?
What is a common cause of calcium deficiency in older adults?
What can patients with renal impairment use calcium acetate for?
What can patients with renal impairment use calcium acetate for?
What is the recommended route of administration for IV calcium preparations?
What is the recommended route of administration for IV calcium preparations?
What are the therapeutic effects of calcium preparations?
What are the therapeutic effects of calcium preparations?
In addition to calcium supplements, what may be used in chronic hypocalcemia if calcium supplements alone are insufficient?
In addition to calcium supplements, what may be used in chronic hypocalcemia if calcium supplements alone are insufficient?
What can excessive use of vitamin D lead to?
What can excessive use of vitamin D lead to?
Where is vitamin D metabolized into its active form?
Where is vitamin D metabolized into its active form?
What may patients with renal impairment require for vitamin D therapy?
What may patients with renal impairment require for vitamin D therapy?
What are some adverse effects of alendronate?
What are some adverse effects of alendronate?
What is a contraindication for vitamin D?
What is a contraindication for vitamin D?
How should alendronate be taken?
How should alendronate be taken?
What are the nursing implications for vitamin D?
What are the nursing implications for vitamin D?
What is the purpose of bisphosphonates like alendronate?
What is the purpose of bisphosphonates like alendronate?
What are the potential consequences of accidental ingestion of vitamin D in children?
What are the potential consequences of accidental ingestion of vitamin D in children?
Study Notes
Vitamin D and Bisphosphonates: Patient Teaching and Nursing Implications
- Accidental ingestion of vitamin D in children can lead to acute toxicity, causing kidney stones, irreversible kidney damage, and muscle and bone weakness.
- Hypercalcemia symptoms include tetany, and contraindications for vitamin D include hypercalcemia and vitamin D toxicity.
- Vitamin D may interact with several medications, and it should not be taken with magnesium-containing antacids or mineral oil.
- Nursing implications for vitamin D include assessing for therapeutic effects, monitoring for adverse effects such as hypercalcemia, and patient teaching guidelines to avoid vitamin D intoxication and understand dietary sources of the vitamin.
- Bisphosphonates like alendronate are used to prevent and treat osteoporosis in postmenopausal women, as well as in men, and for Paget's disease and glucocorticoid-induced osteoporosis in both sexes.
- Alendronate suppresses osteoclast activity to reduce bone turnover, leading to gains in bone mass.
- Experts do not recommend using alendronate in severe renal impairment (creatinine clearance < 35 mL/min).
- Adverse effects of alendronate include esophagitis, dysphagia, esophageal ulcers/erosions, headache, musculoskeletal pain, decreased serum calcium, atypical femur fracture, and osteonecrosis of the jaw.
- Contraindications for alendronate include hypersensitivity to the drug, esophageal abnormalities, inability to stand or sit upright for at least 30 minutes, and hypocalcemia.
- Alendronate interacts with several medications, and it should be taken with a full glass of water, at least 30 minutes before breakfast and before any other medications or supplements.
- Women with low risk for fracture after 3 to 5 years of bisphosphonate therapy are recommended to take a drug holiday of 2 to 3 years.
- The nurse plays a crucial role in preventing interactions, administering alendronate properly, and monitoring for adverse effects.
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Description
Test your knowledge on patient teaching and nursing implications related to vitamin D and bisphosphonates. This quiz covers vital information such as adverse effects, contraindications, and medication interactions for these commonly used supplements and medications.
