Osteoporosis

Question 1

When are bones the strongest

Answer 1

Mid 20’s- mid 30’s

Question 2

Resorption

Answer 2

Destruction

Question 3

Osteoporosis

Answer 3

Silent disease
Less bone density 
Metabolic
Chronic
Organized 
fractures easily

Question 4

Test for Osteoporosis

Answer 4

Dexa scan. -arthrocentesis
Bone biopsy. - antinuclear antibody(ANA)
RH factor
Calcium & vitamin D levels
Uris acid
Radiology

Question 5

How old should woman get a baseline DEXA scan?

Answer 5

40 yrs old

Question 6

Who is at risk for Osteoporosis

Answer 6

Woman that are

• after menopause. -diet
• age 35 and up. - Euro-american
• medications (steroid over long period). - tall, thinner
• smoking. - Asian
• alcohol

Question 7

DEXA scan

Answer 7

Bone density scan
Radiation less than x-Ray
Take calcium supplement up to 24 hrs before scan
Pt will get a contrast
Ask if pregnant

Question 8

Common fracture w/ osteoporosis

Answer 8

Compression fractures (in back)

Question 9

Calcium resources for osteoporosis

Answer 9

Fortified OJ
Yogurt
Broccoli

Question 10

S/S osteoporosis

Answer 10

Loose 2-3 inches in Ht.
Hump back (kyphosis)
Scolorosis 
Back pain (radiating around the trunk)
Pathologic fractures 
Compression fractures of the spine

Question 11

Nursing diagnoses in osteoporosis

Answer 11

Risk for injury related to…
Impaired physical mobility related to….
Deficient knowledge related to…

Question 12

Interventions for osteoporosis

Answer 12

Hazard-free environment
Bed low position
Shoes or nonskid slippers
Teach environmental safety
Provide assistance ambulation

Question 13

Preventative measures for females at risk for osteoporosis

Answer 13

Hormone replacement therapy (HRT)