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Osteomalacia Osteoporosis
Osteomalacia Osteoporosis
Diagnosis
Bone Mineral Density (BMD)
Dual-energy x-ray absorptiometry (DEXA)
History and physical
Quantitative ultrasound
Osteoporosis
Calcium
There are a variety of calcium supplements
available (See Table 64-16, p. 1689).
They should be taken with _______ _ to aid in
absorption.
Also if taking large doses i.e. 1000 mg. / day take
in divided doses of 500mg BID for better absorption
Medications Used in Treatment
of Osteoporosis
Calcitonin
Patient Teaching
Medications Used in Treatment
of Osteoporosis
Selective Estrogen Receptor
Modulators
Mimic effect of estrogen on bone by
reducing bone resorption without
stimulating the breasts or uterus.
Side effects
Leg cramps
Hot flashes
Osteomalacia
Metabolic Bone Disease
Osteomalacia
Decalcification and softening of the bone
Etiology
Lack of exposure to __________ ____
GI malabsorption, extensive burns, chronic diarrhea,
pregnancy, drugs such as Dilantin.
Osteomalacia
Signs & Symptoms
Most Common
____ ____
Difficulty rising from a chair
Difficulty walking
X-Rays
Show loosers transformation zone
ribbons of decalcification in bone
Osteomalacia
Treatment and Nursing Care
Drug Therapy
Diet Therapy
Milk, yogurt, cheese
Dark green leafy vegetables, okra, broccoli
Fish and seafood
Almonds
Pagets Disease
Pagets Disease
Excessive bone resorption followed by
replacement of normal marrow by
vascular, fibrous connective tissue.
The new bone is ______, ____________,
___ ______
Most often affect the pelvis,
long bones, spine,
ribs, sternum, and cranium
Clinical Manifestations
In milder form, none
Common early symptom--
Fatigue
Waddling gait
Loss of height
Increased head size
Complications
Bone tumors
Pagets Disease
Diagnosis
Elevated serum alkaline phosphatase