Author Question: Place a star or asterisk next to each of the responses in question 1 that represent S.P.'s risk ... (Read 36 times)

penguins · **on:** Jun 25, 2018

Place a star or asterisk next to each of the responses in question 1 that represent S.P.'s risk
factors.

What will be an ideal response?

Question 2

S.P. is admitted to the orthopedic ward. She fell at home and sustained an intracapsular fracture of the
hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three
children living nearby.

Her father died of cancer at age 62; her mother died of heart failure at age 79 . Her
height is 5 ft 3 in; weight is 118 lb. She has a 50pack-year smoking history and denies alcohol use. She
has severe rheumatoid arthritis (RA) and gastroesophageal reflux disease (GeRd) and had coronary artery
disease with a coronary artery bypass graft 9 months ago. Since then she has engaged in very mild exer
cises at home. Vital signs (VS) are 128/60, 98, 14, 99 F (37.2 C), Spo2 94 on 2 L oxygen by nasal cannula.
Her oral medications are rabeprazole (Aciphex) 20 mg/day, prednisone (deltasone) 5 mg/day, and meth
otrexate (Rheumatrex) 2.5 mg/wk.
List at least four risk factors for hip fractures.
What will be an ideal response?

AaaA · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

All of them are applicable except for personal/family history of fractures and osteoporosis.
3.S.P. is taken to surgery for a total hip replacement. Because of the intracapsular location of the fracture,
the surgeon chooses to perform an arthroplasty rather than internal fixation. The postoperative orders
include the following.
Why is S.P. receiving enoxaparin (Lovenox) and warfarin (Coumadin)?

Answer to Question 2

Age (high risk for falls)
Decreased estrogen (menopause) without estrogen replacement therapy or hormone replacement
therapy
Smoking
Lack of exercise
Corticosteroid therapy
Antimetabolite therapy
RA
Long-term use of proton pump inhibitors for GERD
Personal or family history of fractures
Osteoporosis