NRP 507 Week 7 discussion post

The Bisphosphonates is the most common drug class used for osteoporosis treatment; there are four drugs in this class. Review the following scenario to answer the questions provided:


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You have a 58-year-old Asian patient that had a Dual-Energy X-Ray Absorptiometry (DEXA):

T score of -3.5 (hip), T score of -2.8 (spine). She also drinks 3 cups of tea daily, smokes ½ pack cigarettes x 25 years, BMI 20, + FH osteoporosis (mother), low calcium in diet, does walk a lot in daily life, no fragility fractures, no history steroids, no other meds.

Answer the following questions in a minimum of 175 words:

  • Which one of the bisphosphonate drugs would you recommend for her?
  • When should she have her next follow-up DEXA?
  • Would you offer any other specific medication(s)? Why or why not?
  • What do you believe are two priorities for patient education?

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