Bisphosphonates

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Bisphosphonates

  1. 1. Bisphosphonates alendronate Ibandronate Risedronate IV infusion (Fosamax) (Boniva) (Actonel) – zoledronic (Reclast, Zometa) Side Effects: Esophagitis, esophageal ulceration sit upright ambulate 30 min abdominal pain, nausea, diarrhea, constipation (all bisphosphonates) notify provider blurred vision & eye pain Risk for hyperparathyroidism at higher dose Nursing Care Instructions for clients Take first thing in the morning after getting out of bed. Take an empty stomach drinking at least 8 oz water w/tablets and @ least 2 oz H20 w/liquid Sit or ambulate for 30 min after taking the medication. Avoid all calcium-containing foods and liquids or any medications within 30 min of taking alendronate. Avoid chewing or sucking Do weight-bearing exercises daily (walk 30 mins) Notify the provider of difficulty swallowing, painful swallowing, and/or new or worsening heartburn. Skipped dose wait until next day 30 minutes before eating breakfast Do not take two tablets on the same day. Consume adequate amounts of calcium and vitamin D. Tablets are prescribed once daily or once a week. Liquid form is prescribed once a week. Monitor the client–s bone density: bone density scan every 12 to 18 months. Monitor the client–s serum calcium – expected reference range 9 to 10.5 mg/dL.

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