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Zoledronic acid Audit Dr R Musa
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object]
Reduce New Clinical Fracture ,[object Object],[object Object],[object Object],13.9% 8.6%
Adverse Events ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conduct of the Audit ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Indication for Aclasta 73 % osteoporosis 3% osteoporosis + Malignancies 3% Paget disease 3% Pathologic fracture
which osteoporosis therapy tried IV Pamidronate (3) Alendronic acid (5) Ibandronate Risedronate (1) Actonel (1)
Have the information been explained to the patients Have the information been explained to the patient   0 2 4 6 8 Yes (7) patients No (2) patients Do not Know (2) patients
Has the patient been given oral calcium & Vitamin D Yes (55%) No (36%) Do not know (3%)
Creatinine clearance > 40ml/min 0 2 4 6 8 10 12 11 patients One patient C.C < 35 Not given ZA All patients  have  their  calcium  level  Checked (100%)
5 patients   Not told to drink more water 5 patients   Told to drink more water One patient  Given tea Has the patient been told to drink glass of water before the infusion
Observation for 20 min after the end of infusion 73% (Yes) 27 % (No)
YES (91%) NO (9%) Has the patient been informed that one third may develop  flu like illness
Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Zoledronic Acid Audit

  • 2.
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  • 7. Indication for Aclasta 73 % osteoporosis 3% osteoporosis + Malignancies 3% Paget disease 3% Pathologic fracture
  • 8. which osteoporosis therapy tried IV Pamidronate (3) Alendronic acid (5) Ibandronate Risedronate (1) Actonel (1)
  • 9. Have the information been explained to the patients Have the information been explained to the patient 0 2 4 6 8 Yes (7) patients No (2) patients Do not Know (2) patients
  • 10. Has the patient been given oral calcium & Vitamin D Yes (55%) No (36%) Do not know (3%)
  • 11. Creatinine clearance > 40ml/min 0 2 4 6 8 10 12 11 patients One patient C.C < 35 Not given ZA All patients have their calcium level Checked (100%)
  • 12. 5 patients Not told to drink more water 5 patients Told to drink more water One patient Given tea Has the patient been told to drink glass of water before the infusion
  • 13. Observation for 20 min after the end of infusion 73% (Yes) 27 % (No)
  • 14. YES (91%) NO (9%) Has the patient been informed that one third may develop flu like illness
  • 15.