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This document provides an analysis of the evidence for the effectiveness of intravenous bisphosphonates in treating complex regional pain syndrome (CRPS), including the volume of evidence, consistency,
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How to fill out Considered Judgement Form: Infusion- Intravenous Bisphosphonates

01
Begin by stating the patient's full name and medical record number at the top of the form.
02
Fill in the date of the evaluation.
03
Indicate the specific bisphosphonate to be administered.
04
Provide the patient's diagnosis and reason for prescribing the intravenous bisphosphonate.
05
List any relevant medical history, including previous treatments and responses.
06
Document any current medications and allergies.
07
Include the expected benefits of the infusion therapy.
08
Assess the potential risks and side effects associated with the treatment.
09
Provide the rationale for choosing intravenous bisphosphonates over other treatment options.
10
Obtain signatures from the healthcare provider and patient (or guardian) as needed.

Who needs Considered Judgement Form: Infusion- Intravenous Bisphosphonates?

01
Patients diagnosed with conditions such as osteoporosis, Paget's disease, or cancer-related bone disorders who require treatment with intravenous bisphosphonates.
02
Healthcare providers responsible for prescribing or administering the medication may also need the form for documentation.
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People Also Ask about

The bisphosphonates are a popular family of medications used to treat osteoporosis. The following drugs are all in the bisphosphonate family: Fosamax, Actonel, Boniva, and Reclast.
Bisphosphonates can be used to reduce the risk of hip and spine fractures in osteoporosis. They may also be used, at different doses, to treat Paget's disease of bone. Bisphosphonates can be taken by mouth (orally), through a drip (intravenous infusion) or by injection.
Antiresorptive medications include a class of drugs called bisphosphonates. These medications include: Alendronate (Fosamax™, Fosamax™ Plus D) Risedronate (Actonel™, Actonel™ with Calcium, and Atelvia™)
Zoledronate is a drug treatment for osteoporosis. You may hear zoledronate called zoledronic acid or by its brand name Aclasta. It can help to strengthen bones, making them less likely to break. It is given as an intravenous infusion (IV or 'drip') once a year.
List of Bisphosphonates Drug NameAvg. Rating zoledronic acid systemic (Pro) Brand names: Aclasta, Reclast, Zometa 5.0 alendronate systemic (Pro) Brand names: Binosto, Fosamax 2.8 ibandronate systemic (Pro) Brand name: Boniva 3.2 risedronate systemic (Pro) Brand names: Actonel, Atelvia 2.73 more rows
IV bisphosphonates that providers can currently prescribe in the U.S. include: Pamidronate (Aredia®). Zoledronic acid (Reclast®, Zometa®).
Contraindications to bisphosphonates include: History of hypersensitivity to the bisphosphonate. Hypocalcemia. Chronic kidney disease with a glomerular filtration rate of less than 30 to 35 mL/min.

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The Considered Judgement Form for Infusion- Intravenous Bisphosphonates is a document used to evaluate and authorize the use of bisphosphonate medications administered through intravenous infusion in patients, ensuring appropriate clinical decision-making.
Healthcare providers, such as physicians or nurse practitioners, who are overseeing the treatment involving intravenous bisphosphonates are required to file this form.
To fill out the form, the healthcare provider must complete sections detailing the patient's medical history, the specific bisphosphonate being prescribed, the rationale for infusion therapy, and anticipated effects, along with necessary signatures and dates.
The purpose of the form is to ensure that the infusion of bisphosphonates is clinically justified, documented, and approved by involved healthcare professionals, promoting patient safety and effective treatment.
The form must report patient identification details, medical conditions requiring treatment, specific bisphosphonate being administered, dosage and frequency of infusion, and healthcare provider's recommendations and justifications.
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