A 68-year-old female patient has a history of osteoporosis.She is on your surgical ward because of her recent wrist surgery.She is on the following medications: heparin 5000 units subcutaneously q12hr,Tums (calcium carbonate)1 tablet after meals and at bedtime,calcitonin 100 international units IM every morning,and Premarin (estrogen)0.3 mg PO,every morning.In writing your care plan,you identify risk for injury related to demineralization of bone.Which medication would be most likely to interfere with her bone integrity?

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A 68-Year-Old Female Patient Has a History of Osteoporosis