Card Set Information

2012-05-19 20:05:22

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  1. Osteomyelitis
    • Infection of bone and bone marrow
    • Bacteria from trauma or traveling by blood stream
  2. Osteomyelitis Dx Tests
    • Xray
    • Bone Scan
  3. sequestrum
    fragement of necrotic bone that is partially or entirely detached from healthy bone
  4. Osteomyelitis S/S
    • Subjective: severe pain and tendernes
    • Objective: signs of infection (vital signs Increased temp, heart rate and respirations)
  5. Firbromyalgia (FMS)
    Chronic syndrom of unknow etiology causes muscul, bone, or joint pain.
  6. Fibromyalgia S/S
    Subjective: Achiness in axil locations, stiffness (worse in the morning) Migraine / tension headache, fatigue, anxiety, short term forgetfulness

    Objective: Periodic limb movement, Persistent need to move lower extremities.
  7. Firomyalgia Interventions / Medical Mgmt
    • Education, exercise, relaxation techiques.
    • Warm up, Stretching and warm baths
    • Administer Anitidepressants and anti inflammatory medicaion
  8. Rheumatoid Arthritis
    • Most serious form of arthritis.
    • Chronic inflamation of the synovial membrane of diarthrodial joints
    • Chronic systemic disease
    • Autoimmune disorder
    • evidence of genetic predisposition
    • common in women
    • smoking increases risk
  9. Rheumatiod Arthritis S/S
    • Subjective: Malaise, muscule weakness, aching. loss of appitite, fatigue
    • Objective: edema, tenderness, subcutaneous nodules, limited ROM, systematic joint involvement, fever.
  10. Ruermatoid Arthritis Dx tests
    • Erythrocyte sedimentation rate (ERS)
    • Rheumatiod factor (RF)
    • Synovial fluid apsiration
    • Synovial fluid biopsy
  11. Rheumatiod Arthritis Interventions / Medical Mgmt
    • Sleep 8-10 hrs and 2 hr naps
    • Exercise prevent muscle freezing & weakness
    • Hot packs, heat lamps to relax & sooth muscles
    • Administer Anitinflammatory drugs, Antirheumatoid drugs
  12. Ankylosing Spondylitis (AKS)
    • A chronic, progressive disorder of the sacroiliac & hip joints, the synovial joints of the spine and adjacent soft tissue.
    • Inflammation of the spine resulting in spinal bones growing together
    • Ligaments or tendons attach to the bone and become ossified.
  13. Ankylosing Spondylitis S/S
    • Subjective: low backach, stiffness, sciatica pain, Pain sitting in erect posistion.
    • Objective: peripheral joint edema, decreased ROM, elevated vital signs, temp, tachycardia, hyperpnea, (repiratory difficulties with kyphosis)
  14. Ankylosing Spondylitis Interventions / Med Mgmt
    • Maintain alignment of spine
    • firm mattress
    • sleep with out a pillow
    • postural and breathing exercises
    • Lie on abdomen 4x daily
  15. Osteoarthritis (Degenerative Joint Disease)
    nonsystemic, noninflammatory disorder that progressively causes bones and joints to degenerate. Primary reason unknown Secondary, trauma, infections, previous fractures)
  16. Osteoarthritis (Degenerative Joint Disease) S/S
    Subjective: past illnesses, surgial procedures, excessive weight gain, occupation, muscle spasms, reduced grip strength.

    Obective: Joint edema, tenderness, instability deformity, Heberden's Nodes (on distal joints) Bouchard's Nodes (on proximal joints) of the fingers.
  17. Osteoarthritis (Degenerative Joint Disease) Dx tests
    • No specific dx
    • x-ray
    • arthroscopy
    • synovial fluid exam
    • bone scans
  18. Osteoarthritis (Degenerative Joint Disease)
    Interventions / Med Mgmt
    • Maintain ADL's (alternate sitting walking & standing with periods of rest)
    • Weight reduction (for obesity)
    • Check gait enhancers
    • Heat application
    • Salicylates (aspirin), NSAIDS, steriods (cortisone) Tramadol hydrochloride
  19. Gouty Arthritis
    Metabolic disease resulting form an accumulation of uric acid in the blood. inflammatory condition associated with ineffective metabolism of purines. Tophi result in inflammation of the joint
  20. Gouty Arthritis S/S
    Edema, Heat, limited movement (especially in the great toe) vital signs elevated temperature, hypertension, tachycardia and tachypnea
  21. Gouty Arthritis Interventions / Med Mgmt
    • increase fluids
    • avoid excessive alcohol & high purine foods.
    • bed rest and joint immobilization.
    • Give medications: colchicine, probenecid, allopurinol
  22. Osteoporosis