Musculoskeletal Class # 1 - WWCC - W13

Card Set Information

Author:
jtisby
ID:
204488
Filename:
Musculoskeletal Class # 1 - WWCC - W13
Updated:
2013-03-02 17:09:15
Tags:
Musculoskeletal WWCC Level year Nursing Winter 2013
Folders:

Description:
Musculoskeletal class #1, WWCC - Nursing level 1 - W13
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user jtisby on FreezingBlue Flashcards. What would you like to do?


  1. Functions of the Musculoskeletal system.
    (A&P Review - Obj. #1)
    • -supports/weight-bearing (voluntary movemt)
    • -protects internal organs
    • -RBC production
    • -mineral storage (Ca, & P - Phosphorus)
  2. Describe (initial) assessment related to musculoskeletal function.
    • Chief complaint
    • -pain/sensation
    • -swelling
    • -limited ROM r/t stiffness crepitus
    • -deformity
    • Evaluation
    • -ability to complete ADLs
    • -ability to complete self-care
    • History
    • -medical Dx past & present
    • -medications
    • -surgery
  3. Describe (focused physical) assessment related to musculoskeletal system.
    • Inspection
    • -gait, posture, ROM, xfer ability, balance
    • -assistive devices
    • -edema
    • -joint size symmetry, muscle atrophy
    • Palpation
    • -temp
    • -tenderness
    • -crepitation
    • -muscle strength (use scale)
  4. 6 P's of musculoskeletal assessment.
    • Neurovascular
    • -pain
    • -pallor
    • -pulses
    • -paralysis
    • -pressure
    • -paresthesia (numbness, burning, tingling)
  5. Describe components of CMS assessment.
    • Circulation
    • -pulses
    • -pallor
    • -temp
    • -cap refill
    • Mobility
    • Sensation
    • -paresthesia (numbness, tingling, itching)
  6. Describe (diagnostic) assessment related to musculoskeletal system.
    • -X-ray
    • -Arthrogram (joint x-ray w/contrast)
    • -MRI
    • -Indium Scan/Bone scan (radio-isotope consumption - must flush)
    • -Lab tests (C-reactive protein, ESR - Erythrocyte Sedimentation Rate)
    • -Arthrocentesis (obtaining synovial fluid from a joint)
  7. Define & describe Osteoarthritis (OA)
    • -degenerative joint disease
    • -insidious (slowly progressive)
    • -non-inflammatory (destruction of cartilage)
    • -common in hips, knees, & spine
    • -unknown cause (genetic predisposition)
  8. Primary/idiopathic OA - Etilogy (cause/risk factors)
    • -"Wear-N-Tear"
    • -age
    • -women
    • -obesity
  9. Secondary OA - Etiology (causes & risks)
    • -Wear-N-Tear
    • -mechanical stress
    • -prior injury
    • -congenital anomalies
    • -drugs (e.g. corticosteroids, colchicine)
    • -Legg-Calve-Perthes Disease
  10. Osteoarthritis (OA) - Pathology
    • -cartilage degradation
    • -cartilage softens => loses elasticity
    • -yellow & worn on joint surfaces
    • -increased synovial fluid
    • *boney growths: osteophytes
  11. Osteoarthritis - Clinical Manifestations (s/s)
    • -Osteoarthritis (OA) = local
    • -pain
    • -stiffness
    • -Crepitus
    • -gait changes
    • -Heberden's or Bouchard's Nodules (fingers)
    • *Rheumatoid Arthritis (RA) = systemic
  12. Osteoarthritis (OA) Collaborative Care/Medical management
    • -manage pain
    • -maintain/improve function
    • -prevent disability
    • -non-pharmacological treatment (heat/cold, rest/activity balance)
    • -exercise (joint flexibility)
    • -alternative therapies (yoga, Tai Chi, acupuncture, Reiki)
  13. Osteoarthritis Medication/Pharmacological treatments.
    • -Non-opioid Analgesics (acetaminophen/Tyenolo)
    • -NSAIDS (ibuprofen, Motin, Aleve)
    • -Cox-2 inhibitors (Celebrex)
    • -Corticosteroids (local/systemic = inj/oral)

What would you like to do?

Home > Flashcards > Print Preview