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30 Cards in this Set

  • Front
  • Back

Cells that build bones

Osteoblasts

Cells that transform osteoblasts into mature bone cells


Involved in maintaining bone tissue

Osteocytes

Cells involved in destruction, reabsorption and remodeling of bone

Osteoclasts

Helps bone formation

Calcium, phosphorus, estrogen, testosterone, calcitonin, vit A,C,D, growth hormone, exercise, insulin

Hurts bone formation (retardants)

Estrogen deficiency, vitamin deficiency, starvation, diabetes, steroids, inactivity, heparin, parathyroid hormone

What may be ordered to detect infection

Complete blood count (RBC, WBC, hemoglobin, differential)

Elevated serum Uric acid level indicates?

Gout

Urine tests

Collects 24hr sample for analysis of of uric and calcium excretion

What to know when contrast medium is used

Allergic reaction to iodine and seafood

Nutrition: calcium RDA

1000-1200


Builds bone/teeth, muscle contractions, nerve function

Vitamin D : RDA

600 IU, up to 2000 IU ordered


Increases intestinal absorption of calcium, mag, etc

Short arm cast

Below elbow to middle of palm (keep wrist still)

Long arm cast

From under armpit to palm (keep elbow still)

Short leg cast

Below knee to base of toes (foot flexed at right angel in neutral position)

Long leg cast

Upper thigh to base of toes (don’t cover toes so you can do cap refil)

Casts are removed with

Cast cutters (reassure pt that it will not cut skin bc it’s noisy and loud)

How does skin look when cast comes off

Skin appears molted, covered with yellow crust composed of body oil and dead skin (lotion and warm baths/soaks help remove)

Splints

Immobilize & support injured body part in a functional position (might need padded to prevent friction)

Mandible fracture

Have wire cutters incase throwing up

Preop orthopedic nursing management

High infection (so maybe limit amount of people in operating room)


Encourage deep breathing/cough


Pedal feet (keeps blood moving)


Bowel movement (can they go before) — Bring in own cpap/ walker if they have


On insulin? Rather have higher than normal blood sugar than low. So tell client to either take half does, or none if able before surgery

Clavicle fracture

Keep arm close to chest to reduce pain (motion restricted) sling or velpeau bandage

Rib fracture

Moving around can puncture other organs. Listen to lung sounds!!


Pain on inspiration & shallow respirations (encourage deep breathing)

Spine fracture

Assess patients sensation in other extremities


If halo brace do pin care

Osteotomy

Cutting and removal of a wedge of bone to change the bones alignment

Total arthroplasty

Replacement of both articular surfaces within one joint

Hemiarthroplasty

Replacement of one of the articular surfaces in a joint

Arthroplasty

Total reconstruction or replacement of a joint with an artificial joint

Bucks traction

Helps with muscle spasms and pain before surgery

Total knee replacement postop

Position client as prescribed (even in sleep) to prevent dislocation


Potential for infection even 3 months after surgery


Elevate extremity (cap refil)


Ambulating socks/ change positions (pillow under calf, not knee) - prevent DVT

What can anemia cause

SOB (low O2)