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30 Cards in this Set
- Front
- Back
Cells that build bones |
Osteoblasts |
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Cells that transform osteoblasts into mature bone cells Involved in maintaining bone tissue |
Osteocytes |
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Cells involved in destruction, reabsorption and remodeling of bone |
Osteoclasts |
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Helps bone formation |
Calcium, phosphorus, estrogen, testosterone, calcitonin, vit A,C,D, growth hormone, exercise, insulin |
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Hurts bone formation (retardants) |
Estrogen deficiency, vitamin deficiency, starvation, diabetes, steroids, inactivity, heparin, parathyroid hormone |
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What may be ordered to detect infection |
Complete blood count (RBC, WBC, hemoglobin, differential) |
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Elevated serum Uric acid level indicates? |
Gout |
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Urine tests |
Collects 24hr sample for analysis of of uric and calcium excretion |
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What to know when contrast medium is used |
Allergic reaction to iodine and seafood |
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Nutrition: calcium RDA |
1000-1200 Builds bone/teeth, muscle contractions, nerve function |
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Vitamin D : RDA |
600 IU, up to 2000 IU ordered Increases intestinal absorption of calcium, mag, etc |
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Short arm cast |
Below elbow to middle of palm (keep wrist still) |
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Long arm cast |
From under armpit to palm (keep elbow still) |
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Short leg cast |
Below knee to base of toes (foot flexed at right angel in neutral position) |
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Long leg cast |
Upper thigh to base of toes (don’t cover toes so you can do cap refil) |
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Casts are removed with |
Cast cutters (reassure pt that it will not cut skin bc it’s noisy and loud) |
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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) |
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Splints |
Immobilize & support injured body part in a functional position (might need padded to prevent friction) |
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Mandible fracture |
Have wire cutters incase throwing up |
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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 |
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Clavicle fracture |
Keep arm close to chest to reduce pain (motion restricted) sling or velpeau bandage |
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Rib fracture |
Moving around can puncture other organs. Listen to lung sounds!! Pain on inspiration & shallow respirations (encourage deep breathing) |
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Spine fracture |
Assess patients sensation in other extremities If halo brace do pin care |
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Osteotomy |
Cutting and removal of a wedge of bone to change the bones alignment |
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Total arthroplasty |
Replacement of both articular surfaces within one joint |
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Hemiarthroplasty |
Replacement of one of the articular surfaces in a joint |
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Arthroplasty |
Total reconstruction or replacement of a joint with an artificial joint |
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Bucks traction |
Helps with muscle spasms and pain before surgery |
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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 |
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What can anemia cause |
SOB (low O2) |