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33 Cards in this Set
- Front
- Back
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When evaluating the bones and looking at a blood count, what two items are of most interest?
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Calcium and Phosphorus
- Tegrity |
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Kidney problems can affect your musculoskeletal system by decreasing _____.
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Calcium
- Tegrity |
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Rheumatoid arthritis is an _____ disease.
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automimmune
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Treatement for rheumatoid arthritis might include...
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Steroids
Anitinflamatory drugs Immunosuppressive drugs Physical Therapy - Tegrity |
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A patient taking Cyclophosphamide (Cytoxan) or Azothiaprine (Imuran) most likely has _____.
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Rheumatoid arthritis
- Tegrity |
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A patient receiving physical therapy that includes heat, cold, and warm parafin wax likely has _____.
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Rheumatoid arthritis
- Tegrity |
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_____ is a degenerative joint disease and affects more _____ (women or men).
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Osteoarthritis
women - Tegrity |
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Osteoarthritis affects all joints except those in the _____. It is most prevalent where?
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Can't affect the immovable joints of the scull.
Most prevalent in the hands and weight-bearing joints. - Tegrity |
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In _____ the cartilage of the joint is worn down and compensates by overproducing and creating bone spurs.
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Osteoarthritis
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someone who uses a jackhammer might experience wearing of the joints that could lead to _____.
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Osteoarthritis
- Tegrity |
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______ osteoarthritis has a familial factor to it. _____ osteoarthritis is often caused by injury.
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Primary
Secondary - Tegrity |
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Someone with osteoarthritis will hear a creaking when rubbing together affected joints. This creaking is called _____.
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Crepitus
- Tegrity |
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Heberden’s or Bouchard’s nodules or nodes develop in osteoarthritis. Which one is distal joints, and which is proximal?
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Heberden’s nodes = distal
Bouchard’s nodes = proximal - Tegrity |
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Treatments for osteoarthritis include?
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NSAIDs (risk of bleeding)
COX 2 (Celebrex) Tylenol/Acetaminophen Corticosteroids (oral or injected) - Tegrity |
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Therapies for osteoarthritis include...
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Contrast baths (heat alternating with cold)
Splints and supports Gentle low-impact exercise to promote synovial fluid and cartilage production and weight loss Range of Motion (even if there is pain) Weight control Surgery (joint replacement) - Tegrity |
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Glucosamine and chondroiton are thought to treat _____ by rebuilding cartilage. This does not work on everyone..
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Osteoarthritis
- Tegrity |
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Osteoarthritis sufferers should balance ____.
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Activity and rest
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Arthoplasty is _____.
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Joint Replacement
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85% of limb amputations are associated with _____.
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Dysvascular
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Upper limb amputations are typically associated with _____, not dysvascular or cancer.
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Trauma
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Amputation _____ (above/below) the knee is preferable.
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Below the knee (BTK). Retaining the knee allows more articulation after a prosthetic is applied.
- Tegrity |
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Pain and loss of pulses in a limb are referred to as _____.
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Dysvascular disease
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Amputation of the foot (tarsus and metatarsus) is called a _____ amputation.
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Syme's
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Amputation of the leg including the hip is called a _____.
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Disarticulaton
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Amputation of the leg that includes removal of part of the lower body is called a _____.
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Hemicorpectomy
- Tegrity |
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After an amputation you should:
a) move the remaining joints frequently b) Immobolize the joint to avoid pain |
a) move the joint
This prevents it from locking up. It will be painful though. - Tegrity |
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_____ is a procedure to remove a damaged joint and insert a prosthetic joint.
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Arthoplasty
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The goals of arthroplasty are:
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Relieve pain
Correct deformity Increase funtion Increase self-esteem Increased independence Improved Body Image - Tegrity |
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After joint replacement surgery, what is the first nursing intervention you should do?
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Assessment. Take their vital signs and get a baseline (BP, Temp, Pain, Neurovascular status, etc.)
- Tegrity |
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When checking neurovascular status after limb surgery, what six things will you check?
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Pain
Pallor Parasthesia (tingling, numbness) Paralysis Pulselessness Poikliothermia/Polar (cold) - Tegrity |
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True/False - If a patient has severe edema, it is not important to check the dorsalis pedis or the posterior tibial. Pallor will be seen if there is no bloodflow.
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FALSE!!! Pulse is lost prior to pallor developing.
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After amputation or arthroplasty, steroids and stress can make it difficult for the body to regulate ____.
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Blood glucose (even in someone without DM).
- Tegrity |
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Virchow’s Triad of Predisposition can lead to venous thrombus. What is Virchow’s Triad?
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1) Venous stasis
2) Damage of the inner lining of the vein 3) Hypercoagulability of the blood |
