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30 Cards in this Set
- Front
- Back
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care after rotator cuff surgery
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PT to prevent frozen shoulder
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phalen's test
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for carpal tunnel syndrome
positive = numbness with wrist flexion |
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interventions for carpal tunnel
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relieve inflammation
rest the wrist splint NSAIDs cortisone |
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comminuted
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bone splintered or shattered into numerous fragments; often occurs in crushing injuries
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fracture diagnosis
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ESR elevated if soft tissue injury present
serum calcium to determine baseline values - bone repair requires calcium |
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cast care
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keep wet cast open to air
turn patient every two hours handle wet cast only with palms of hand elevate limb for 24-48 hours ice to prevent swelling asses for dryness, tightness, drainage, odor too tight = compartment syndrome |
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buck's traction
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relief of painful muscle spasms that accompany fractures
used with hip fractures to prevent further trauma prior to surgery |
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pin sites
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skeletal traction
redness, drainage, odor, swelling, excessive warmth agency policy, physician's orders for care |
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neurovascular checks
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include pulses
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early symptoms of ACS
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patient report of severe, increasing pain not relieved by narcotics, occurs on more active movement than passive
decreased sensation |
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fat embolism syndrome
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occurs up to 72 hours after initial procedure
early manifestations: altered mental status resulting from low arterial oxygen |
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osteoporosis meds
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calcium supplements
vitamin D bisphosphonates (alendronate, risedronate) |
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alendronate, risendronate
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prevent or slow progress of osteoporosis
suppress osteoclaast activity = prevent bone breakdown; increase serum calcium side effects: esophagitis, esophagael ulcers (take drug early in am with full glass of water) |
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major symptom of paget's
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pain
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diagnosis of paget's
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urinary hydroxyproline = increase in bone turnover
higher level = more severe disease |
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paget's meds
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calcitonin = thyroid hormone effective in initiating remission of the disease
decrease bone loss while decreasing pain |
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gout pathophys
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severe pain and inflammation; usually in great toe
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gout medication
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uricosuric agents = decrease uric acid
allopurinol (Zyloprim) |
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gout diet
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avoid high purine (protein foods) such as organ meats, shellfish, oily fish
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lupus medications
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NSAIDs
acetaminophen corticosteroids antimalarials hydroxychloroquine immunomodulating drugs anticoagulants |
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lupus patient education
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sun block of SPF 30
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scleroderma S&S
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CREST syndrome
Calcinosis (calcium deposits) Raynaud's phenomenom (vasospasm) Esophageal dysmotility (decreased activity) Sclerodactylt (scleroderma of the finger digits) Telangiectasia (spiderlike skin lesions) |
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osteoarthritis S&S
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bony nodes on the joints of their fingers called Heberden's and Bouchard's nodes
women more likely to have them |
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drugs to treat CT diseases
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NSAIDS!!!!!
also imagery, music therapy, acupressure, acupuncture |
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rheumatoid arthritis S&S
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fatigue precipitates visit to physican
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RA meds
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NSAIDS
ibuprofen, corticosteroids heat and cold |
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total hip replacement
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2 piece device consisting of acetebular cup - inserted into pelvic acetabulum + femoral component inserted into femur to replace femoral head and neck
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hip dislocation common post-op complications
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subluxation (dislocation)
correct positioning to prevent hip adduction and hyperflexion |
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continuous passive motion
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applied by nurse, PT, technician
use intermittently or up to 8-12 hours purpose to keep knee joint mobile |
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amputation post-op care
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hemorrhage - assess closest proximal pulse between the heart and the amputated body part for strength and compare findings with the nonsurgical extremity
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