Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
11 Cards in this Set
- Front
- Back
|
48. Treatment of a septic joint?
|
a. Requires surgery for drainage of infectious material
b. Followed by IV abx. c. MRSA-> Vanco but coverage w/antibiotics is dependent on specific organisms isolated |
|
|
49. Treatment of degenerative joint disease?
|
a. Mobility exercises
b. Maintenance of adequate ROM c. Weight loss, if appropriate. d. Intra-articular steroid injections may provide for varying amounts of time, but should only be done every 4 to 6 months so as to avoid cartilage destruction. e. Joint replacement is usually reserved for people with severe disease that affects their daily functions |
|
|
50. Non-rx aspect of RA Treatment?
|
a. Multiple modalities (including education and counseling of the patient regarding disease progression, treatment options, and implications lifestyle:
1. Exercises, such as those that maintain joint mobility muscle strength, are very important, as the natural course of RA is to develop a stiff joint that becomes disabling. b. Physical therapy and occupational therapy are important to address specific areas in which the patient may need devices to perform activities of daily living. |
|
|
51. Rx tx of RA (5 classes)?
|
1. NSAIDs
2. Steroids 3. Disease modifying antirheumatic drugs (DMARDs) 4. Anti-cytokines 5. Topical analgesics b. Treatment regimens for individualized, and will often include a combination of 2 or 3 of these agents. |
|
|
52. 2 DMARDs used for RA?
|
1. Sulphasalazine
2. Methotrexate |
|
|
53. 2 anti-cytokine agents used for RA?
|
1. Infliximab
2. Etanercept |
|
|
54. What must be monitored during the RX treatment of RA?
|
a. Hepatotoxicity!
|
|
|
55. What must be done for a red, joint?!?
|
a. Must be aspirated to r/o joint infection
|
|
|
56. First step w/suspicion of gonococcal arthritis?
|
a. Aspiration of synovial fluid.
|
|
|
57. Tx of gonococcal arthritis?
|
a. We likely need surgical drainage and IV antibiotic therapy.
|
|
|
58. Complete
|
58. Complete
|
