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5 Cards in this Set

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Gouty SS

Acute attack


-

What is the sign and symtpoms of osteromylitoits

tenderness , erthymia , warmth and acute pain




fitsula may appear




systemic sing of infection


-fever


-chills


-malaise


nasuea


-anorexia



what are the nursing management for osteroymylietitus

pre-op


-explain surgery


-explore concern and source of anexity


-discuss the outcome -wound , irrigation tube , bed rest and hosptial treatment




Post op




Monitor vital sign q4h


monitor wound condition , complication




Prevent infection and compilcation


-clean hand


-aspectic technqiue in wound dressing


-ensure adaquete circulation


-wound irrigation and dressing


-watch for sign of further infection with pain and temp




Promote comfort


-pain relief




Dietary


-advise for and provide fluid and high cal

BLeeding precaution

avoid sharp object or anything hard objects that increases risk of injury -> plain razor and hard brittle tooth brush




avoid invasive procedure




educate on compplication




educate on mangmanenet -> apply pressure onto wound site




avoid consitpation




avoid forceful coughing




Monitor for signs for bleeding


-occult blood


-clean




Care of oral mucosa membrane


-saline flush


-cool drink


-




patient education


-bleeding managment


-precuation


-excerbation \


-follow up for bllod count




transfusion as need -> watch for allergic /overload





Managment of transfusion reaction

withhold immeidately


change Blood giving set


return blood and notify blood bank


monitor every 15 mins


notify doctor


reassurence


keep iv open with ns