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Stack #38962

RRC Maintenance - Arthritis

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define osteoarthritis Slow progressive non-inflammatory disorder of the synovial joints
define rheumatoid arthritis Chronic systemic disease characterized by inflammation of the connective tissue in the synovial joints, typically with periods of remission and exacerbations
define gout Caused by increase in uric acid production, underexcretion of uric acid by the kidneys or increased intake of foods containing purines, which are metabolized to uric acid in the body. There are characteristic deposits of urate crystals in articular, peri
risk factors of OA Age ( >60-65 years), genetics, Estrogen reduction at menopause, Obesity, Strenuous exercise (football/soccer)
risk factor of RA Smoking Genetics Age (40-60 years) female
gout risk factors Prolonged fasting, Excessive ETOH consumption, Decreased renal excretion, Increased purine synthesis
defining characteristic of OA joint pain, joint stiffness that resolves itself, deformities such as Herberden's node and Bouchard's node
crepitation grating sensation caused by loose particles of cartilage in joint cavity
defining characteristic of RA joint stiffness, joint inflammation, symetric symptoms, joint deformities, with systemic manifestations affecting nearly every system of the body
defining characteristic of gout may occur in 1-4 joints...affected joint looks dusky and cyanotic and extremely tender...may develop tophi if chronic
tophi visible deposits of sodium urate crystals in joints
collaborative management of OA rest and joint protection, heat/cold application, nutritional therapy and exercise ( to manage weight), complementary and alternative therapies, drug therapy
management of RA drug therapy, nutritional therapy, reduction of inflammation, management of pain, maintenance of joint function and prevention/correction of joint deformities
management of gout drug therapy., limiting use of ETOH/purines, weight loss plan for obese clients, drug tx, supportive care of affective joint
Acetaminophen analgesic/antipyretic -> depletes substance P from nerve endings interrupting pain signals to brain
NSAIDs anti-inflammatory, analgesic, antipyretic -> acts by prohibiting synthesis of prostaglandins
nursing consideration with NSAIDs administer with food to decrease risk of GI bleed, assess for bleeding, monitor BP for elevations r/t fluid retention
intraarticular hyaluronic acid injected into affected joint to provide short-term lubricating effect and anti-inflammatory benefits...buffers synovial nerve endings
disease-modifying antirheumatic drugs anti-malarial drugs, methrotrexate, gold therapy, biologic therapy
intra-articular or systemic corticosteroids used to relieve inflammation to aid in symptom control
allopurinol blocks production of uric acid
Created by: bella83
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