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Lifespan Test #6

Mod 4

TermDefinition
RICE acronym R: Rest I: Ice to decrease pain, swelling, inflammation C: Compression with elastic bandage E: Elevating affected area
Osteomyelitis Infection of bone
Osteoporosis - Metabolic disorder of low bone mass - Prone to fracture - Most common: spine, wrist, hip - All bones affected - Women at greatest risk
Osteoporosis S & S - back pain - height decrease - fracture - kyphosis
Osteoporosis Diagnostic Tests - Dual energy x-ray absorptiometry (DEXA) - Serum Calcium, Vitamin D Decreased - Serum phosphorus increased - Serum alkaline phosphatase increased
Osteoporosis Interventions - Reduce risk factors - Calcium supplements - Vitamin D supplements - Medications
Osteoarthritis - Degenerative Joint Disease - Increases with age
Osteoarthritis Risk Factors - Heredity - Aging - Obesity - Excessive "wear & tear" on synovial joints
Osteoarthritis Interventions - No cure - NSAIDS - Synvisc One - Acupuncture
Osteoarthritis Nursing Diagnosis - Acute pain - Activity intolerance - Chronic sorrow - Disturbed body image - Impaired physical mobility - Self care deficit
Rheumatoid Arthritis - Chronic, progressive, systemic inflammatory disease - Destroys synovial joints and other connective tissue
Rheumatoid Arthritis Early S & S - Bilateral, symmetrical joint inflammation - Reddened, warm, swollen, stiff, pain - Stiffness after resting - Activity decreases pain and stiffness - Low grade fever, weakness, fatigue, anorexia
Rheumatoid Arthritis Late S & S - Joint deformity - Secondary osteoporosis
Rheumatoid Arthritis Diagnostic Tests - Rheumatoid factor - Red blood cell - C subscript 4 complement decreased - ESR - Antinuclear antibody - CRP
Rheumatoid Arthritis Interventions - Antibiotics - Antirheumatic Drugs - Methotrexate - Gold - NSAIDS - Prednisone - Heat/ Cold
Rheumatoid Arthritis Nursing Diagnosis - Acute pain - Disturbed body image - Fatigue - Self care deficit - Impaired physical mobility
Total Hip Replacement postoperative care - Prevent adduction or hyperflexion - Prevent pressure injuries - Provide pain relief - Monitor incision - Neurovascular checks (cap refill, pedal pulses, popliteal) - Physical therapy - Cough and Deep breathing
Amputation preoperative - Teach preoperative procedures - Begin support services - Pain control (phantom) - Prosthesis education - Lifestyle adaption - Hemorrhage prevention
How to determine vascularization to an extremity (limb has vascularization) - Closest pulse to area, ex wrist (radial pulse) - Capillary Refill
Stage 1 Pressure Ulcer - Skin intact - Red - Does not blanch
Stage 2 Pressure Ulcer - Partial thickness skin loss - Exposed dermis
Stage 3 Pressure Ulcer - Full thickness skin loss - May have eschar
Stage 4 Pressure Ulcer - Full Thickness skin loss - Tissue loss - Damage to muscle, bone, or support structure
Pressure Injury Prevention - Turn/Reposition at least every 2 hours - Keep heels off bed - Pad/protect bony prominences - Use pressure reducing mattress - Use lift sheet to move - provide nutrition and hydration
Unstageable Pressure Injury - Full thickness skin and tissue loss - Obscured by eschar
Deep Tissue Pressure Injury Persistent, non blanchable, dark red, maroon, purple discoloration
Dermatitis Inflammation of the skin
Contact Dermatitis - Acute / Chronic - Caused by contact with irritant or allergen - Itchy - Not contagious - Shows up within days of exposure
Dermatitis Nursing Diagnosis - Impaired skin integrity - Disturbed body image - Deficit knowledge
Scabies S & S - Itching - Rash - Burrows
Scabies Diagnostic tests - Shaving of lesion - Microscopic Evaluation
Scabies Treatment - Easily Treated - Medicated skin creams / pills
Pressure Injury Risk factors - Immobility - Impaired Circulation - Impaired sensory perception - Elderly - Very thin or obese
Dual energy x-ray absorptiometry (DEXA) used for Osteoporosis
Allopurinol - Decrease uric acid production - Risk for skin reaction
Hypovolemia The most common form of dehydration resulting from the loss of fluid from the body; results in decreased blood volume.
Hypovolemia S & S - Hypotension - Tachycardia - Tachypnea - Extreme thirst - Restlessness - Disorientation
Estrogen - Maintenance of a strong bone matrix. - Used to prevent bone loss
Benzamycin - Used to treat acne - Risk for skin irritation, itching, burning, redness
Fat Embolism - Fat embolism syndrome is a serious complication of fractures. - Small fat droplets are released from yellow bone marrow into the bloodstream
Fat Embolism S & S - Gradual onset with tachycardia, dyspnea, and cyanosis - Confusion & Drowsiness - Petechial (red, measles-like) rash on the chest, neck, axilla, and conjunctiva
Created by: Cgannon12
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