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Lifespan Test #6
Mod 4
| Term | Definition |
|---|---|
| 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 |