Osteomyelits
True or False
Diabetes is the leading cause of Osteomyelitis
False; Trauma
The two most commonly replaced joints
Hips & knees
Goal of treatment for Osteosarcoma
Limb salvation, prevention of metastasis
For a patient with bone cancer, how does the nurse assess the mass?
Palpation
SCD's with compression stockings are used to prevent blood clots after...
TJA
The gold standard for diagnosis of Osteomyelitis
Bone biopsy
Leading clinical indication for joint replacement
Osteoarthritis
Most common site Osteosarcoma will metastasize to
Lungs
Labs a nurse will monitor and the expected results for a patient with Acute Osteomyelitis (list two)
WBC, ESR, CRP - increased indicating infection and inflammation
What type of therapy has been shown to reduce pain and increase functionality in patients with bone cancer.
Thermal therapy
Name one serious complication of Osteomyelitis
Sepsis or tumors
Patients with these conditions are contraindicated for TJA
Active infection, skeletal immaturity, significant pre-existing medical conditions (HF, MI, severe anemia), irreversible muscle weakness
Describe characteristic of pain in patients with Osteosarcoma
Pain worse w/ motion and unrelieved by rest, pain at night, or pain resulting in a limp
These are included in a TJA pre-op assessment
ECG, metabolic profile, coagulation studies, CBC, pain mgmt
List one nursing action other than administering IV antibiotics for a patient with Osteomyelitis
Analgesic therapy, thermal therapy, gentle ROM, provide training for safe mvmt w/ ADL's, nutritional support, contact home health/interprofessional team
Duration of time a patient will be on initial line of treatment for Osteomyelitis
4-6 weeks
THA implant approach used for active patients that may need revisions in the future
Uncemented
A patient with osteosarcoma's bone biopsy will reveal
Cancer stage
This is the most lethal complication of TJA
DVT, PE
To protect a patient with bone cancers skin that is receiving radiation treatments, what should be avoided
Moisture, deodorant, or creams - as they may cause irritation and burns
Clinical Hallmark of Osteomyelitis
Bone necrosis and sinus tracts
Deformity, tissue destruction, loss of function, X-ray and MRI
Where is Osteosarcoma usually found?
Ends of long bones, distal femur, proximal humerus, or proximal tibia
A patient with Osteosarcoma is on aggressive pain management. The nurse should monitor for a decrease in ______ & _______.
Respiratory rate & LOC
A patient with osteomyelitis will need nutritional support. What would you recommend and why?
Vitamin C, zinc, iron, thiamine, folic acid, and protein. Why? - assist with wound healing and eliminating infection