Rheumatic Disorders
Elevated uric acid could indicate which painful disorder
What is Gout?
5 P's of neurovascular assessment
What is pain, paralysis, paresthesia (numbness), pulselessness and pallor (pale skin)?
Nursing management of patient with lower back pain
What is pain relief, improving physical mobility, using proper body mechanics and weight reduction?
An injury to a ligament
What is a sprain?
The leg that goes first when going up the stairs with Crutches
What is the good leg or non-affected limb?
The hallmark of RA
What is synovial proliferation and tenderness to multiple joints- especially the small joints of hands, wrists and feet?
Lab used for classification of Rheumatoid arthritis
What is Rheumatoid Factor (0-20) and Antibodies to Citrullinated Proteins (<20)?
Types of skin presentations in patients with Lupus
What are photosensitivity, butterfly, or systemic coin rash?
Things to assess with your patient prior to sending a patient to MRI
What is anything metal- jewelry hearing aides, metal implants, and transdermal patches?
Conservative or first line treatment for Bursitis and Tendinitis
What is rest of extremity, intermittent ice, heat, US to the joint and NSAIDS?
Manifestations of a fracture
What is pain, loss of function, deformity, shortening, crepitus, swelling and discoloration? 42-1
The side of the patient the Crutches goes on when getting up or down from a chair
What is the affected side?
The type of arthritis that is noninflammatory and progressive
What is OA?
Lab that indicates inflammation in RA, SLE and scleroderma
What is Erythrocyte Sedimentation Rate (men 0-20) women (0-30)?
Gout treatments
What is joint rest, ice, restriction of purines, limit ETOH, no dieting, 2L fluids a day, NSAIDS?
The junction of two or more bones
What is a joint?
Test used to diagnosis Osteoporosis
What is a DEXA?
The acronym for care of musculoskeletal injuries
What is RICE?
Rest, Ice, Compression, and Elevation
The side of the patient the Cane goes on
What is the strong or non-affected side?
Nursing management for patients with OA
What is heat or cold, rest, wt reduction, Tylenol, or arthroplasty?
Lab that is elevated in more than 98% if patients with Lupus
What is ANA?
The 5 phases of SLE
What are susceptibility (genes and environmental factors), abnormal immune responses (B and T cells), auto-antibodies immune complexes (activate complement), inflammation and damage pg 1157
Hormone that increases in response to low calcium levels in the blood, that promotes movement of calcium from the bone, kidney conservation of calcium, and reduction of phosphate levels
What is Parathyroid hormone (14-65 pg/ml)?
Non-pharmacologic interventions for progression of Osteoporosis
What are obtaining sufficient calcium and Vitamin D, sunshine and weight-bearing exercise?
Signs and Symptoms of Hypovolemic Shock
What is; thirst, anxiety, elevated heart rate, thready pulse, decreased blood pressure, cool clammy skin, decreased urine output, rapid shallow breathing, delayed cap refill? 42-2
The leg that moves with the Cane
What is the weak or affected side?
Systemic manifestations of RA
What is fever, weight loss, fatigue, anemia, lymph node enlargement, and Raynaud?
Test that measures the presence of abnormal glycoprotein in response to inflammatory cytokines
What is C-Reactive Protein (<1mg/dL)?
Non-pharm techniques for patients to get restorative sleep
What are consistent bedtimes, quiet sleep environment, comfortable temperature, avoiding ETOH and caffeine, positioning of painful joints?
Components of a nurse's physical assessment for musculoskeletal system
What is posture, gait, bone integrity, joint function, muscle strength and size, skin and neurovascular status?
An infection of the bone (usually Staphylococcus aureus)
What is Osteomyelitis?
6 P's of Compartment Syndrome
What are pain, poikilotherima (feels cool), paresthesia (numbness), paralysis, pulselessness and pallor (pale skin)?
What the O in the OPQRSTU pain mnemonic stands for
What is onset?
Clinical manifestations of OA
What is limited passive ROM, pain relieved by rest, stiffness resolving in < 30 mins, crepitus, joint erosion, Herberden or Bouchard nodes?
Normal calcium levels in the blood
What is 8.5-10.5 mg/dl
Mnemonic for cutaneous symptoms of scleroderma
What is CREST
Calcinosis (calcium deposits in the tissues), Raynaud (spasm of blood vessels in heat or cold), Esophageal dysfunction (GERD), Sclerodactyly (thickening and tightening of skin on hands), Telangiectasis (Cap dilation that forms vascular red marks on surface of skin)
Hormone that inhibits bone resorption, reduces the renal resorption of calcium an phosphate, and increases the deposit of calcium in the bone
What is calcitonin?
Common causes of Osteomyelitis
What are direct bone contaminations, blood borne spread or an extension of soft tissue infection?
Immediate priorities after injury of suspected or known fracture
What is maintenance of hemodynamic stability, immobilization, neurovascular assessment, and infection prevention?
The number of finger widths that should be between the arm pads of crutches and the axilla
What is 2-3?
The type of arthritis that has stiffness that is worsened by inactivity and that may last less than 30 minutes
What is OA?
Test used to help identify acute or chronic tears of the joint capsule or supporting ligaments
What is arthrography?
Intervention to teach patients with fibromyalgia to help with fall prevention, decrease muscle weakness and discomfort and to improve deconditioning.
What is exercise?
The cords or sheets of connective tissue that attach muscle to bones, connective tissue, other muscles, soft tissue or skin
What is tendons?
Treatment for Osteomyelitis
What is long term IV antibiotics?
Priority nursing assessments/care for patients in traction
What is assessing traction apparatus, neurovascular checks a minimum of every 4 hours, maintaining positioning, preventing skin breakdown, and infection prevention?
The location of the top of the cane when properly fitted to a patient
What is even with the great trochanter or wrist crease closest to the hand?
Test that aspirates synovial fluids to look for inflammatory arthropathies
What is arthrocentesis?
Test that can determine bone density, texture, erosion and changes in bone relationships
What is a X-Ray?