Mgmt of Care
What are the supplements you should avoid when taking anticoagulants?
Kale, Spinach, Collards, Swiss Chard, mustard Greens, Turnip greens, Parsley, Broccoli, Brussel sprouts, Echinacea, Garlic, Ginko, Ginseng, Green Tea
What does Rheumatoid Arthritis impact?
Joints, heart, lungs, skin, nerves, blood vessels, kidneys
What is the most common form of bone cancer?
Osteochondroma
Fractures in young adults and the elderly are primarily caused by what?
High energy trauma/falling
What is one organ that should be highly assessed with medication administration in the geriatric populating?
Kidneys
What is a common symptom of Systemic Lupus Erythematous (SLE)
Butterfly rash
If a patient has a thyroid condition and osteoporosis. What should they be educated on?
Taking calcium with levothyroxine can inactivate the medication
What plays a major role in the development of osteoporosis?
Decrease in estrogen, especially after menopause?
False
What is adjuvant therapy?
This type of therapy is used with analgesics to help improve the impact on pain relief.
Patient has cancer and receives a staging diagnosis of T1-N2, M0. This indicates?
T1= Tumor is size of 0-2cm
N2= Lymph nodes involved and feel swollen and lumpy
M0= No evidence of distant metastasis
What are common complications of a fracture?
Neurovascular compromise
VTE
Fat Embolism
Rhabdomyolysis
Infection
Hypovolemia
Malunion/Nonunion
What are common causes of pathological fractures?
Metastatic cancer, Paget's disease, osteoporosis
What are some concerns with methotrexate?
Birth control, no alcohol
What is the best pain assessment tool for someone with a language barrier?
Faces Pain Scale-Revised
What is Raynaud's Phenomenon?
Arteriolar-vasospasm in response to cold/stress in the extremities
How often should you do neurovascular assessments on a patient following surgical intervention for a broken bone?
Every 2-4 hours
What are symptoms of neuropathic pain?
Stabbing, Tingling, Burning, Shooting pain
Name the Physical Assessment of Fracture:
Crepitus
Deformity
Muscle Spasm
Edema
Ecchymosis
SubQ Emphysema
What is BEERs criteria and what should you do if a patient is on medications on that list?
BEERS criteria is a list of potentially inappropriate medications. If you see a medication on that list you should notify the provider
What labs might be abnormal in a patient with SLE?
ANA Titer, Urine Protein, BUN
What are the 6 P's of compartment syndrome?
Pain
Pressure
Paralysis
Pulselessness
Pallor
Paresthesia
What are some labs that may be abnormal with a client who has RA?
ESR, ANA, WBC
What are some concerning a patient should report to a nurse during a PCP appointment if they have an autoimmune disease like RA or SLE?
Recent viral infection, decreased range of motion, decreased strength, constant pain without any relief.