GOUT
The nurse expects this lab to be elevated
Uric acid
The most common presentation
Fever, joint pain and rash in a woman of childbearing age.
Where RA does most of it's dirty work
In the synovium
Biggest complaint for this disorder
Pain in big joints
Two non-pharmacologic interventions for progression of Osteoporosis
What are obtaining sufficient calcium and Vitamin D, sunshine and weight-bearing exercise?
Treatment for Osteomyelitis
What is long term IV antibiotics?
Teaching for a pt on alendronate
Take 30 minutes before eating, first thing in the morning, must sit upright (high fowlers)
Not an analgesic, but its anti-inflammatory effects are the reason this is used to treat an acute flareup
colchicine
We've assessed the patient with SLE and found these consistent signs and symptoms
Who knows? There is an unpredictable pattern of organ involvement
RA doesn't eat up the cartilage. It eats up the
Joint
This pathology differentiates OA from RA
Degenerative process
Test used to diagnosis Osteoporosis
What is a DEXA?
Most likely causative varmint
Staph Aureus
sunlight, stress, illness, viruses, medications
taking this and doing this is what the patient needs to avoid flare-ups.
allopurinol and 3 liters of water
I would question the use of this type of vaccine and these are the first two that I would question
Live, chicken pox, MMR
She is taking hydroxychloroquine. What does the nurse make sure is in patient teaching
Eye exams
It's not about deformity. It's about ...
disability!
This is the pathology of osteoporosis
Simple explanation, please.
Bone resorption exceeds bone deposition
Four Signs and Symptoms that proves this is an infectious process
bone pain, fever, swelling, warmth, restricted movement, drainage, nausea, night sweats
A sequestrum is part of this pathological process
Osteomyelitis
Two dietary orders to avoid a flare up
It's the reason SLE is in this module
Arthritis is common in SLE. Pain in multiple joints.
These people should never, ever, ever, ever take methotrexate
Person trying to get pregnant
Lifestyle changes aren't working and neither are any of the medications. This is our last ditch effort. Eek!
Steroid injections
The classic type of person to have this disorder
White or asian, old, skinny lady
If it's chronic and has been going on for a long-time these types of fractures can be anticipated
Pathologic
Test that measures the presence of abnormal glycoprotein in response to inflammatory cytokines
What is C-Reactive Protein (<1mg/dL)?
Gold standard for diagnosis
Aspiration of synovial fluid
2 types of skin presentations in patients with Lupus
What are photosensitivity, butterfly, or discoid lesions
Lab used for classification of Rheumatoid arthritis
What is Rheumatoid Factor
Exercise is promoted because...
It strengthens the muscles around the joints
If she had maxed out her bone bank by this age, maybe she wouldn't have a dowager's hump now.
20-25
Empiric therapy
Vancomycin
Three reasons women are more likely to have osteoporosis
Less bone mass, less Ca++ intake, bone resorption begins earlier, pregnancy can rob, longer life span
It's not used to rock a baby. It's used to keep a patient with a flareup from losing their mind.
Foot cradle
Lab that is elevated in more than 97% if patients with Lupus
What is ANA?
When to start methotrexate
As soon as the diagnosis of RA is made
The patient gets up in the morning and we know they have OA because
their joints are very stiff but the stiffness lasts less than 30 minutes and is relieved by movement
5 foods to save bone
yogurt, spinach, cottage cheese, salmon, sardines, milk,
Two worrisome side effects of vancomycin and gentamicin
Ototoxicity, nephrotoxicity
The acronym for care of musculoskeletal injuries
What is RICE?
Rest, Ice, Compression, and Elevation
These three medications could all be used together for an acute flare-up
colchicine, NSAIDS, steroids
Elevated serum creatinine
With RA, it's the. key to surviving the day
Pacing, spacing out chores, periods of rest
Three modifiable risk factors
Stop smoking, lose weight, avoid alcohol
The pt has been coming to our clinic for years. Now, after our most recent assessment, we realize they have osteoporosis... but we never sent for a lab or did a diagnostic test. We knew because:
We measured their height
What we do for the suffering limb
immobilize it
DMARD stands for this
Disease modifying ant-rheumatic drug