Term
| What is the main symptom of arthritis? |
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Definition
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Term
| What does an arthritis assessment consist of? |
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Definition
| a complete health history followed by a complete physical examination combined with a functional assessment |
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Term
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Definition
| A chronic, noninflammatory, progressive disorder that causes cartilage deterioration in synovial joints and vertebrae |
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Term
| What are the risk factors for OA? |
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Definition
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Term
| What is the pathophys of OA? |
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Definition
| cartilage degradation, bone stiffening, and reactive inflammation of the synovium |
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Term
| What are the manifestations of OA? |
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Definition
| pain, stiffness, and loss of movement and function |
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Term
| What does treatment of OA focus on? |
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Definition
| managing pain and inflammation, preventing or limiting disability, and maintaining and improving joint function |
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Term
| What are the drugs used in OA? |
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Definition
| therapy (NSAIDs and COX-2 inhibitors) |
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Term
| What is used in severe cases of OA? |
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Definition
| Reconstructive surgery (arthroplasty) and corticosteroids are often used for more severe cases |
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Term
| What is important to consider with NSAIDS? |
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Definition
No alcohol
Side effects - bad on kidneys and GI bleed, ototoxic
Aspirin sensitivity - do not give
Ibuprofen
Do take with food
Stop 5-7 days b4 surgery |
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Term
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Definition
| A metabolic disorder marked by the deposition of monosodium urate crystals within joints and other tissues |
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Term
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Definition
| hyperuricemia (elevated level of uric acid in the blood) |
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Term
| What does nursing care prioritize with gout? |
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Definition
| pain management, self-care, and lifestyle and dietary modifications |
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Term
| What does GOUT stand for? |
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Definition
Gulp 3 L of fluid/day
0 organ meats or wine
Urine output increased to 2 L a day
Teach |
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Term
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Definition
A chronic pain syndrome characterized by diffuse musculoskeletal achiness, stiffness, fatigue, and exaggerated tenderness at 18 specified tender points
Accompanied by pain, tenderness, and systemic symptoms |
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Term
| What does nursing care of fibromyalgia prioritize? |
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Definition
| patient education, exercise, and cognitive therapy along with the medication regimen |
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Term
| What is the most common inflammatory illness? |
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Definition
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Term
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Definition
| Results from an autoimmune reaction involving macrophages, T cells, B cells, fibroblasts, chondrocytes, and dendritic cells |
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Term
| What are the symptoms of RA? |
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Definition
| Joint pain, swelling, warmth, erythema, and lack of function are classic symptoms |
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Term
| What is used to treat RA? |
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Definition
| NSAIDs, COX-2 inhibitors, and disease-modifying antirheumatic drugs (DMARDs) |
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Term
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Definition
Systemic Lupus Erythematosus
A chronic inflammatory autoimmune disease with variable presentations, course, and prognosis, characterized by remissions and exacerbations |
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Term
| What causes the autoimmune response in SLE? |
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Definition
| A result of disturbed immune regulation that causes an exaggerated production of autoantibodies and antigens |
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Term
| What are the manifestations of SLE? |
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Definition
| including fatigue and myalgias/arthralgias |
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Term
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Definition
| complete history, physical examination, and diagnostic tests |
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Term
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Definition
| Hardening of the skin is one of the most visible manifestations of the disease |
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Term
| What are the 3 cardinal features of scleroderma? |
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Definition
Vascular injury and damage
Activation of innate and adaptive arms of the immune system autoimmunity
Generalized interstitial and vascular fibrosis |
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Term
| What does scleroderma begin with? |
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Definition
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Term
| What is CREST? (Scleroderma) |
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Definition
-Calcinosis - calcium deposits in skin
-Raynaud's phenomenon - spasm of blood vessels
-Esophageal dysfxn like acid reflux and decrease in mobility of esophagus
-Sclerodactyly - thickening and tightening of skin
-Telangiectasias - dilation of capillaries causing red marks on skin |
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Term
| What does assessment of a patient with rheumatic disorder involve? |
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Definition
| on current and past symptoms, such as fatigue, weakness, pain, stiffness, fever, or anorexia, and the effects of these symptoms on the patient’s lifestyle and self-image |
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Term
| What do diagnoses/interventions of pts w/ rheumatic disorders relate to? |
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Definition
Relief of pain
Relief of fatigue
Promotion of nutrition
Promotion of sleep |
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Term
| What are the goals of interventions of patient's with rheumatic disorders? |
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Definition
Increased mobility
Maintenance of self-care
Adherence to therapeutic regimen
Improved body image
Effective coping
Absence of complications
Promotion of home care |
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Term
| Which arthritis is inflammatory? RA or OA? |
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Definition
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Term
| Can rheumatoid patients have live vaccines? |
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Definition
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Term
| Why do we use Cox 2 inhibitors? |
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Definition
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Term
| Why would a person with OA take Acetaminophen and not ASA? |
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Definition
| Acetaminophen has antinflammatory properties, ASA causes bleed. |
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Term
| How much tyelnol can a person take in a day? |
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Definition
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Term
| What should be avoided with Gout? |
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Definition
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Term
| Allopurinol and Colchesine is used for? |
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Definition
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Term
| What are the complications of SLE? |
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Definition
The ITIS!
Pericarditis, pleuritis, nephritis... |
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